Tenotomy is minimally invasive intervention used in the treatment of chronic tendon problems, such as tendinosis or tendinopathy. It is also used to remove scar tissue or adhesions. The cases of capsular hypertrophy causing a “frozen” joint can also benefit from this procedure. The procedure can performed under ultrasound guidance or fluoroscopic guidance with injection of contrast. In percutaneous tenotomy a needle is used to break-up scar tissue and adhesions. Tenotomy promotes tendon re-vascularization. In certain cases, orthobiologics (PRP, Adipose tissue, BMAC, etc) can be added to promote healing and repair.
Anesthesia can be used to minimize discomfort.