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For building and practice locations, hours of operation and appointments:

Phone: 308-675-3211

Billing Site:
527 N Diers Ave, Suite 3
Grand Island, NE 68803-4978

Tenex TX1 Technique for Tendinosis / Fasciitis

Foot Pain? Call Advanced Radiology, Lincoln Nebraska

This minimally invasive outpatient procedure was developed by physicians at the Mayo Clinic.  The most common areas of tendon injury or pain are:  tennis or golfer’s elbow involving the outside or inside of the elbow respectively, jumper’s knee involving the patellar tendon in the front of the knee, the rotator cuff of the shoulder, plantar fasciitis involving the plantar fascia in the bottom of the foot, and Achilles tendonitis involving the Achilles tendon in the back of the foot.  Using ultrasound guidance, a special needle the size of a pencil tip is advanced into the tendon through a small nick in the skin.  Ultrasonic energy is is used to cut and remove the diseased portion of the tendon which is causing the pain without damaging normal tendon.  The procedure is performed on an outpatient basis with only local anesthetic.  It usually takes 15-20 mins.  Typically the patient must refrain from heavy lifting or weight bearing activities for 2 weeks. Resuming moderate activity in 2-6 weeks and normal activity in 6-8 weeks.

Dr. Michael Budler was the first interventional radiologist in the country and the first physician in Nebraska to use the TX1 device for tendon treatment.  Advanced Radiology has the distinction of being the only Official Tenex “Center of Excellence” in Nebraska.

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What our patients say ...

I have suffered with chronic plantar fasciitis for over 8 years. Tried everything; custom orthodics, stretching, exercises, cortizone shots, shock therapy, massage, physio therapy, accupuncture, etc. Nothing worked to take away the feeling of walking on broken glass. I gained 50 lbs due to not being able to exercise or even walk any significant distance. One day I decided to Google "new treatments for plantar fasciitis" and low and behold the new Tenex treatment popped up. After a little bit of research I was beside myself in excitement! I came to the conclusion that even if this procedure didn't work, it certainly wouldn't make things any worse and as I wasn't living life the way I wanted to, I felt it was worth a try. I made the call and spoke to Kirstin. Gave her some history and booked a consult. Because I was travelling from Canada I was told that if I was a candidate they would operate immediately after the consult so as to save me a second trip to the U.S. My experience from start to finish, was as positive as it could be. Everyone I spoke to from booking to billing and everything in between was pleasant, extremely friendly and helpful. Just before the surgery started Dr Budler asked me what kind of music I liked to listen to and I told him "country". He found a country station and we started. Although the freezing of my heel wasn't very pleasant, it was over in a few seconds and I lay there comfortably while Dr Budler worked his magic. Wth-in about a half hour I was sitting up with the girls strapping a walking boot on me.

I'm finding it difficult to hold back and not over do it. When you've lived with pain for so long and then all of a sudden its gone, a feeling of pure giddiness comes over you. I wish I could speed up time about 4 weeks because I know I'm going to be out living my life the way I did 9 years ago, hiking, riding horses, power walking etc. I can't thank Dr Budler , Kirstin, Kelsey, Trish, Andrea, and the rest of the radiology staff enough for all that you did for me. I wish you all the very best and I appreciate so much how well you took care of me.

Rose Rhine
Drayton Valley
Alberta, Canada