Accessibility Tools

Tenex Health TX® System - Minimally invasive technology used to treat chronic tendon and plantar fascia disease at its source.

Tenex Health Logo

The medical procedure called percutaneous tenotomy or percutaneous fasciotomy using the Tenex Health TX System is specifically designed for those suffering from painful conditions associated with chronic tendon or plantar fascia damage. It is also known as chronic tendinosis/plantar fasciosis or tendinopathy/plantar fasciopathy. For more information, visit

How does Tenex Health TX work?

The Tenex Health TX® System uses ultrasonic energy to treat pain-causing soft and hard tissue through a minimally invasive percutaneous approach. If you have tried physical therapy, cortisone injections, medication, or just taking time to ice, stretch and rest and are still in pain, talk to us to see if you could be a potential candidate.

This technique helps patients restore musculoskeletal function without the need for invasive surgery or general anesthesia, may give you quick pain relief, and should have you back to enjoying the things you love in a few weeks to a few months. This treatment can also be effective in cases of failed open, surgical procedures.

Patient benefits may include:*

  • Rapid pain relief
  • Rapid recovery and return to normal activities in 6-8 weeks (compared to 6 months or more with an open surgical procedure)
  • Only a one-time treatment
  • Typically performed with local anesthetic
  • No stitches (requires only a small, adhesive bandage)
  • Well-tolerated procedure
  • Does not disturb surrounding healthy tendon
  • Stimulates a healing response in the tendon

*individual results may vary

What areas of the body can Tenex Health TX treat?

Tenex Health Logo

Speak with us today if you are suffering from:

  • Shoulder tendonitis (rotator cuff or biceps)
  • Lateral or medial epicondylitis (tennis or golfer's elbow)
  • Gluteal tendonitis (hip)
  • Pelvic hamstring tendonitis
  • Patella tendonitis (runner or jumper’s knee)
  • Achilles tendonitis (ankle)
  • Plantar fasciitis (foot or heel)
  • Calcific deposit in the tendon
  • Pain associated with a bone spur or bony prominence

Details of the procedure:

Precisely targets your damaged tissue. Dr. Nuti will visualize and identify the specific location of the damaged tendon tissue, bone spur, or calcific deposit using ultrasound.

Removes the damaged tissue. Once the source of your pain is identified, Dr. Nuti numbs the area with a local anesthetic, allowing you to stay awake the entire time. Many people say after the numbing process—which feels like a bee sting—they felt only a slight pressure during the procedure (if they felt anything at all). Dr. Nuti then uses ultrasonic energy designed to safely break down and remove the target, diseased tissue. The ultrasonic energy is applied with the TX MicroTip, which requires only a small incision to be introduced into the damaged tissue. The energy is effective for the cutting and removal of degenerative tissue and bone, while healthy tendon is left unharmed.

Requires no stitches. When the procedure is completed, Dr. Nuti applies a small adhesive bandage; no stitches are required. Because you are awake during the procedure (no general anesthesia), many people are able to drive home afterwards.

Can offer rapid pain relief and faster recovery. Recovery is rapid with many people being back to normal activity within 6-8 weeks or less. Because of the minimally invasive approach and targeted removal of tissue, there is minimal downtime and less discomfort compared to open surgery. The speed of your recovery depends on the location and the extent of the damaged tissue being treated.

Tenex Health Logo

Related Topics