1. Tenex Health TX™ for Percutaneous Tenotomy and Percutaneous Fasciotomy
MKT106, Rev. A

2. Chronic Conditions Treated With Tenex Health TX™
Chronic Shoulder Pain
Tennis / Golfer’s Elbow
Jumper’s / Runner’s Knee
Achilles Tendonitis
Plantar Fasciitis
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

3. Chronic Conditions Treated With Tenex Health TX™
Achilles Tendonitis
Plantar Fasciitis
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

4. Chronic Shoulder Pain
Chronic shoulder pain is indicated by persistent 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
Chronic shoulder pain is not limited to athletes. It can be caused by any activity that involves repetitive movement of the shoulder joint.
Healthy
tendons
Damaged tendons
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

5. Tennis Elbow
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.
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

6. Runner’s / Jumper’s Knee
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.
Healthy
Patellar
Tendon
Patellar
Tendonitis

7. Achilles Tendonitis
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.
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

8. Plantar Fasciitis
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.
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

9. Tenex Health TX™ for Percutaneous Tenotomy and Percutaneous Fasciotomy
More than 7,000 cases successfully performed to date
Based on technology developed in collaboration with the Mayo Clinic
Minimally invasive modality that allows physicians to remove the source of tendon pain quickly and safely
Combines ultrasound guidance used to identify damaged tissue with the advanced TX MicroTip™ which precisely breaks down and removes only the damaged tissue that causes pain
Can be performed in a procedure room in 20 minutes or less
Recovery time for the procedure is relatively quick with patients usually experiencing near immediate results and pain relief
Anticipated full recovery time is approximately 2- 6 weeks for a return to normal activity levels
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

10. TX MicroTip™ Back-and-forth tip movement Continuous irrigation
Optimized
ultrasonic energy
Continuous
irrigation
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

11. Placement Example: Elbow
Utilizing ultrasound guidance, the damaged site is visualized
Once located, ultrasonic energy is activated to cut and debride the damaged tissue
Micro-incision is closed with a small, adhesive bandage
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

12. Placement Example: Plantar Fasciitis
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

13. Placement Example: Achilles
Utilizing ultrasound guidance, the damaged site is visualized
Once located, ultrasonic energy is activated to cut and debride the damaged tissue
Micro-incision is closed with a small, adhesive bandage
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

14. Tenex Health TX™ Animation
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

15. Typical Recovery Tennis Elbow recovery:
Resume non-repetitive use of arm/hand in 2 days
Resume normal use of arm/hand in 6 weeks
Jumper’s Knee recovery:
Use crutches for 5-7 days or knee brace for 2 weeks
Resume normal use of knee in 6 weeks
Achilles Tendon recovery:
Wear walking boot for 2 weeks
Resume normal use of foot in 6 weeks
Plantar Fasciitis recovery:
Wear walking boot for 4 days
NOTE: Evaluation and recommendation for heavy use or more strenuous activities may vary by medical provider
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

16. Who is a good candidate for Tenex Health TX™?
Those who require or demand to return to normal activity
Silent Sufferers - individuals with chronic tendon pain
Those who have tried all, or a combination of: rest, cortisone injections, medication and PT
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

17. What do patients love about Tenex Health TX™?
Quick procedure which promotes tendon healing
Minimally invasive
Actual removal of damaged tissue takes just minutes
No general anesthesia
Typically done in a surgery center or physician’s office using only a local anesthetic
No sutures or stitches
Closed with only a small, adhesive bandage
Quick recovery
Back to normal activities in a few days; full recovery in 6 weeks
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

18. Key Benefits of Tenex Health TX™
Minimally invasive, compelling safety profile
Designed to remove only damaged soft tissue, does not disturb surrounding healthy tendon tissue
No sutures, no stitches—requires only a small adhesive bandage
Local anesthetic used instead of general anesthesia
Can be performed in office, procedure room, or ASC
Treatment time of 20 minutes or less
Quick pain relief and tendon healing, patients return to normal activities rapidly (2-6 weeks)
Most insurances cover Percutaneous Tenotomy and Percutaneous Fasciotomy
Tenex Health TX, MicroTip and the Tenex Health logo are trademarks of Tenex Health Inc.
©2012 Tenex Health Inc. All rights reserved.

19. Tenex Health TX™ Questions?