Condition Guide · Atlanta, GA

Understanding why your knee hurts

Knee pain has dozens of possible causes. Before you can treat it effectively, you need to know which structure is actually involved. This guide focuses on one specific, treatable cause: patellar tendinopathy — degeneration of the tendon connecting the kneecap to the shin.

6
Atlanta specialists
15 min
typical procedure length
Local
anesthesia only

The Procedure

Where TenJet® fits, mechanically

TenJet doesn't treat the joint — it targets the degenerated section of tendon directly. HydroCision, Inc. designed the system around a simple idea: remove damaged tissue precisely enough that the healthy fibers around it are left intact, without the recovery burden of open surgery.

The device uses a saline stream (FluidJet technology) to break apart only the unhealthy tissue
Built-in suction removes that tissue as it's created
The needle insertion point is small, not a surgical opening
The whole procedure runs about 15 minutes in-office
Covered by Medicare and most private insurance
See the technical details at hydrocision.com →

Understanding the Condition

What's actually happening in the tendon

Patellar tendinopathy develops when the patellar tendon accumulates small amounts of damage faster than it can repair itself, usually from repetitive loading — jumping, squatting, or running.

Pain is typically felt directly below the kneecap, not inside the joint
It's a degenerative tendon problem, not inflammation — which is why anti-inflammatories often don't fully resolve it
It builds gradually and is frequently ignored until it starts limiting daily activity
Imaging (ultrasound) can confirm tendon degeneration versus a joint-based cause

See The Procedure

TenJet® in Action

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 Patella Tendinosis Minimally Invasive Tenotomy

Healthy tendon fiber structure diagram
Healthy Tendon
Tendinitis inflamed tendon diagram
Tendinitis
Tendinosis degenerated tendon fiber diagram
Tendinosis (Chronic Degeneration)

Diagrams and video courtesy of HydroCision, Inc.

Speak Directly With Each Physician's Office
Call the office below that matches the specialist you'd like to see.
CC
Dr. Clay Charles Guynn, DO
Sports Medicine & PM&R
Northside Hospital Orthopedic Institute
(770) 795-5620
MS
Dr. Matthew Simmons, MD
Non-Operative Orthopedics
Northside Hospital Orthopedic Institute
(770) 758-5059
KK
Dr. Kamal Kabakibou, MD
Interventional Pain Medicine
Center for Pain Management, Atlanta
(404) 882-9778
EO
Dr. Efosa Ogiamien, MD
Interventional Pain Medicine
OlympusMD Pain & Wellness
(770) 629-9023
OH
Dr. Omar Hajmurad, MD
Interventional Pain Medicine
OlympusMD Pain & Wellness
(770) 629-9023
UN
Dr. Usker Naqvi, MD, MS
PM&R & Spine
Resurgens Orthopaedics, Covington & Decatur
(404) 856-3706