Non-Surgical Elbow Care · Atlanta, GA
Modern orthopedic and pain management medicine offers highly effective non-invasive and minimally invasive options for chronic elbow conditions. Most patients who find the right specialist avoid the OR entirely.
Firsthand Account
A TenJet patient explains the reasoning behind choosing a percutaneous option and how the recovery compared to expectations.
TenJet Patient Testimonial
Video courtesy of HydroCision, Inc., the maker of TenJet®. Individual results vary; this patient's experience is not a guarantee of outcome. Talk with a specialist about whether the procedure is appropriate for you.
Advanced Minimally Invasive Treatment
For chronic lateral epicondylitis that has failed conservative care, this procedure physically removes the degenerative tendon tissue at the source — rather than masking symptoms. It is performed in-office in under 30 minutes.
How it works
Under continuous ultrasound guidance, the physician makes a small incision and advances a small-gauge device directly to the degenerated common extensor tendon at the lateral epicondyle. A precise, high-pressure saline jet simultaneously breaks down and removes the damaged collagen — an integrated aspiration channel clears the debris as healthy surrounding fibers are preserved. The procedure takes 15–30 minutes under local anesthesia with no surgical center required.
Why it works when other treatments haven't
Chronic tennis elbow is a tendinopathy — a degenerative process, not inflammation. Cortisone injections reduce inflammation temporarily but leave the underlying degenerated collagen intact, which is why pain returns. This procedure mechanically removes that tissue at the common extensor origin, targeting the actual source of chronicity under real-time imaging confirmation.
Full Treatment Spectrum
Treatment follows a logical progression. Most patients improve at step one or two — the procedure above is for those who haven't.
Atlanta Specialists
Board-certified physicians across sports medicine and pain management — all treating elbow conditions in the Atlanta metro area without defaulting to surgery.
Official demonstration video from HydroCision, the maker of TenJet, plus a look at how tendinitis differs from the deeper tissue degeneration TenJet is designed to treat.
TenJet Lateral Epicondylitis Minimally Invasive Tenotomy



Diagrams and video courtesy of HydroCision, Inc.
Common Questions
It is minimally invasive rather than incision-free — a small incision is made to admit the needle. What it avoids is open surgical exposure, general anesthesia and a hospital stay.
Open debridement addresses the same diseased tissue through a larger exposure with a longer recovery. The percutaneous approach targets the tissue through a small incision under imaging.
Bracing, activity modification, structured eccentric loading programs, injections and in some cases open surgery all remain options. A specialist can sequence them appropriately for your situation.
Published data suggests most patients notice change around two weeks with continued improvement over about three months. Results vary, and some patients improve more slowly than that.
This information is general and is not medical advice. Whether any procedure is appropriate for you can only be determined by a physician who has examined you and reviewed your imaging.