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...Cutting-edge Achilles Tendon and Plantar Fasciitis Treatment

If you’re one of 8 million Americans experiencing pain and discomfort in the Achilles tendon or plantar fascia, the Tenex Health Procedure, a minimally invasive treatment for soft tissue damage, may help. Developed with Mayo Clinic, Tenex uses very precise microscopic cutting and removes the diseased tissue. When tissue is unhealthy, blood flow is reduced and healing is impaired, if not halted. Tenex is performed in a surgery center or hospital setting with light sedation and local. It's covered by most insurance plans. After the procedure, a small bandaid is enough for close the minuscule incision.

What to Expect During the Tenex Procedure Dr. Shirazi uses a diagnostic ultrasound to pinpoint the exact area(s) of scar tissue within the damaged tendon or ligament. The ultrasound uses a specific frequency can locate the difference between healthy tissue and scar tissue. The actual Tenex Procedure usually takes only about 15 minutes. In most cases, an injection of amniotic tissue or PRP can help to both stimulate and accelerate the healing process. Afterward, there can be minor swelling. Recovery time is greatly reduced from several months (with traditional surgery) to one to two weeks with Tenex. In most cases, you can begin light weight-bearing exercise within two weeks. Dr. Shirazi has stood on the forefront of this exciting new procedure. She aims to maximize every traditional and advanced technological modality to safely heal your foot and ankle challenges. If you’re suffering from foot and ankle pain and need to have it evaluated or have tried conventional healing elsewhere and still have not received adequate relief, please contact us today at 626-517-0022 to setup an appointment for a consultation with Dr. Sara Shirazi.





Tenex Procedure Q & A

What is Tenex?

The Tenex procedure is a trademarked, non-surgical procedure that helps patients who are suffering from chronic tendon pain by nonsurgically removing damaged scar tissue on the tendons. This procedure, developed by Tenex Health, is particularly effective on the tendons and bone spurs of the ankle and foot. Dr. Sara Shirazi, our foot and ankle surgeon at Pasadena Orthopedics uses Tenex to treat chronic, longstanding painful Achilles tendonitis, plantar fascia, and bone spurs including heel spurs. Tendon pain is typically caused by continued trauma or over usage of joints and muscles. The Tenex procedure is known in medical terminology as a focused aspiration of scar tissue, percutaneous (via needle puncture) tenotomy, and percutaneous fasciotomy (easing tension by removing scar tissue that causes pain). Ideal candidates for the Tenex procedure are those who have sought prior treatment, including steroid injections, rest, immobilization, and rehabilitation, with little to no pain relief. The Tenex procedure offers patients a minimally invasive option that is faster than traditional open surgeries, creates a smaller incision resulting in less dermal scarring, and allows for a quicker and less painful recovery. There are many published studies on its safety and effectiveness with more research ongoing.

● The Tenex procedure is a proprietary method of treating chronic tendon pain that involves removing scar tissue that causes pain as a result of overuse or an active lifestyle.

● The procedure uses a small instrument that is inserted through the skin into the damaged tendon and vibrates at ultrasonic frequencies to break up and remove damaged scar tissue.

● Tenex procedures are typically performed on an outpatient basis using local anesthesia and generally take less than 15 minutes.

● Benefits of the Tenex procedure include fast pain relief, fast return to normal activity and no risks from surgery. How is the Tenex Procedure Performed? Before the Tenex procedure, Dr. Shirazi's patients are typically given a local anesthetic that is used to anesthetize the affected area. Ultrasound imaging identifies and precisely locates the patient’s damaged scar tissue within the tendon. A small incision is made along the affected area. The Tenex Tissue Removal System utilizes a small instrument with a needle-like point that is inserted into the area and high-frequency vibrations break up the damaged scar tissue. The instrument uses ultrasound frequency that is designed not to damage the surrounding healthy tissue. The Tenex system then gently removes the broken up scar tissue of the ankle or foot. Instead of applying stitches, the incision is closed using an adhesive bandage and the procedure is complete. After the procedure, patients generally experience a recovery period of four to six weeks. Most patients say they feel little to no pain during the Tenex treatments. Tenex Treatment Benefits More than 10 million American’s suffer from chronic tendon pain to their foot and ankle that affects daily activities, such as participating in exercise and sports activities, going up or downstairs, and even walking.

Primary benefits of the Tenex procedure include:

● Relief of chronic pain

● Enabling patients to renew vigorous activities

● A fast recovery time

● Minimally invasive with a small incision as opposed to open surgery

● No scarring

● No risks from the complications of surgery and general anesthesia

● Restores normal tendon by removing scar tissue

Tenex is a good option for patients who have been struggling with chronic tendon pain, heel spurs, or bone spurs of the foot and ankle and are looking for an alternative to cortisone shots, physical therapy, or traditional tendon repair surgery. Call 626-517-0022 to speak with our team to discuss if Tenex is right for you!

If you have had or are planning foot/ankle surgery with our specialist, Dr. Sara Shirazi, read on for some noteworthy reminders!



Remember, you can always get in touch with Dr. Shirazi. Just relax and pick up the phone to call Pasadena Orthopedics at (626) 517-0022. We will take great care of you!

Pre- Op Tips We Give Our Patients...




Coordinating for surgery itself can be stressful – but your recovery doesn’t have to be! Taking the time before your procedure to do things like organizing your home, corresponding with friends and family, etc., can help you to take the time to heal without unnecessary worries.


Follow these steps when preparing for foot surgery so that you can focus on a stress-free recovery.

1. COORDINATE THE NECESSARY TIME OFF WITH YOUR EMPLOYER.


Consult with your physician prior to surgery about the expected time you will need for your recovery. Bringing an authorized note from your physician to your employer can be helpful when discussing the time you will need away from work to heal.

The necessary time off varies depending on your occupation. You can return more quickly to sedentary jobs, or working from home may also be an option – but physically demanding jobs will require more time away so that you can properly heal before returning to work. Make sure to discuss this thoroughly with your employer before surgery.

Typically you will be in a boot for a while after foot or ankle surgery; make sure your employer understands this and is okay with a boot at the worksite.

2. PREPARE MEALS IN ADVANCE WITH HEALTHY INGREDIENTS.

Before leaving for your surgery, make sure to get plenty of healthy groceries to use in meal preparation or to eat on their own. This will not only cut out the need to have food delivered, but it will also ensure that you are eating balanced meals instead of higher-calorie options.

Preparing meals in advance will also keep you from spending unnecessary time on your feet after your procedure, which can inhibit the healing process. Make and freeze enough meals to span two weeks of recovery time.

Prepare healthy raw vegetables and fruit for snacking as well.

3. ORGANIZE YOUR RECOVERY SPACE.

Convenience is key during recovery. Take the time during the week before surgery to organize your room and bathroom with the items you will need while recuperating. Keep phone chargers, electronics, remote controls, and other items you will want during your recovery within reach.

Also note that if your bedroom is located on a second floor, you should move your recovery space to the first floor as climbing stairs can be hazardous or put unnecessary strain on your feet while healing.

Move any loose carpets or area rugs that may impede your movement through the house. Arrange for any needs such as raised toilet seats, shower chairs and similar.

4. FINISH HOUSEHOLD CHORES.

Make sure to have all household tasks finished before leaving for your procedure. Vacuum, change your bedsheets, and finish washing and folding your laundry. Make sure to have plenty of toilet paper and toothpaste in easily accessible areas. Be aware of rugs, mats, and items lying around that can cause you to trip, and secure or remove these before your surgery date.

If necessary, purchase helpful items such as a shower chair, a hand-held shower head, crutches, and raised toilet seats to simplify post-procedure mobility. You may want to invest in a device to keep a splint or cast dry during bathing as well.

5. MAKE ARRANGEMENTS FOR PETS AND FAMILY.

If you have animals in your home, you want to ensure that they are also well taken care of while you are in the process of healing. If you are unable to take care of them on your own, make arrangements with friends or family so that your pets are fed and, if needed, taken for walks. Remember to be cautious if your animals move freely in your home as they can become a tripping hazard.

If you need assistance at home during your recovery, coordinate plans with family for daily visits and care. They should be versed in the dosages of your pain medication as well as how to care for the surgical site.


Call Pasadena Orthopedics at (626) 517-0022 if you have any questions!

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