Dr Timothy Young, a Board-certified Foot Surgeon Discusses Tenex Procedure for Achilles Tendonitis: A Revolutionary Approach to Healing

Dr Timothy Young, a Board-certified Foot Surgeon Discusses Tenex Procedure for Achilles Tendonitis: A Revolutionary Approach to Healing

Achilles Tendon

Dr Timothy Young, a Board-certified Foot Surgeon Discusses Tenex Procedure for Achilles Tendonitis: A Revolutionary Approach to Healing


Achilles tendonitis is a common condition that occurs when the Achilles tendon, the large tendon connecting the calf muscles to the heel bone, becomes inflamed and causes pain and discomfort. Achilles tendinosis is a more accurate term when there is thickening of the tendon itself with degenerative changes within the tendon. Traditional treatment methods often involve rest, physical therapy, and anti-inflammatory medications. However, for those seeking a more advanced and minimally invasive solution, the Tenex procedure has emerged as a groundbreaking option. Furthermore the Achilles tendon problems can involve the insertion of the tendon lower at the heel, or further up above the heel. In either case these can be chronic painful conditions.

What is the Tenex Procedure?

The Tenex procedure, also known as percutaneous tenotomy or TX1 MicroTip technology, is a minimally invasive treatment designed to target and remove damaged tissue in the Achilles tendon. This is especially effective for Achilles tendinosis. This cutting-edge approach can effectively alleviate pain and promote the natural healing process without the need for open surgery.

How Does the Tenex Procedure Work?

The Tenex procedure utilizes ultrasonic energy to precisely target and break down diseased or damaged tissue within the Achilles tendon. Overall the non-damaged portions of the Achilles tendon left intact which speeds the overall healing. The process involves the following key steps:

1. Diagnosis: Before recommending the Tenex procedure, a thorough evaluation of the patient's condition is conducted, typically including imaging studies such as ultrasound or MRI to pinpoint the location and extent of the tendon damage.

2. Local Anesthesia or IV sedation combination: The patient is given local anesthesia to numb the targeted area, ensuring a pain-free experience during the procedure.

3. Ultrasonic Energy Application: A small incision is made to access the damaged area. A specialized ultrasonic tool is then inserted through the incision, delivering precise ultrasonic energy to break down and remove the damaged tissue without affecting healthy surrounding tissue.

4. Aspiration: Simultaneously, a suction mechanism removes the broken-down tissue, promoting the body's natural healing response.

5. Minimal Scarring: Due to the minimally invasive nature of the procedure, scarring is typically minimal, and the recovery period is shorter compared to traditional open surgery.

Benefits of the Tenex Procedure:

1. Minimally Invasive: The Tenex procedure is performed through small incisions, reducing the risk of infection, minimizing scarring, and allowing for a quicker recovery.

2. Targeted Treatment: The ultrasonic energy precisely targets and removes damaged tissue, preserving healthy tendon fibers and promoting more effective healing.

3. Outpatient Procedure: The Tenex procedure can be performed on an outpatient basis, allowing patients to return home the same day.

4. Quick Recovery: Patients often experience a faster recovery compared to traditional surgical methods, enabling them to resume normal activities sooner.

5. High Success Rate: Clinical studies have shown positive outcomes and high patient satisfaction rates with the Tenex procedure, making it a great option for those suffering from recalcitrant Achilles tendonitis.


The Tenex procedure represents a significant advancement in the treatment of Achilles tendonitis, offering a minimally invasive and targeted approach to alleviate pain and promote healing. As with any medical procedure, it is essential to consult with a qualified healthcare professional to determine the most suitable treatment plan based on individual needs and circumstances. With the Tenex procedure, individuals may find a path to recovery that aligns with their desire for effective, efficient, and minimally disruptive treatment. If you have Achilles tendon symptoms please consider a consultation at our clinic. Achilles tendon evaluation and treatment is a specialty at our clinic.

Give us a call at 425-391-8666 or make an appointment online today. 
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