Percutaneous Tenotomy

“Percutaneous tenotomy is a minimally invasive procedure used to treat chronic tendon pain by removing or breaking down damaged tendon tissue. This approach helps stimulate the body’s natural healing response, reduce inflammation, and improve function in affected areas. As part of a comprehensive musculoskeletal treatment plan, percutaneous tenotomy may be considered when conservative therapies have not provided sufficient relief.”

-Dr. Anatoly Pisman, MD

What is Percutaneous Tenotomy?

Percutaneous tenotomy is a procedure that targets degenerative or damaged tendon tissue through a small incision or needle-based approach. Using specialized instruments, the unhealthy tendon fibers are debrided to encourage healing of the remaining healthy tissue.

This technique is often used for chronic tendon conditions that have not responded to rest, physical therapy, or other conservative treatments, and may be considered alongside other joint and soft tissue care approaches.

Conditions Treated

How Percutaneous Tenotomy Works

The procedure is performed using imaging guidance such as ultrasound to accurately locate the affected tendon. A small incision or needle entry is used to access the damaged tissue, which is then carefully treated to remove degenerative fibers.

By disrupting the chronically injured tissue, the procedure helps trigger a healing response that promotes regeneration of healthier tendon structure over time.

When Percutaneous Tenotomy Is Recommended

What to Expect After the Procedure

After the procedure, patients may experience mild soreness or discomfort in the treated area for a short period. Recovery involves gradual return to activity, often guided by a rehabilitation program.

Improvement typically occurs over several weeks as the tendon heals and remodels. Patients are often advised to follow a structured physical therapy plan to optimize outcomes and prevent reinjury.

Benefits of Percutaneous Tenotomy

What to Expect at Your Visit

During your evaluation, your symptoms, activity history, and prior treatments will be reviewed to determine whether percutaneous tenotomy is appropriate. Imaging and physical examination may be used to confirm the extent of tendon involvement. A personalized treatment plan will be developed, which may include percutaneous tenotomy along with rehabilitation and complementary therapies as part of a comprehensive recovery approach.

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