TendoNovaTM Procedure

Chronic tendon pain can make even simple movements difficult, limiting your ability to work, exercise, enjoy hobbies, or stay active with family and friends. When conservative treatments such as rest, physical therapy, medications, or injections fail to provide lasting relief, it may be time to consider a more advanced solution.

The TendoNovaTM procedure is a minimally invasive treatment that targets damaged tendon tissue at its source, helping stimulate the body’s natural healing response and allowing patients to return to the activities they love with less pain and improved function.

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What Is the TendoNovaTM Procedure?

The TendoNovaTM procedure is a minimally invasive treatment designed to address chronic tendon pain caused by tendinopathy, a condition in which tendon tissue becomes damaged and fails to heal properly. Using ultrasound guidance, a specialized micro-invasive device is inserted through a tiny puncture in the skin to precisely target damaged tendon tissue. The device mechanically breaks up and removes unhealthy tissue while stimulating the body’s natural healing response.

Unlike traditional surgery, the TendoNovaTM procedure is performed in an outpatient setting, typically takes less than 30 minutes, and requires no large incisions or stitches. By promoting the body’s natural repair process, TendoNovaTM helps patients reduce pain, improve function, and return to the activities they enjoy.

What Conditions Does TendoNovaTM Treat?

TendoNovaTM is commonly used to treat chronic tendon injuries that have not improved with conservative treatments such as rest, physical therapy, medications, or injections. Conditions that may benefit from TendoNovaTM include:

  • Tennis elbow (lateral epicondylitis)
  • Golfer’s elbow (medial epicondylitis)
  • Achilles tendinopathy
  • Rotator cuff tendinopathy
  • Rotator cuff impingement
  • Patellar tendinopathy (jumper’s knee)
  • Hamstring tendinopathy
  • Gluteal tendinopathy
  • Quadriceps tendinopathy
  • Plantar fasciitis and other chronic tendon-related pain conditions

Who Is an Ideal Candidate?

You may be a candidate for the TendoNovaTM procedure if you:

  • Have experienced tendon pain for three months or longer
  • Have been diagnosed with chronic tendinopathy or tendon degeneration
  • Continue to experience pain despite physical therapy, rest, medications, or injections
  • Want a minimally invasive alternative to surgical intervention
  • Wish to return to work, exercise, sports, or daily activities with less pain and improved function

During your consultation at Twin Cities Pain Clinic, our specialists will perform a comprehensive evaluation, review imaging studies if needed, and determine whether TendoNovaTM is appropriate for your condition and goals.

What to Expect During the Procedure

The TendoNovaTM procedure is performed in an outpatient setting. The treatment area is identified using ultrasound imaging. A local anesthetic is administered to ensure your comfort throughout the procedure.

Using real-time ultrasound guidance, your physician inserts the TendoNovaTM device through a small skin puncture and precisely targets the damaged tendon tissue. The device mechanically debrides and fragments unhealthy tissue while stimulating a healing response.

Once treatment is complete, the device is removed and a small bandage is applied. Because no large incision is required, stitches are typically unnecessary.

Patients are able to return home shortly after the procedure. In some cases, regenerative therapies such as platelet-rich plasma (PRP) may be utilized alongside TendoNovaTM to further support healing.

What to Expect After the Procedure

Recovery is generally much faster than traditional tendon surgery, although every patient heals at a different pace.

You may experience mild soreness or discomfort at the treatment site. Activity modifications are often recommended to allow the tendon to begin healing properly.

As healing progresses, patients gradually resume normal activities. Physical therapy or guided exercise programs may be recommended to improve strength, flexibility, and tendon function.

Many patients experience meaningful pain relief and improved function within several weeks and can begin returning to their preferred activities, exercise programs, or sports. Full recovery timelines vary based on the location and severity of the tendon injury.

Why Choose Twin Cities Pain Clinic for TendoNovaTM?

At Twin Cities Pain Clinic, our team specializes in advanced, minimally invasive treatments for chronic musculoskeletal pain. TendoNovaTM offers an effective option for patients who have struggled with persistent tendon pain and want to avoid more invasive surgical procedures. Our physicians use advanced ultrasound guidance and personalized treatment plans to help patients restore function, reduce pain, and get back to living life on their terms.

Schedule a consultation with Twin Cities Pain Clinic today to see if TendoNovaTM  Procedure can help with your pain.

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Medically Reviewed

Last reviewed by a Twin Cities Pain Clinic medical professional on 10/16/2026

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