Percutaneous needle tenotomy is the use of a needle to make small holes in a tendon through the skin. Repeated needlesticks can break up scar tissue and cause bleeding in a tendon, prompting the inflammatory cascade and helping the body’s own cells to begin rebuilding the tendon.
- Tennis elbow
- Plantar fasciitis
- Rotator cuff low-grade partial thickness tear
- Achilles tendon low grade partial thickness tear
Tenotomy helps jump-start the body’s own healing process, to speed healing and recovery from an injury or debilitating condition. In a study published in Physical Medicine & Rehabilitation, Mayo Clinic researchers reported that the combination of tenotomy and PRP injections produced significant improvement in patients with long-standing tendon injuries.
Our subspecialized musculoskeletal imaging physicians use ultrasound imaging to precisely guide a needle to the damaged tendon to perform a tenotomy. The needle pricks transform a nonhealing, degenerative injury into an acute injury that has the potential to heal. Maximum benefits from tenotomy and PRP occur within the first four months after a treatment.
Before Your Treatment
- Tenotomy and PRP treatment requires you to stay off nonsteroidal anti-inflammatory drugs for two weeks before and after treatment.
During Your Treatment
- Local anesthesia with lidocaine will be used near the damaged or injured tendon. Conscious sedation can be used if needed.
After Your Treatment
- You should rest for one week after your treatment, followed by one week of light stretching. You will start physical therapy two weeks after the procedure.