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If you’ve been dealing with nagging pain on the outside of your hip, especially when walking, climbing stairs, or sleeping on your side, you may be facing greater trochanteric bursitis or gluteus tendinopathy. These conditions can persist for months—even years—despite physical therapy, injections, or rest. The good news? There’s a minimally invasive solution that actually treats the root cause, not just the symptoms.
The TenJet procedure is an image-guided, outpatient treatment that removes damaged tendon tissue without surgery. Instead of cutting into the joint or tendon, TenJet uses a thin, needle-like device to deliver a high-pressure stream of saline combined with suction. This dual-action flow breaks down and removes scarred, degenerative tissue while sparing the healthy fibers around it.
When performed by a specialist like Dr. Silky Patel, the TenJet procedure in Houston offers an advanced, targeted option for patients who want lasting pain relief without downtime. It’s FDA-cleared, backed by clinical studies, and ideal for treating chronic tendon pain that hasn’t improved with conservative care.
Tendons in the hip—especially the gluteus medius and minimus—can become worn out from repetitive movement, muscle imbalance, or aging. Over time, the fibers thicken, fray, and lose their ability to heal properly. This condition, called tendinosis, doesn’t respond well to anti-inflammatory drugs or steroid injections because it’s not caused by acute inflammation—it’s caused by structural degeneration.
The TenJet procedure is designed to remove the problem tissue while preserving and protecting the healthy structure around it. Dr. Silky Patel performs the procedure using high-resolution ultrasound to visualize the tendon and guide the specialized TenJet device to the exact site of damage.
Under local anesthesia, a tiny incision is made. The device is inserted and activated, delivering a fine, pressurized jet of saline that gently separates and dissolves the diseased tissue. Simultaneously, a built-in vacuum suctions out the debris. The entire TenJet procedure in Houston typically takes about 20 minutes.
There are no stitches required, and most patients are able to walk immediately afterward. Over the following weeks, the tendon heals naturally as scar tissue is replaced by new, healthy fibers. Dr. Patel provides a personalized post-procedure recovery plan, including physical therapy if needed, to ensure a smooth and steady return to activity.
The TenJet procedure is specifically designed to treat chronic tendon and soft tissue conditions that have not responded to traditional treatments like rest, physical therapy, or corticosteroid injections. These conditions are often marked by stubborn, localized pain that worsens with activity and doesn’t resolve over time.
This condition causes pain on the outside of the hip, often radiating down the thigh. It’s commonly caused by friction or compression over the greater trochanter—the bony prominence on the upper femur—leading to inflammation of the surrounding bursa. Over time, the real culprit is often degenerative tendinopathy in the gluteus medius or minimus tendons. The TenJet procedure in Houston effectively removes the thickened, damaged tendon fibers that contribute to both tendon irritation and bursitis flare-ups.
These tendons play a critical role in stabilizing the hip during movement. When they become overused or strained, they can develop microscopic tears and scar tissue that lead to chronic pain and weakness. Many patients are misdiagnosed with sciatica or arthritis when the real issue lies in these deep gluteal tendons. The TenJet procedure allows Dr. Silky Patel to treat the degeneration at its core, relieving pain and restoring strength without open surgery.
While commonly used in the hip, TenJet can also be adapted for similar tendinopathies in other parts of the body, such as the elbow, Achilles tendon, or patellar tendon. If you’ve had persistent pain in any of these areas, Dr. Patel will evaluate whether this treatment may be right for your specific condition.
The TenJet procedure offers a combination of precision, efficiency, and minimal disruption to daily life—qualities that set it apart from traditional surgical and injection-based treatments.
The procedure is done through a tiny opening in the skin, roughly the size of a needle puncture. There’s no need for general anesthesia, and patients typically return home the same day. Most resume walking immediately, and recovery time is significantly shorter than surgery.
Unlike traditional surgery, which often involves cutting through healthy tissue to reach the problem area, the TenJet procedure is incredibly focused. Using ultrasound, Dr. Patel removes only the degenerated tendon tissue—leaving healthy fibers untouched and accelerating healing.
Because TenJet addresses the structural root of chronic pain, patients often experience steady improvement within weeks and long-term relief as the tendon heals properly. For many, it offers a lasting solution after months or years of ineffective treatments.
Dr. Patel brings advanced skill in ultrasound-guided procedures and musculoskeletal medicine. Her experience allows her to deliver the TenJet procedure in Houston with accuracy, comfort, and confidence—helping patients avoid surgery while regaining comfort and mobility.
Consult with Dr. Silky Patel, Houston’s leading pain management specialist, and take the first step towards a healthy, pain-free life.
Your journey begins with a thorough evaluation by Dr. Silky Patel. She’ll review your medical history, physical symptoms, and imaging—often using diagnostic ultrasound during your visit to confirm the affected tendon. If your condition fits the criteria for a TenJet procedure in Houston, she’ll explain every step so you feel confident moving forward.
The TenJet procedure is performed in-office or in an outpatient setting under local anesthesia. You’ll lie comfortably while Dr. Patel uses ultrasound to guide the TenJet device directly to the damaged tendon tissue. A small, needle-sized probe is inserted through the skin. Then, high-pressure saline and suction work together to break down and remove the degenerated tissue, while preserving healthy fibers.
The entire procedure usually takes 15 to 20 minutes. There are no stitches or major incisions, and because the device is so precise, the surrounding structures remain undisturbed. Most patients are able to stand and walk immediately after the procedure.
Mild soreness is expected for a few days, similar to the sensation after a deep workout. Dr. Patel provides a tailored recovery plan, which may include temporary activity modification, guided exercises, or physical therapy. Most patients return to normal activities within a few weeks, and progressive improvement is expected over 6 to 12 weeks as the tendon heals.
The TenJet procedure in Houston is best suited for patients with chronic soft tissue pain that hasn’t improved with rest, therapy, or injections. If you’ve been living with persistent hip pain, especially along the side or deep into the gluteal region, and imaging confirms tendon degeneration, TenJet may offer the relief you’ve been missing.
TenJet may not be suitable for acute tendon ruptures, widespread arthritis, or systemic inflammatory diseases. It’s also not recommended for individuals with active infections or certain bleeding disorders. Dr. Silky Patel performs a detailed evaluation to ensure the treatment is appropriate and that the source of pain is accurately diagnosed.
By combining her deep expertise in musculoskeletal care and precision ultrasound-guided techniques, Dr. Patel ensures that every patient receives the right treatment—whether it’s TenJet or another path to recovery.
You don’t have to live with chronic hip pain or put off treatment because you’re not ready for surgery. The TenJet procedure in Houston offers a minimally invasive, highly effective option for patients struggling with greater trochanteric bursitis or gluteus tendinopathy. With no incisions, no general anesthesia, and a fast recovery, it could be the solution you’ve been waiting for.
Dr. Silky Patel combines deep experience in image-guided procedures with a personalized, patient-first approach. She’ll evaluate your condition, explain the treatment in plain terms, and help you decide if TenJet is right for you.
If you’re ready to take the next step toward lasting pain relief, schedule your consultation today and discover how TenJet can restore your mobility—without slowing down your life.
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The TenJet procedure is a minimally invasive treatment designed to remove damaged tendon tissue using a specialized, high-pressure saline technology. The TenJet procedure works by precisely targeting and clearing degenerative tissue while preserving healthy structures. It is commonly used for chronic tendon conditions that have not improved with rest, therapy, or injections. In Houston, patients suffering from persistent tendon pain often explore the TenJet procedure as an alternative to open surgery. Dr. Gunjan Silky Patel performs the TenJet procedure using image guidance to ensure accuracy and promote faster recovery.
The TenJet procedure uses a small handheld device that delivers a controlled stream of saline to break down and remove unhealthy tendon tissue. At the same time, the device gently suctions out the damaged material. This process stimulates the body’s natural healing response. Unlike traditional surgery, the TenJet procedure requires only a small incision and typically does not involve stitches. In Houston, Dr. Silky Patel carefully evaluates imaging and physical findings to confirm whether the TenJet procedure is appropriate for your specific tendon injury.
The TenJet procedure is commonly used to treat chronic tendon conditions such as tennis elbow, golfer’s elbow, Achilles tendonitis, patellar tendonitis, and plantar fasciitis. Patients with long-standing tendon pain that has not responded to conservative care may benefit from the TenJet procedure. In Houston, individuals who want to avoid more invasive surgical options often consider this advanced treatment. Dr. Gunjan Silky Patel customizes the TenJet procedure based on the location and severity of tendon damage to maximize effectiveness and recovery.
The TenJet procedure is typically performed under local anesthesia to minimize discomfort. Most patients report mild pressure during the treatment rather than significant pain. After the TenJet procedure, temporary soreness may occur as the body begins the healing process. In Houston, Dr. Silky Patel provides detailed post-procedure guidance to ensure comfort and optimal recovery following the TenJet procedure.
Recovery from the TenJet procedure is generally faster than traditional surgery because the technique is minimally invasive. Most patients resume light activities within a few days, although full healing may take several weeks depending on the tendon treated. The TenJet procedure stimulates natural repair, so gradual improvement is expected as tissue regenerates. In Houston, Dr. Gunjan Silky Patel monitors patient progress and may recommend supportive therapy to enhance long-term outcomes.
The TenJet procedure may be a preferable option for patients with moderate tendon degeneration who want to avoid open surgery. Because it uses a small incision and targeted tissue removal, the TenJet procedure often results in shorter recovery time and fewer risks compared to traditional surgical approaches. However, severe tendon tears may still require surgical intervention. In Houston, Dr. Silky Patel carefully evaluates each case to determine whether the TenJet procedure is the most appropriate and effective treatment option.
A good candidate for the TenJet procedure is someone with chronic tendon pain that has not improved with rest, medications, physical therapy, or injections. Patients who remain active and want to return to sports or daily activities without prolonged downtime often benefit from the TenJet procedure. In Houston, Dr. Gunjan Silky Patel conducts a thorough assessment, including imaging review, to confirm that the TenJet procedure aligns with the patient’s diagnosis and treatment goals.
Insurance coverage for the TenJet procedure varies depending on the insurance plan and medical necessity criteria. Some carriers provide coverage when conservative treatments have failed and documentation supports the need for intervention. In Houston, Dr. Silky Patel’s office assists patients in verifying benefits and understanding financial considerations before scheduling the TenJet procedure. Clear communication ensures patients can make informed decisions about their care.
