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Percutaneous tenotomy

Minimally Invasive Spine at Specialty Medical Center.

Person holding a sore elbow
Written by the Specialty Medical Center editorial teamNot individually reviewed by a physicianApproved for publication by SMC, October 31, 2026How we write and review

What is percutaneous tenotomy?

Percutaneous tenotomy treats long-lasting tendon pain by removing damaged tendon tissue through a tiny incision, guided by ultrasound. Some devices use ultrasonic energy for this (sometimes known by the name Tenex). The aim is to help the tendon heal with healthier tissue.

Who it may help

  • Tennis or golfer's elbow lasting months
  • Achilles, patellar, hip or shoulder tendon pain that hasn't improved with therapy and other treatment

What happens

Under local anesthesia, a small probe is guided into the damaged tendon with ultrasound. The procedure takes about 20 to 30 minutes.

Recovery and outlook

You go home the same day. Bracing or protected use for a short time, then a rehab program, are typical.

Risks

Soreness, infection, and incomplete relief.

Other options to discuss

Cost and coverage

When a procedure is medically necessary, it is usually billed to health insurance, Michigan auto no-fault or workers' comp. Many plans need prior authorization. Our team checks your benefits before your procedure is scheduled and tells you about any cost you're likely to owe. See who usually pays · Ask us to check your coverage

Where to get care at Specialty Medical Center

Consultations are at our spine and pain offices in Dearborn, Sterling Heights and Garden City. Part of Minimally Invasive Spine Center.

Eduardo José Otero Loperena, MDInterventional pain medicineMohamed Osman, MDPain managementAaron Greenberg, DOPhysical medicine and rehabilitation

Who performs procedures, and where:

  • Dr. Eduardo José Otero: Universal Care Surgery Center
  • Dr. Mohamed Osman and Dr. Aaron Greenberg: Universal Care Surgery Center and Advanced Surgery Center
  • Dr. Roy Torcuator: Advanced Surgery Center and Garden City Hospital

Office injections are done in our offices. Your physician confirms who performs your procedure, and where, at your consultation.

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This page gives general information. Your physician will explain whether a treatment fits you, its risks and the alternatives.