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TENEX, TENEX Health, Regenerative Medicine, Ultasound, Cincinnati, Physician, Doctor
Ultrasound-guided TENEX procedure, ultrasound, injection,elbow, tennis elbow
Tennis Elbow


The TENEX procedure is used to treat chronic tendon injuries that have not completely healed, or have not healed at all. The TENEX procedure is performed under ultrasound-guidance, to stimulate new healing and assist with removal of damaged tissue. This is a minimally-invasive, outpatient procedure. Learn more in the video below.

What is the Science?

Under ultrasound-guidance, the area of damaged tissue, most commonly within the extensor carpi radialis brevis tendon, is identified. The treatment works two ways. First, the area is fenestrated to promote localized blood flow to restart the healing cascade within the damaged area. Next, ultrasound frequencies are used within the Micro-Tip in conjunction with a sterile lavage, to remove areas of damaged tissue, resulting in improved healing and decreased pain.

What Conditions are Treated?

  • Chronic tendinopathy

  • Tennis elbow

  • Golfers elbow

  • Jumper's knee

  • Calcific rotator cuff tendinopathy.


Barnes, Darryl E., James M. Beckley, and Jay Smith. "Percutaneous ultrasonic tenotomy for chronic elbow tendinosis: a prospective study." Journal of shoulder and elbow surgery 24.1 (2015): 67-73.

McShane, John M., Levon N. Nazarian, and Marc I. Harwood. "Sonographically guided percutaneous needle tenotomy for treatment of common extensor tendinosis in the elbow." Journal of ultrasound in medicine 25.10 (2006): 1281-1289.

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