Dr. Brandon Boyce is now treating that painful foot problem and other tendon issues by targeting the damaged tissue and removing it through just one small incision. It's called the Tenex procedure. It is minimally invasive and takes just a matter of minutes. The key to the technique is ultrasound.
"Conditions like tennis elbow and plantar fasciitis are caused by microscopic tears in the tendon or tissue. The torn tendon then degenerates and turns into kind of a mushy consistency which is very painful", Dr. Boyce said. "Tenex is a new procedure getting good results for patients with chronic tendonitis."
With ultrasound guidance, Dr. Boyce inserts a needle and numbs the area with a local anesthetic, allowing
patients to stay awake the entire time. Then, through a tiny incision, he guides what's call the Tenex device. It delivers ultrasound pulsations or ultrasonic energy to the damaged tissue.
The Tenex procedure requires only a microincision to reach the damaged tissue. Because the incision is so small and the ultrasonic energy precisely treats only the damaged tendon tissue, the surrounding healthy tissue is left unharmed.
Dr. Boyce says it liquefies the damaged tissue, removing it and stimulating a healing response. "Then, usually within six weeks or so the two sides of the normal tissue will heal back together again," he said.
The Tenex procedure takes about 20 minutes, no stitches. Dr. Boyce says the Tenex procedure can be used on a number of tendon problems including tennis elbow, plantar fasciitis, shoulder, patellar and Achilles tendon injuries.