Targeted. Trusted. Minimally Invasive.
Tenex Procedure
At Mississippi Motion, we offer Tenex—a precise, minimally invasive procedure for patients with chronic tendon pain or calcific deposits that haven’t improved with rest, therapy, or injections.
Using ultrasound guidance and a specialized ultrasonic tool, Tenex removes only the damaged tissue or calcium buildup causing your pain, without harming healthy tissue or requiring open surgery.
The result? A same-day, in-office procedure with no stitches, no general anesthesia, and minimal downtime.
A Smarter Approach to Tendon Care
Tenex is built around a powerful concept: treat the root of the pain, not just the symptoms.
Instead of masking pain or repeatedly injecting tendons, Tenex:
- Uses real-time ultrasound to find and target damaged or calcified tissue
- Delivers focused ultrasonic energy through a pencil-tip-sized probe
- Breaks down and gently removes scar tissue or calcium
- Preserves healthy fibers to support natural healing
- Requires only a tiny skin puncture and is done under local anesthesia
Developed with the input of sports medicine specialists — including physicians affiliated with the Mayo Clinic — Tenex is trusted by orthopedic and sports medicine professionals across the country.
What Can Tenex Treat?
Tenex is ideal for chronic tendon pain caused by overuse, injury, or scar tissue, and for calcific conditions that traditional treatments can’t resolve.
Common uses include:
- Calcific tendinopathy (rotator cuff, hip, Achilles)
- Chronic tendon injuries like tennis elbow, plantar fasciitis, or jumper’s knee
- Scar tissue buildup from overuse or failed healing
- Joint or tendon impingement due to bone spurs or calcium deposits
- Patients seeking alternatives to surgery
If your tendon has been painful for over 3 months and shows thickening, disorganization, or calcium deposits on ultrasound, Tenex may be the next step.
Precise. Targeted. Same-Day Solution.
How the Tenex Procedure Works
- Ultrasound Diagnosis
We use diagnostic ultrasound to map the damaged area. - Local Anesthesia
The skin is numbed—no sedation or general anesthesia required. - Ultrasound-Guided Probe Insertion
A tiny Tenex probe is placed through a small puncture site. - Targeted Tissue Removal
The ultrasonic tip vibrates at high frequency to break up and suction out damaged tendon tissue or calcium deposits, sparing healthy fibers. - Immediate Recovery
A small bandage is applied—no stitches needed. Most patients walk out and resume light activity within a few days.
Conditions Treated with Tenex
| Region | Conditions Treated |
|---|---|
| Elbow | Tennis Elbow, Golfer’s Elbow, Elbow Impingement |
| Shoulder | Rotator Cuff Tendinopathy (including calcific) |
| Knee | Patellar Tendonitis, Patellar Osteophytes |
| Foot & Heel | Plantar Fasciitis, Achilles Tendinopathy (calcific) |
| Hip | Gluteal or Hamstring Tendinopathy (incl. calcific) |
| Ankle | Insertional Tendinopathy, Ankle Impingement |
Advanced Technology. Real Healing.
Why Patients Choose Tenex
Whether you’re a runner, a weekend warrior, or simply tired of chronic pain, Tenex offers a precise and proven alternative to surgery.
Minimally Invasive
Removes only calcium deposits and scar tissue through a tiny skin puncture—no stitches, no large incisions.
Local Anesthesia Only (Optional)
The procedure is performed comfortably using local anesthetic or light sedation without the need for intubation.
Quick and Efficient
Most treatments take just 10–15 minutes, and patients resume light activity shortly after.
Faster Recovery
With minimal tissue disruption and healthy structures preserved, most patients resume normal hand use within days.
Long-Term Relief
By removing the true source of pain—not just managing symptoms—TenJet supports lasting improvements in comfort and function.
Streamlined Scheduling
If you're a candidate, Tenex may be performed within the same week of your evaluation.
Ready to See If Tenex Is Right for You?
We’ll assess your condition using diagnostic ultrasound, review your treatment options, and determine whether Tenex is a fit. We can often schedule the procedure within a week of your evaluation.
How Tenex and TenJet Compare
Both Tenex and TenJet are minimally invasive procedures designed to treat chronic tendon conditions. However, they use different technologies and are optimized for various tissue types. The table below outlines the key differences in how each device works, what it treats best, and when it might be recommended.
| Feature | Tenex Bone Tip Device | TenJet Device |
|---|---|---|
| Primary Use | Removal of bony overgrowth and enthesophytes | Debridement of soft tissue tendinopathy, including insertional sites |
| Mechanism | Ultrasonic energy with hardened tip to break down fibrotic/calcific tissue at bone–tendon interface | High-pressure dual-stream saline jet that dissects tissue and aspirates |
| Tissue Types Targeted |
|
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| Tip Design | Hard, metallic beveled tip to gently shave tissue near bone | Dual-lumen catheter with angled fluid jet ports |
| Debridement Control | High precision, especially when working on osteotendinous junction | Broader debridement field |
| Ultrasound Visibility | High — metallic tip is clearly visible under ultrasound | High — metallic tip is clearly visible under ultrasound |
| Tissue Removal Efficiency | High for dense, calcific or bony lesions | High for diffuse or soft fibrotic tissue |
| Noise Level During Use | Moderate ultrasonic hum | Noticeable jet/water noise |
| Cleared for Use by Trained Physician | Cleared for use near bone/tendon junction | Cleared for soft tissue and fascia |
| Best Clinical Cases |
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Hear From Our Clients...
Hana’s Pain-Free Journey with Tenex
After years of debilitating knee pain, Hana found relief without surgery or pills through the innovative Tenex procedure at Mississippi Motion. Watch her share how this cutting-edge, minimally invasive treatment transformed her life in just one session.
