Non-surgical hip pain relief with TenJet® percutaneous tenotomy
Persistent lateral hip and buttock pain often stems from degenerated gluteal tendons. Atlanta-area physicians now offer TenJet® — a minimally invasive procedure that addresses the root cause without surgery.
Find an Atlanta Specialist How TenJet® WorksPatient Story
This video features a TenJet patient describing chronic tendon pain and the outcome of the percutaneous procedure.
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.
Gluteal tendinopathy refers to degeneration of the gluteus medius or minimus tendons where they attach to the greater trochanter of the hip. It is among the most common causes of lateral hip pain in active adults and is frequently misidentified as trochanteric bursitis.
Research shows that in most cases of "hip bursitis," the bursa itself is minimally involved — the tendon is the primary pain generator. Treatments targeting only the bursa often provide incomplete or short-lived relief.
Your specialist confirms the diagnosis with clinical exam and diagnostic ultrasound or MRI, ruling out labral tears, hip arthritis, or referred lumbar pain.
Most insurers require a trial of physical therapy and activity modification before interventional procedures. Your physician will document this appropriately.
If conservative care has not resolved the pain, TenJet® percutaneous tenotomy debrides the degenerated tissue under ultrasound guidance in a 15-minute office procedure.
Most patients resume light activity within days. Full return to sport or high-demand activity typically occurs within 6–12 weeks, supported by targeted rehabilitation.
TenJet® by HydroCision uses a high-pressure saline FluidJet™ system to precisely remove degenerated tendon tissue while preserving healthy fibers — all through a small incision, without open surgery.
Official product information: hydrocision.com/product/tenjet/
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 Gluteal Tendinopathy Minimally Invasive Tenotomy
Diagrams and video courtesy of HydroCision, Inc.
Common Questions
Steroid injections reduce pain signalling temporarily but do not repair degenerated collagen. When the underlying tissue damage remains, symptoms commonly return after a period of relief.
They address different problems. Replacement treats the hip joint itself; this treats tendon degeneration outside the joint. A specialist will determine which is actually driving your pain.
Examination plus ultrasound, which shows tendon thickening, hypoechoic degenerated regions and any calcification, and distinguishes tendon disease from joint or spinal causes.
Expect protected activity initially and then progressive loading, guided by your physician. Most published tendon cases describe meaningful change by two weeks and continued gains over months.
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.