Condition Guide · Atlanta, GA

When the Achilles never fully recovers

A tweaked Achilles usually calms down with rest. But for a lot of runners, walkers, and people who are simply on their feet all day, the ache in the back of the ankle keeps returning — thicker, stiffer, and slower to warm up each time. That pattern points to tendinopathy: a tendon that has been quietly breaking down faster than the body rebuilds it.

See The Options Reach A Specialist

Six Atlanta specialists

Sports medicine, PM&R & interventional pain

Each office below evaluates chronic Achilles tendinopathy and can tell you whether an in-office procedure like TenJet is a fit for your case — or whether a more conservative path makes sense first.

Understanding The Condition

Not all Achilles pain is the same

Where the pain sits tells the specialist a great deal. Some tendon breakdown occurs a few centimeters above the heel, in the mid-portion of the tendon; some sits right where the tendon meets the heel bone. They can behave differently and respond to different treatments, which is one reason a hands-on evaluation with imaging matters more than guessing from symptoms alone.

Stiffness and pain that are worst on the first steps of the morning

A tender, sometimes visibly thickened section of the tendon

Symptoms that flare with hills, stairs, or a jump back into training

A degenerative process — which is why rest alone often only pauses it

Where TenJet Fits

Treating the tendon without opening it

Loading programs and physical therapy resolve many cases of Achilles tendinopathy and are almost always the starting point. When they don't, TenJet — a HydroCision, Inc. device — lets a specialist address the degenerated portion of the tendon directly, in the office, and skip the extended downtime of open tendon surgery.

Continuous ultrasound shows the specialist exactly where the breakdown is

A fine saline jet emulsifies the diseased tissue while sparing healthy fibers

Built-in suction clears the debris as the procedure goes

Entry is through a small incision, under local anesthesia only

About 15 minutes in-office, then home the same day

Reimbursed by Medicare and most private insurers

Read the technical details at hydrocision.com →

See The Procedure

TenJet® in Action

Official demonstration video from HydroCision, plus a simple visual of how a healthy tendon differs from one in chronic degeneration — the state TenJet is designed to address.