PERCUTANEOUS NEEDLE TENOTOMY WHAT IS NEEDLE TENOTOMY? THIS IS A MINIMALLY INVASIVE PROCEDURE PERFORMED HERE AT DYNAMIC REGENERATIVE MEDICINE FOR THE EFFECTIVE TREATMENT OF CHRONIC TENDON PROBLEMS KNOWN AS TENDINOSIS OR TENDINOPATHY . A SMALL NEEDLE IS INTRODUCED THROUGH THE SKIN, AND SMALL MULTIPLE NEEDLING IS PERFORMED IN THE DAMAGED TENDON. THIS THEN INTURN ULTIMATELY CREATES AN ENHANCED HEALING RESPONSE RESULTING IN TENDON REPAIR AND RECOVERY VIA NATURAL REGENERATIVE MEANS. IT IS A COST EFFECTIVE INTERVENTION WITH EXCELLENT RESULTS AND EARLY RETURN TO FUNCTION.
WHAT IS TENDINOSIS/TENDINOPATHY? IT IS A CHRONIC DEGENERATIVE CONDITION CAUSED BY EXCESSIVE STRAIN, OVERUSE AND MICRO TRAUMA WHICH RESULTS IN DEGENERATIVE CHANGES IN THE TENDON. THE TENDON OFTEN STARTS WITH BECOMING INFLAMMED, KNOWN AS TENDINITIS, THEN THIS OVER A LONG PERIOD OF TIME CAUSES CHRONIC CHANGES IN THE TENDON. THIS AS A CONSEQUENCE OF THE TENDON NOT ABLE TO HEAL ITSELF. THERE ARE OTHER ASSOCIATED CONDITIONS WHICH MAY PREDISPOSE PATIENTS TO DEVELOPED CHRONIC TENDON CHANGES SUCH AS: CALCIFICATION, ANATOMIC MAL-ALIGNMENT, INADEQUATE MECHANICS, POOR TRAINING, INADEQUATE REST OR MEDICATION RELATED (CERTAIN DRUGS). WHEN IS THE PROCEDURE INDICATED? MOST OF THE TIME, TENDON RELATED PROBLEMS CAN BE TREATED CONSERVATIVELY. USUALLY PHYSICAL AND MANUAL THERAPY, PROPER TRAINING METHODS, ADEQUATE REST, ANALGESICS AND REHABILITATION, CAN IMPROVE OR RESOLVE THE SYMPTOMS ALTOGETHER. WHEN CONSERVATIVE THERAPY FAILS, TENDOTOMY CAN BE USED AS AN OPTION FOR TENDON REPAIR.
WHICH ARE THE MOST COMMON TREATED CONDITIONS? TENNIS ELBOW TREATMENT
GOLFER’S ELBOW TREATMENT
PLANTAR FASCIITIS TREATMENT
GLUTEUS TENDINOPATHY TREATMENT HAMSTRING TENDINOPATHY TREATMENT
ACHILLES TENDINOPATHY TREATMENT
ROTATOR CUFF TENDINOSIS TREATMENT
KNEE TENDINOPATHY TREATMENT
AND OTHER TENDON INJURY TREATMENT
HOW IS THE PROCEDURE PERFORMED?
THE TENOTOMY IS USUALLY AN OFFICE BASED INTERVENTION, PERFORMED UNDER LOCAL ANESTHESIC. THE SKIN IS CLEANSED, THE AFFECTED TENDON SITE IS IDENTIFIED AND MARKED. LOCAL ANESTHETIC IS INFILTRATED IN THE SKIN AND OVER THE AFFECTED TENDON. A SMALL NEEDLE IS THEN ADVANCED THROUGH THE TENDON INTO THE BONY ORIGIN. MULTIPLE PERFORATIONS. THE NEEDLE IS REMOVED AND A BANDAGE APPLIED. THE PROCEDURE USUALLY TAKES 20 MINUTES. POST PROCEDURE INSTRUCTIONS ACTIVE RANGE OF MOTION IS ENCOURAGED DURING THE FIRST 48 HOURS. MILD ANALGESICS ARE RECOMMENDED ALONG WITH COLD COMPRESSES. THE USE OF NON-STEROIDAL SHOULD BE AVOIDED FOR 2 WEEKS POST PROCEDURE. AVOIDANCE OF FORCEFUL RESISTANCE EXERCISES IS RECOMMENDED. PHYSICAL THERAPY IS STRONGLY RECOMMENDED POST-PROCEDURE. A GRADUAL TENDON ECCENTRIC LOADING PROGRAM SHOULD BE STARTED 1 WEEK POST PROCEDURE. Ideally, a 4–12 week course of rehabilitation should be initiated with the goals of improving function, decreasing pain, and increasing strength (without putting the tendon in jeopardy while it is healing). When Active range of movement exercises are successfully completed, most patients can differentiate between post-procedural pain and their original symptoms within 48 hours. While as many as 15 percent of patients may progress to formal exploration of the tendon, the vast majority report excellent results of tendon repair?!
This procedure is further supported by platelet rich plasma (PRP) injection. This enables far superior healing and recovery.
For further information please visit: www.dynamicregenmedicine.co.uk
01564 330773
