Percutaneous Tenotomy and Fasciotomy



Noble Pain Management and Sports Medicine is one of the select physician practices to offer a minimally invasive procedure called TenJet®—medically known as Percutaneous Tenotomy and Fasciotomy—a new, advanced treatment for those suffering from debilitating tendon pain.

Tendon pain is caused by damage to the tendon by trauma from a hit, twist, or pull on the joint or by repetitive motion from overuse in work, exercise or activity. Common tendon injuries include tennis elbow, golfer’s elbow, jumper’s knee, Achilles tendonitis and plantar fasciitis. In these situations, the tendon tissue breaks down. The damaged tissue causes intense pain, which dramatically affects people’s ability to function.

TenJet® is a breakthrough technology for the treatment of chronic tendon pain by eliminating damaged tissue through a minimally invasive procedure. A needle-based technology, TenJet uses a supersonic stream of saline to remove damaged tissue while preserving healthy tendon tissue.

With the TenJet® procedure, most patients can return to their normal daily activities, without the restrictions caused by pain from damaged tendon tissue, physical therapy and lengthy recovery times. 

During the Procedure

  • A local anesthetic to numb the area, and patients are awake and alert throughout the treatment.
  • Conventional ultrasound imaging is used to identify the location of the damaged tendon tissue.
  • Once located, a non-thermal, supersonic stream of saline is delivered at controlled speeds through a twelve-gauge needle to remove diseased tissue while sparing healthy tendon. The damaged tissue is removed safely and quickly, allowing the tendon to heal and eliminating the pain.
  • The entire procedure usually takes about 15 minutes.

After the Procedure

  • An adhesive bandage is placed over the tiny opening—sutures or stitches are not necessary.
  • Most patients are able to return to their normal activities within two to six weeks.