Tenex Procedure in Singapore

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Overview

What is the Tenex Procedure?
What are the Benefits of Tenex vs. Traditional Surgery?
How does Tenex Procedures Work?
What Conditions Can be Treated with Tenex?
What are the Recovery & Post-procedure Guidelines?
What are the Limitations & Other Considerations?

What is the Tenex Procedure?

Tenex (also known as percutaneous tenotomy or fasciotomy) is a minimally invasive procedure used to treat chronic tendon and soft tissue injuries. It is particularly effective for tendinopathy and plantar fasciitis that have not responded to conservative treatments like physical therapy, rest, and injections.

What are the Benefits of Tenex vs. Traditional Surgery?

Minimally Invasive – Tiny incision, no stitches, and minimal scarring
Quick Procedure – Typically takes 15-30 minutes
Faster Recovery – Most patients return to light activity within a few days to a few weeks (compared to months with open surgery)
Preserves Healthy Tissue – Unlike open surgery, Tenex removes only the damaged tendon fibers
Less Pain & Swelling – Less trauma to surrounding tissues compared to traditional surgery
Low Risk of Complications – No general anesthesia, reduced infection risk

How does Tenex Procedures Work?

Tenex uses ultrasound-guided percutaneous (through the skin) technology to remove damaged tendon tissue while preserving healthy tissue. It works through:

Ultrasound Imaging: The doctor uses ultrasound to precisely locate the damaged tendon or fascia tissue
Local Anesthesia: The area is numbed with a local anesthetic (no general anesthesia required)
Micro-Incision: A tiny incision (about 3 mm) is made in the skin

Ultrasonic Needle (Tenex Device): A specialised needle-like probe is inserted into the damaged tissue
Tissue Breakdown & Removal: The Tenex device emits high-frequency ultrasonic energy, breaking down and removing damaged tissue while leaving healthy tissue intact
No Stitches Needed: The incision is so small that it usually does not require stitches, only a bandage

To find out if the Tenex procedure may be suitable for you, please reach out to us today for a detailed evaluation and advice.

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What Conditions Can be Treated with Tenex?

Tennis Elbow (Lateral Epicondylitis)
Golfer’s Elbow (Medial Epicondylitis)
Achilles Tendinopathy
Patellar Tendinopathy (Jumper’s Knee)
Rotator Cuff Tendinopathy (Shoulder Pain)

Chronic Plantar Fasciitis – One of the most common uses for Tenex.
Gluteal Tendinopathy (Hip Pain)
Pes Anserine Bursitis (Inner Knee Pain)

What Conditions Can be Treated with Tenex?

What are the Recovery & Post-procedure Guidelines?

Light activity within a few days (depends on location and severity of injury)
Physical therapy may be recommended for gradual strengthening
Return to sports/work in 4-6 weeks for most cases

What are the Limitations & Other Considerations?

Best for Chronic Cases – Works well for chronic tendinopathies but may not be effective for complete tendon tears.
Not for Severe Arthritis – More useful for soft tissue injuries rather than advanced joint arthritis.

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Frequently Asked Questions

The ideal candidate is someone with chronic tendon pain or plantar fasciitis that has not improved with conservative treatments like rest, physiotherapy, or injections. It’s not recommended for complete tendon tears or severe arthritis.

Many patients experience pain relief within a few weeks, but full recovery can take up to 6-8 weeks, depending on the treated area and adherence to post-procedure rehabilitation.

While not always required, physiotherapy is often recommended to restore strength, flexibility, and function. A personalized rehabilitation plan can help optimize recovery and prevent re-injury.

In rare cases where symptoms persist or recur, a repeat Tenex procedure may be considered. However, most patients achieve lasting relief after a single treatment.

Most patients experience mild swelling, bruising, or soreness at the treatment site. Serious complications are rare, but infection or delayed healing can occasionally occur, especially if post-procedure care is not followed.

Yes, gradual return to activity is crucial. Patients may need to avoid high-impact activities for several weeks and incorporate strengthening exercises to prevent further tendon strain or injury.

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