Needle Fenestration

What is needle fenestration?

Needle fenestration is a minimally invasive intervention performed under ultrasound guidance. A small needle is introduced through the skin, and small incisions are performed in a damaged tendon, ultimately creating an enhanced healing response resulting in tendon repair.

Who is a good candidate for needle fenestration?

Needle fenestration can be a good option for those with tendon related conditions that have failed conservative treatment options. Commonly treated conditions can include tennis elbow, golfers’ elbow, plantar fasciitis, gluteal tendinopathy, hamstring tendinopathy and achilles’ tendinopathy.

What can I expect after the procedure?

Mild pain or bruising around the area shortly after the procedure may occur. Over-the-counter pain medication or icing the area can help.

When can I expect results and how long will they last?

The goal of the procedure is to encourage your body to permanently heal the tissue. This can take a few weeks, after which your symptoms should gradually subside.

How long before I can return to exercise after the procedure?

Avoid any strenuous activity for at least 5 days post-injection. The procedure may temporarily weaken the tendon and put it at risk of rupturing. Notify your physiotherapist that you have had this procedure so that they can modify your exercises if necessary.

Can I combine needle fenestration with any other injections?

Yes. In fact, many patients find that combining needle fenestration with PRP or nStride leads to faster healing.