Tenotomy is used to treat issues that affect your tendons throughout your body. Which type you need depends on what’s causing you pain or other symptoms. Talk to your provider about other treatments that might help you before you need a tenotomy.
Tenotomy is a procedure to treat pain in one of your tendons. You might see it referred to as dividing a tendon. Your provider might poke your injured tendon with a needle through your skin. They might also surgically remove a piece of the tendon through small cuts (incisions) in your skin.
Tenotomy can be used to correct tendon issues throughout your body, but it’s most commonly performed on:
Biceps tenotomy and biceps tenodesis are both treatments to treat biceps tendon injuries.
If you need a tenotomy, you provider or surgeon will intentionally cut or sever your biceps tendon to relieve pain. After this cut, your muscle will move further down in your arm.
Tenodesis is a different type of surgical procedure. Your surgeon will cut your biceps tendon from your shoulder and reattach it to a new hole they make in your upper arm bone (your humerus).
Which treatment you need depends on how active you are, how quickly you want to recover and whether or not you’re comfortable with your arm looking different after surgery. Talk to your provider about which procedure you’ll need to repair your biceps tendon.
Tenotomy and tenolysis are different procedures used to treat issues that affect your tendons. Tenolysis is sometimes referred to as a tendon release. Tenotomy can be used throughout your body to repair lots of different tendon issues.
Surgeons perform tenolysis when a tendon is stuck in place after a trauma or another surgery. It’s a common treatment for trigger finger or trigger thumb. Your surgeon will make a tiny cut in the sheath around your tendons. Cutting the sheath widens the space around the tendons in your affected fingers or thumb and lets them move smoothly again.
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Tenotomy is used to treat conditions that affect tendons throughout your body. The most common issues include:
Your provider will usually try other treatments before recommending tenotomy. Usually, they’ll suggest other, non-surgical treatments first, including:
If you’ve tried some or all of these other treatments and are still experiencing pain or discomfort, your provider might suggest tenotomy.
Percutaneous needle tenotomy and open tenotomy are two tenotomy techniques used to treat issues with your tendons.
Which type you need depends on which tendon is injured and what caused the damage.
Percutaneous is the medical term for putting something through your skin. During percutaneous needle tenotomy, your provider pokes a needle through your skin into your tendon. They’ll give you a local anesthetic to numb the area around your injured tendon. Then they’ll either poke holes in your tendon or remove damaged pieces. Your provider might use an ultrasound to guide the needle during your procedure.
Percutaneous needle tenotomy promotes your body’s natural healing response by creating inflammation around the tendon. Your body sends more blood than usual to the area, which stimulates your tendon’s ability to regrow and repair itself.
Open tenotomy is a surgical procedure. Your surgeon will give you local anesthesia in the area around your tendon or a general anesthesia to put you to sleep. Then they’ll cut through your skin to expose your tendon before cutting it. Surgically releasing your tendon will relieve pain. In some cases, it can make the tendon regrow longer and less tight than it was before.
Both forms of tenotomy are safe, effective treatments for lots of conditions. They’re quick procedures that can relieve your symptoms and repair the conditions that cause them.
Percutaneous needle tenotomy isn’t surgery and has a very low risk of complications. Open tenotomy is a minimally invasive surgery and will leave only a small scar on your body (less than a few inches).
Tenotomy has a few risks, including:
After a tenotomy procedure, you’ll need to avoid using the tendon or part of your body that was operated on as much as possible. How long it takes to recover depends on which type of tenotomy you needed and where in your body the damaged tendon is. Your provider or surgeon will tell you what to expect.
Most people need to wait a few months before resuming sports or intense exercise. Talk to your provider or surgeon before resuming physical activity.
Visit your provider if you experience any of the following symptoms:
Go to the emergency room if you’ve experienced a trauma or can’t move a part of your body that you usually can.
A note from Cleveland Clinic
Tenotomy can treat lots of issues with your tendons throughout your body. It’s used after injuries and to correct health conditions that damage your tendons. No matter which type of tenotomy you need — or which condition you’re getting treated — it’s a safe, effective way to relieve your symptoms.
Talk to your provider or surgeon about what you’ll need to do after your tenotomy procedure. They’ll give you a customized recovery timeline to help you get back to doing the activities you love as soon as it’s safe.
Last reviewed by a Cleveland Clinic medical professional on 09/07/2022.
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