A tenotomy is a procedure used to relieve chronic tendon pain when physical therapy, medications, or injections haven’t worked. There are two main types: percutaneous tenotomy and open tenotomy.

In a percutaneous tenotomy, a small needle and ultrasound are used to safely remove damaged tendon tissue through a tiny incision, promoting healing and pain relief in a minimally invasive way. Open tenotomy requires a larger incision to directly access the tendon when the damage is more severe.

This procedure is commonly used for conditions like tennis elbow, rotator cuff tendonitis, or Achilles tendonitis when the tendon hasn’t responded to non-surgical treatments.

Alternatives to tenotomy include physical therapy, bracing, or regenerative medicine options like platelet-rich plasma (PRP) therapy or bone marrow cells. If the tendon damage is severe, surgical repair may be necessary.

As with any procedure, risks are low but may include infection, temporary nerve irritation, soreness, or, in open tenotomy cases, scarring or tendon stability issues.

Before the procedure, you may need to stop certain medications, avoid food for a set period, and inform your provider about any supplements.

Recovery from percutaneous tenotomy typically takes four to six weeks, while open tenotomy may require two to three months. Ice therapy, rest, and possibly immobilization help recovery, along with a structured rehabilitation program to regain strength and function.

If chronic tendon pain is limiting your daily activities, tenotomy may be an effective treatment option. Our team is here to help guide you toward the best plan for your recovery.