PreviousTendon \ Fascia Remodeling
A first step in gardening is breaking up the soil. With painful, broken down tendons, just breaking up the tissue in a calculated manner gets the growth process off to a good start. This process of tendon remodeling is called tenotomy; in cases of fascia it may be called fasciotomy. After anesthetizing the given area, needling of the tendon or fascia does several things:
- breaks up any calcium deposits in the tendon that would be in the way of growing healthy tissue
- breaks up foreign fibrocartilage tissue that often infiltrates degenerating tendons, making way for growing healthy tendon tissue
- breaks up some of the irregularities on the degenerated bony surface where the tendon must reattach; this may be compared to cleaning off old dried glue that has failed before re-gluing an object to a surface
- immediately brings blood to the area - blood carries growth factors and stem cells
- stimulates development of new, extra blood vessels in the area for increased nourishment during the healing phase
The medical term for such needle stimulation of tendon is "tenotomy." Such needle stimulation of fascia is "fasciotomy."
This treatment may be useful alone or best in a series of interventions that may later include other types of injection. Recent studies have provided strong medical evidence of the effectiveness of tenotomy or fasciotomy in repair, regeneration, and pain management.
