Tenex Health TX™Tenotomy

Dr Kaplan offers TENEX tenotomy for calcified and scarred tendons. He’s one the first physicians in the greater Buffalo area to offer this innovative and minimally invasive treatment of tendon injuries and the most experienced. As an expert ultrasonographer, Dr. Kaplan is able to accurately guide the TENEX tool to precisely excise scar and calcium from diseased tendon.  Dr Kaplan chooses Tenex Health tool over TenJet because of it’s greater cutting power and greater ability to remove calcium.  Tendon pain takes many forms:

  • Persistent shoulder pain
  • Tennis / Golfer’s elbow
  • Jumper’s / Runner’s knee
  • Achilles tendonosis
  • Plantar fasciitis

If you are like many individuals, you have probably tried many things to get back to feeling “good” or even “better”. They may have provided temporary relief, but then your pain comes back. The thought of undergoing surgery is not appealing. It can be expensive, there are potential risks and side effects and there could be a long recovery period.You now have a better option, and we can help!

Tenex Health TX™ is based on advanced technology developed in collaboration with the world renowned Mayo Clinic. Tenex Health TX™ combines ultrasound imaging that specifically targets damaged tissue with the advanced TX MicroTip™ which precisely breaks down and removes only the damaged tissue that causes pain. This procedure is not surgery and can be performed in an office or procedure room.

  • Quick pain relief
  • Return to normal activities rapidly
  • Local anesthetic used instead of general anesthesia
  • No sutures, no stitches (requires only a small, adhesive bandage)
  • Minimally invasive, not open surgery
Swimmer’s Shoulder is often indicated by soreness or pain in the shoulder.Symptoms can include:

  • Shoulder pain that gradually worsens
  • Pain radiating from the shoulder when rotating, pushing, pulling or grasping
  • Impaired range of motion in shoulder joint

Swimmer’s shoulder is not limited to athletes. It can be caused by any activity that involves repetitive movement of the shoulder joint.

Tennis Elbow is soreness or pain on the outside of the arm near the elbow.

Symptoms can include:

  • Targeted pain in the elbow
  • Elbow pain that gradually worsens
  • Pain radiating from the outside of the elbow to the forearm and back of the hand when grasping or twisting
  • Weak grasp
  • Swelling is uncommon

Tennis Elbow is not limited to athletes. It can be caused by any activity that involves repetitive twisting of the wrist.

Patellar Tendonitis, commonly referred to as Jumper’s Knee or Runner’s Knee is pain that occurs on the front and center of the knee.

Symptoms can include:

  • A dull, aching pain most often felt
  • Behind the kneecap
  • Below the kneecap
  • On the sides of the kneecap

There is a grating or grinding sensation when the knee is flexed and the ankle is brought closer to the back of the thigh. This sensation is noticeable when performing deep knee bends, going down stairs, running downhill, or standing up after sitting for awhile.

Achilles Tendonitis occurs when the tendon that connects the back of the leg to the heel becomes swollen and painful near the bottom of the foot.

Symptoms can include:

  • Pain in the heel and along the tendon when running or walking (often painful and stiff in the morning)
  • The tendon may be painful to touch or move
  • Area may be swollen and warm
  • May have trouble standing on tiptoes

Rarely caused by an injury, back of the heel pain is most often due to overuse and can occur in walkers, runners or other individuals.

Plantar Fasciitis is damage to the thick tissue on the bottom of the foot. This tissue, called plantar fascia, connects the heel bone to the toes, creating the arch of the foot.

Symptoms can include:

  • Dull or sharp pain and stiffness in the bottom of the heel (usually worse in the morning or after sitting for a period then taking first steps)
  • The bottom of the foot may ache or burn
  • Area may be swollen and warm
  • May have trouble standing up on tiptoes

Plantar Fasciitis usually develops slowly over time, but can occur suddenly after intense activity. Most often, it affects individuals with foot arch problems, long distance runners, individuals who have sudden weight gain or who are obese, those who have tight Achilles tendons, or people who wear shoes with poor arch support and/or high heels.