Tenex for Achilles Tendonitis - Benefits & Complications
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- เผยแพร่เมื่อ 5 มิ.ย. 2024
- A Tenex procedure for Achilles pain is much better than other types of surgery, but should not be your first choice of treatment. In this video, sports physio Maryke Louw explains the possible Tenex procedure complications as well as why Tenex is not a silver bullet for Achilles tendonitis.
🌟Need more help with your injury? You’re welcome to consult one of the team at TMA via video call for an assessment of your Achilles injury and a tailored treatment plan: www.treatmyachilles.com
📽️Video you may find useful:
▶️ Tenex procedure rehab protocol for Achilles tendons: • Post-Tenex Procedure A...
▶️Achilles Tendonitis Treatments - The Good, the Bad, and the Useless: • Achilles Tendonitis Tr...
📚Chapters:
00:00:00 Introduction
00:00:51 How surgery for Achilles tendonitis works
00:03:17 Tenex surgery side effects
00:05:58 What treatments to try before Tenex surgery
00:08:21 How we can help
References:
Challoumas D, Clifford C, Kirwan P, et al. "How does surgery compare to sham surgery or physiotherapy as a treatment for tendinopathy? A systematic review of randomised trials." BMJ Open Sport & Exercise Medicine 2019;5:e000528.
Vajapey S, Ghenbot S, Baria MR, Magnussen RA, Vasileff WK. "Utility of Percutaneous Ultrasonic Tenotomy for Tendinopathies: A Systematic Review." Sports Health. 2021 May-Jun;13(3):258-264.
Fick, B., Stover, D. W., Chimenti, R. L., & Hall, M. M. (2021). "The safety of ultrasound guided tenotomy and debridement for upper and lower extremity tendinopathies: a retrospective study." The Iowa Orthopaedic Journal, 41(2), 82.
Hall, Mederic M., Stephanie A. Kliethermes, P. Troy Henning, Douglas F. Hoffman, Kenneth Mautner, Ezi Obunadike, Kentaro Onishi, Adam M. Pourcho, Jacob L. Sellon, and Ruth Chimenti. "Three-Month Complication Rate of Ultrasound-Guided Soft Tissue Surgical Procedures Across Six Sports Medicine Clinics." Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine 42, no. 11 (2023): 2629-2641.
I had this procedure and it’s been fantastic for a year. I was in so much pain before the procedure but after had no pain! It was a miracle but……. Now a year later the pain is back and so is the lump 😫 your video makes such a lot of sense. I was told to go hard on the calf stretches as they’re very weak due to my knee replacements but so far pain is back and I’m not happy! 👍🏼
Thanks for sharing! Perhaps this video about treatment can also be of use: th-cam.com/video/H1nfgU1amvg/w-d-xo.html
I had Tenjet, which is made by Hydrocision and is a competitor and updated version of Tenex. I had it done February 28, 2024 for achilles tendinosis and bursitis, I wasn't sure it was worth it for about 6-7 weeks but I had a turnaround shortly after that. At 12 weeks it's 80% better. Took 3.5 minutes and was under mild sedation. HIGHLY recommended. Don't waste your time on PRP, prolotherapy, stem cells or shockwave or any of this other nonsense if conservative care hasn't worked for 6-12 months.
That is brilliant news! Thanks for sharing. What else have you been doing in the last 12 weeks e.g. have you been able to do any exercise etc.? You don't have to be super specific but it is always useful for people to hear the experience of people who has actually gone through procedures.
@@TreatMyAchilles My PT is very light because I have a very low threshold for injury right now and a nasty case of PF in the other foot which I’m going to have fixed in July by TenJe also, but basically stretching my foot in bed 3 times a day, 15 times dorsi and plantar with no weight bearing. Then twice a week I do weight bearing for about 30 minutes. With at least 2 days rest between workouts. Heel raises and calf stretches mostly. 2-3 sets of 10. I’ll do some squats (no weight, holding onto the counter for leverage if needed) and just two sets or 5.only do this if you have healthy knees and hips. Other than that, a TON of stationary bike (20 minutes a day, 3x daily) and 10 minute walks. This got a severe case 80% better in 3 month. And this was an extreme case of insertional Achilles tendonitis. I’m in central Florida if you want to search tenex doctors in the area
Thank you and best wishes for the Plantar Fasciitis as well!
@@TreatMyAchilles Thank you so much! I want to offer a slight caveat for my original comment in calling all those other treatment modalities garbage. Most of them are, with zero clinical evidence behind them, but I might have been wrong about shockwave, which does have at least decent evidence. The peer reviewed trials are 50-50, but the ones with positive outcomes show an 80-88% success rate of at least 50% improvement. I have been undergoing shockwave for this plantar fasciitis and after some persistence and many annoying trips to the podiatrist, it does seem to be making some difference. After 5 sessions, I am probably feeling halfway better now. So my intention is to do a full 8-10 treatments and I'll report back a few weeks after the last one. But I'll reiterate to anyone else reading, PRP, prolotherapy, and stem cells are a complete waste of time. Do not fall prey to companies like Regennex who, after one phone call inquiring about their services, kept bothering me with calls for SIX MONTHS after that trying to bring me back in for PRP. That's not medical care. It's sales. Real doctors don't call you begging you to come in. I have seen countless cases of people spending $15,000-$30,000 for stem cells or multiple PRP sessions and getting nowhere. Prolotherapy is even worse as it is just an irritant solution and all it did was double my pain and it never went back down until I had Tenjet. Of course, try conservative care first. Give it 6 months, or 12 if the pain is minor and you can at least tolerate it, then try the shockwave, but Tenex/Tenjet is the final boss. It's very straight forward, it uses high velocity water to break down that diseased tissue thru an incision the size of a pencil eraser, and simultaneously sucks it out, and your body fills it in with new collagen. Simple and it WORKS!
I dealt with tendenosis for over a year, tried PT with no results, not being able to run, reocurring pain. I had tenex bone surgery, where they go in and shave off part of the bone, in my case the haglunds bump.
They did three needle incisions to clean out the injured tissue and bone. Two of the incisions were fine and healed up in a few weeks, the one where they stayed in the longest not so much. If you watch Tenex surgeries on youtube, the doctors who perform it will tell you if you go at high speeds too long in the affected area (without decreasing the needle speec) you can burn it and cause increased damage. That is exactly what happened to me. The incision in the middle where they did the most work for the most time, I was left with an open wound about the size of a dime, and was 2-3 mm deep. The wound itself took several months to heal, and should have been sutured. My doctor acted like the wound was no big deal, and kind of didn’t address the large open wound as if it was a problem. In fact besides the follow up a few days later I never actually saw the physician again.
Fast forward 14 months and 3 days later. I have had PT repeatedly, I still have swelling in the area as well as numbness/tingling and pain worse than before.
Point of sharing is to highlight what Mareka said which is, “it is still surgery”, and not that it always will, but remember it can get worse.
I never had a follow-up a year later, so I am not in those statistics of failure that is mentioned in the video.
When I sit down in a chair chair for 15min I can feel my heel and Achilles stretching, especially my right side. Getting tired of specialist telling me to buy an insoles.
Do you provide any rehab plans?
Yes, we do. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised rehab plan: www.sports-injury-physio.com/
I would be cautious of any orthopeadic surgery, it could ruin your life, as it did mine for knee surgery
- Minimal joint effusion in tibiotalar talocrural & talocalcaneal joint with T2W PDFS hyperintense signal within adjacent soft tissue in the region of talocalcaneal joint extending upto lateral aspect in the region of peroneus tendon, however no evidence of obvious capsular thickening in present scan.
Prominent steida process with subtle PDFS hyperintensity within ? posterior
Impingement.
Minimal tenosynovial fluid along peroneus longus & brevis tendon below lateral malleolus ?tenosynovitis.
Minimal T2W PDFS hyperintense signal within posterior talofibular ligament with intact fiber- likely grade I injury. Its my mri report i m fast bowler what treatment should i go for like should I ho gor a steroid injection??
We can't comment on what the correct treatment options are for you because we've not assessed you. If you're not sure, get a second opinion from a doctor or physio who actually assesses you and understands your full circumstances and can make informed recommendations.
Brother, there's no way you just wrote out your entire MRI report and asked a PT on TH-cam to do a full evaluation and treatment plan for free?
@@crispycruiser4654 yes
@@saritchandramishra4920 That's not how any of this works...
I have two Achilles problems one foot has insertional and the other has mid section problems. Can you give me some advice on how to go about treating these two different problems please? Getting desperate now.
The treatment is essentially the same but you just need to adjust your exercises so you avoid stretching the insertional one - e.g. doing calf raises to floor level rather than over a step. You can find more treatment advice here: th-cam.com/video/H1nfgU1amvg/w-d-xo.html
@@TreatMyAchilles Thank you for taking the time to reply to my question.