Percutaneous needle tenotomy (PNT) is a minimally invasive procedure used to treat chronic tendon conditions by disrupting damaged tissue and promoting healing. It is particularly effective for conditions such as tendinopathies and chronic tendonitis where conservative treatments have not provided sufficient relief.
PERCUTANEOUS NEEDLE TENOTOMY
Procedure Overview
Percutaneous needle tenotomy is typically performed under local anesthesia to ensure patient comfort. A small needle or set of needles is inserted through the skin into the affected tendon under ultrasound guidance. The needles are manipulated to create controlled microtraumas within the damaged tendon tissue. This process disrupts scar tissue, stimulates a healing response, and encourages the formation of new collagen fibers, strengthening the tendon.
Conditions Treated with PNT
- Tendinopathy: Chronic degeneration of the tendon due to overuse or repetitive stress.
- Chronic Tendonitis: Long-term inflammation of the tendon that has not responded to other treatments.
- Achilles Tendinitis: Inflammation or degeneration of the Achilles tendon.
- Patellar Tendonitis: Inflammation of the tendon connecting the kneecap to the shinbone.
Benefits of Percutaneous Needle Tenotomy
- Minimally Invasive: Requires only small needle punctures, reducing tissue disruption and scarring.
- Precise Targeting: Performed under ultrasound guidance to accurately target damaged tissue.
- Quicker Recovery: Generally results in faster recovery times compared to traditional open surgery.
- Effective Pain Relief: Many patients experience significant pain relief and improved function post-procedure.
Post-Procedure Care
- Mild Soreness: Patients may experience mild soreness at the treatment site, usually managed with ice packs and over-the-counter pain medications.
- Physical Therapy: Rehabilitation exercises may be prescribed to strengthen the tendon and improve range of motion.
- Follow-Up: Regular follow-up appointments are necessary to monitor recovery and progress.
Risks and Considerations
- Minor Bleeding: There may be minor bleeding or bruising at the needle insertion site.
- Infection: Although rare, there is a small risk of infection at the treatment site.
- Consultation: Patients should consult with a qualified orthopedic specialist or sports medicine physician to determine the suitability of PNT based on their specific condition.
Percutaneous needle tenotomy is an effective treatment option for chronic tendon conditions that aims to alleviate pain, restore function, and promote tendon healing with minimal disruption to daily life. It offers significant benefits in terms of pain relief and quicker recovery compared to traditional surgical methods. Consulting with a qualified specialist is essential to determine if PNT is the appropriate treatment for your condition.