What Is the Tenex Procedure?
The Tenex procedure is a minimally invasive procedure designed to treat chronic tendon pain caused by conditions such as tendonitis and degenerative tendon damage. If you’ve been searching for a Tenex procedure near me, this advanced treatment may be the solution when rest, physical therapy, injections, and other conservative options have failed.
Dr. Mark Harary, MD, offers Tenex treatment as part of his comprehensive sports medicine and pain care services. The procedure is used to treat chronic tendon pain in the elbow, shoulder, knee, and foot, helping patients avoid traditional surgery and return to activity more quickly.
How the Tenex Procedure Works
The Tenex procedure is a nonsurgical, percutaneous tenotomy that uses ultrasound imaging and minimally invasive technology to precisely target damaged tendon tissue. Using the Tenex Health TX system, the procedure uses ultrasonic frequencies to break up and remove the scar tissue and damaged tissue within the affected tendon, while preserving healthy tissue.
During the procedure:
- Local anesthesia is applied
- A small incision is made
- Ultrasound imaging guides the treatment
- Ultrasonic energy breaks up and removes damaged tendon tissue
- The area is covered with a small bandage
Because it is percutaneous and minimally invasive, the Tenex procedure removes damaged tissue without the need for conventional surgery or large incisions.

What Conditions Can the Tenex Procedure Treat?
The Tenex procedure for tendon pain is commonly used to treat:
- Tennis elbow (lateral elbow tendonitis)
- Golfer’s elbow
- Rotator cuff tendonitis and chronic shoulder pain
- Jumper’s knee
- Achilles tendinitis
- Plantar fasciitis (involving the plantar fascia)
These conditions often involve a buildup of scar tissue on the tendons, leading to persistent tendon pain. The procedure also stimulates the body’s natural healing response, promoting long-term recovery.

Benefits of the Tenex Procedure
For patients with chronic tendon pain, the benefits of the Tenex procedure include:
- Minimally invasive technology
- Scar tissue removal
- Fast pain relief
- Reduced recovery time compared to traditional tendon surgery
- Small incision and minimal scarring
- Outpatient treatment option
- Nonsurgical alternative to conventional surgery
Unlike traditional surgery, which may require extensive downtime, many patients notice improvement within a few days. While full healing typically occurs over four to six weeks, most individuals can resume light activity immediately after the procedure.
Recovery After Tenex Treatment
Immediately after the procedure, patients typically experience mild soreness that can often be managed with over-the-counter pain relievers. Because the Tenex Health TX system precisely removes the damaged tendon tissue while protecting healthy tissue, recovery is generally faster than with traditional surgery.
Dr. Harary provides a personalized recovery plan tailored to your specific condition, whether you’re being treated for elbow tendonitis, plantar fasciitis, Achilles tendinitis, or rotator cuff issues.
Is the Tenex Procedure Right for You?
The Tenex procedure may be recommended for patients with chronic tendon pain who have not improved with physical therapy, injections, or other conservative treatments. It is an effective treatment option for those looking to treat chronic tendon pain without undergoing major surgery.
If you are experiencing persistent tendon pain in the elbow, shoulder, Achilles tendon, or plantar fascia and are searching for a trusted provider offering the Tenex procedure near you, Dr. Mark Harary can help determine whether this minimally invasive treatment is appropriate for your condition.
Contact our office today to learn more about how Tenex treatment can help relieve pain, remove damaged tissue, and restore function.