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Relief for shoulder pain, advanced, non-surgical TenJet options with ultrasound guidance.
At Mississippi Motion, our TenJet procedure offers a cutting-edge, non-surgical solution for shoulder pain. This minimally invasive, ultrasound-guided treatment targets and removes damaged tendon tissue, promoting healing without open surgery or stitches.
If you're struggling with persistent pain on the outside of your shoulder or wondering how to fix shoulder pain without surgery, you're not alone. Shoulder pain, often caused by damaged rotator cuff tendons or biceps tendinopathy, can limit your work, sleep, and active lifestyle. At Mississippi Motion, Dr. Chris Penton offers the TenJet procedure, a minimally invasive treatment that removes damaged tendon tissue without open surgery or stitches. Dr. Penton has successfully treated hundreds of patients from 16 years old to 100 years old.
Understanding pain
Most shoulder pain stems from degeneration of the rotator cuff tendons, not a single injury. Common causes include:
Over time, damaged tendon tissue becomes frayed, scarred, and thickened, reducing strength and mobility and causing constant pain.
Are you a candidate?
TenJet may be right for you if conservative care hasn't resolved your shoulder pain. You may be a candidate if you have:
Dr. Penton evaluates every patient individually with a focused physical exam and diagnostic ultrasound to determine if TenJet is appropriate for your condition.
Mississippi Motion | Shoulder pain
Treatment
TenJet is an advanced, ultrasound-guided procedure that precisely removes damaged tendon tissue through a tiny puncture, with no incisions or sutures required. Dr. Penton uses real-time ultrasound to locate the exact area of diseased tendon and guides the TenJet micro-jet system to gently break down and remove damaged fibers while preserving healthy tissue. The procedure takes about 15 minutes, is performed under local anesthesia in our office, and patients go home the same day.
Choosing a treatment
Many patients want to know how TenJet compares to conventional surgical repair. Here's a side-by-side overview.
| Feature | TenJet | Traditional surgery |
|---|---|---|
| Anesthesia | Local anesthesia (sedation optional) | General anesthesia |
| Incision | Tiny puncture, no stitches | Arthroscopic portals or open incision |
| Setting | Office-based, home the same day | Hospital or surgery center |
| Procedure time | ~15 minutes | 1–3 hours |
| Recovery | Days to weeks; light activity quickly | Weeks to months; sling, formal PT |
| Guidance | Real-time ultrasound | Direct visualization (scope or open) |
Not every patient is a candidate for TenJet. Dr. Penton will recommend the approach that best fits your exam, imaging, and goals.
Outcomes
Indications
From our clinic
Short clips from @mississippi.motion on TikTok, real shoulder cases we discuss in consultation.
Your visit
Get the most out of your TenJet treatment with clear steps before, during, and after your visit. Our process is designed to support a smooth experience and a faster recovery.
Dr. Penton locates the exact tendon damage.
The area is gently anesthetized.
The micro-jet removes damaged tissue precisely.
No sutures, minimal soreness, home the same day.
Healing
Mild soreness or swelling, manageable with rest.
Gentle shoulder motion; avoid heavy lifting.
Platelet-rich plasma (PRP) therapy may be offered to boost healing.
Begin rehab or physical therapy to restore strength.
Tendon healing and strengthening phase; most patients report improved pain and motion.
Common questions
Yes. Many patients with chronic shoulder pain caused by tendon degeneration respond well to TenJet, a minimally invasive, ultrasound-guided procedure performed in our office under local anesthesia. No incision, no stitches, and most patients go home the same day.
Most patients experience mild soreness for the first few days. Gentle motion begins within 1–2 weeks, and by 6–8 weeks most patients report significant improvements in pain and range of motion. Recovery varies by individual and condition severity.
Dr. Penton evaluates and treats a wide range of shoulder conditions including rotator cuff tendinosis and tendinitis, partial rotator cuff tears, biceps tendinopathy, shoulder bursitis, calcific tendon deposits, and pectoralis tendinitis.
Coverage varies by plan and diagnosis. Our office can help verify your benefits before scheduling. Many patients find TenJet to be a cost-effective alternative to traditional surgery due to lower facility fees and faster return to activity.
Dr. Penton performs a thorough physical exam and diagnostic ultrasound to assess your tendon health. If the damage is primarily degenerative (tendinosis) rather than a full-thickness tear, TenJet is often an effective option. He will recommend the approach that best fits your condition.
Your physician
MD • CAQSM • RMSK
Dr. Penton is a board-certified sports medicine physician with advanced training in musculoskeletal ultrasound and minimally invasive tendon procedures. He has successfully treated hundreds of patients, from 16 years old to 100 years old, using TenJet, Tenex, and Sonex at Mississippi Motion.
Next step
If shoulder pain is holding you back from work, sleep, or workouts and other treatments haven't worked, it's time to explore TenJet. This simple, outpatient procedure can help you move again without surgery or prolonged downtime.
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