Abstract Chronic tendon pain, or tendinopathy, can be debilitating and significantly affect quality of life. Traditional treatments often provide only temporary relief, leaving many searching for more definitive solutions. This educational post explores a groundbreaking, minimally invasive procedure called percutaneous tenotomy , a technique transforming how we manage chronic tendinopathies like tennis elbow, plantar fasciitis, and Achilles tendinopathy. As Dr. Alex Jimenez, with extensive credentials in chiropractic and functional medicine, I will guide you through the science behind this procedure, drawing from the latest findings of leading researchers like Dr. Brian O'Connor. We will delve into the mechanics of devices such as Tenex and TenJet , which use advanced technology to precisely remove damaged tendon tissue under ultrasound guidance. I will also explain how our multidisciplinary clinic integrates this advanced procedure with comprehensive chiropract...
Abstract In this educational post, I present a clear, step-by-step overview of ultrasound-guided hydrodistension (hydroplasty) for frozen shoulder (adhesive capsulitis), grounded in modern, evidence-based research and collaborative clinical practice. I discuss the anatomical landmarks, procedural flow, pharmacologic agents, and physiological mechanisms underlying hydrodistension, including suprascapular nerve block, intra-articular buffering and numbing, and controlled capsular distension. I also detail how our multidisciplinary team at Injury Medical Clinic PA (Mission Plaza Injury Medical Clinic) in El Paso, Texas, integrates chiropractic care, internal medicine oversight by Dr. Maria Guadalupe Cardenas, MD (Board Certified in Internal Medicine; NPI #1164426749; Texas MD License #J2933), functional medicine, rehabilitation, and personal injury protocols. Throughout, I highlight how integrative chiropractic care supports shoulder biomechanics, neuromuscular control, and acc...
