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Skagit Regional Clinics uses ultrasound guided tenotomy to treat overuse injuries

Jun 19, 2019, 12:00 PM

6_RogerLeeTV10-5Dr. Roger Lee, Family Medicine and Sports Medicine specialist at Skagit Regional Health received specialized training to provide a minimally invasive procedure called ultrasound guided tenotomy to treat patients with overuse injuries.

The high prevalence of overuse injuries inspired Dr. Lee to bring this cutting-edge technology to his patients.

Overuse injuries occur when the body may not have enough time to heal from micro trauma to the tendons attaching a muscle to a bone. Micro trauma involves microscopic tears in the tendons that, with enough time, can result in complete tears if not treated properly. Tennis elbow, patellar tendinitis in the knee, Achilles tendinitis, rotator cuff tendinopathy in the shoulder, and plantar fasciitis in the feet, are examples of common overuse injuries that can be relieved by ultrasound guided tenotomy.

Dr. Lee cares for athletes and professionals whose injuries negatively impact their daily lives. Carpenters, construction workers, weight lifters, athletes, and people in other occupations with repetitive motions can develop overuse injuries, Dr. Lee noted.

“Many patients can’t afford to take time off for surgery and recovery, so this is a great option for them,” he said. 

Ultrasound guided tenotomy is a minimally invasive procedure performed in Dr. Lee’s office. Local anesthesia is used for patient comfort. The incision made during the procedure is small, requiring no stitches. The procedure only takes a few minutes and patients can go home immediately.

“I use ultrasound to pinpoint the exact location of the diseased tissue, then I debride and irrigate the dead tissue to promote healing,” said Dr. Lee. The procedure won’t affect good tissue, he noted.

Most patients can continue normal daily activities following the procedure with no range of motion restrictions, though they should not play sports or participate in intense activity for one-to-two weeks after the procedure. Pain relief is typically observed during the week following the procedure.

Ultrasound guided tenotomy offers many benefits and is safe and effective for all ages. Research has shown that more than 85 percent of patients have seen improvements in their pain levels following the procedure when compared with other conservative therapies such as physical therapy, anti-inflammatories and cortisone injections. Ultrasound guided tenotomy is also covered by many insurances.

Dr. Lee received his medical degree from the University of Texas at Houston Medical School. He completed residency training at Kansas University Medical Center in Kansas City, followed by a Primary Care Sports Medicine Fellowship at Southern Illinois University in Carbondale, Illinois. Dr. Lee cares for patients of all ages. He treats patients with musculoskeletal injuries, performs concussion management and provides general family practice care.

To learn more about ultrasound guided tenotomy or to schedule an appointment with Dr. Roger Lee, call 360-428-2501.

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Last post : 07/19/2019