Tenex / TenJet

Regenerative medicine & pain doctor for lake oswego & greater portland

Tenex / TenJet Treatment in Lake Oswego, OR

Chronic tendon pain can be frustrating when rest, medication, injections, activity changes, or physical therapy have not helped the way you hoped. The pain may improve for a while, then return as soon as you start lifting, gripping, walking, running, exercising, or getting back to normal activity.

At Maple Medical in Lake Oswego, Tenex and TenJet may be considered for certain chronic tendon injuries when unhealthy or damaged tendon tissue is contributing to ongoing pain and limited function.

These treatments are not recommended based on symptoms alone. Brice W. Blatz, MD, MS, will evaluate your condition, prior care, goals, imaging history, and clinical needs before determining whether Tenex, TenJet, or another option may be appropriate.

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What Are Tenex and TenJet?

Tenex and TenJet are minimally invasive treatment options used for certain chronic tendon and soft tissue concerns. They are designed to help address unhealthy or damaged tendon tissue that may be contributing to persistent pain.

In patient-friendly terms, these procedures may help remove targeted areas of problematic tendon tissue so the area has a better opportunity to move through a recovery process.

Tenex and TenJet are not the same as traditional open surgery. They are more focused, minimally invasive options that may be considered when the tendon problem is specific, chronic, and appropriate for this type of treatment.

 

Why Chronic Tendon Pain Can Be Difficult to Treat

Tendons connect muscle to bone and help the body handle repeated movement and load. When tendon tissue becomes irritated or injured, symptoms may begin as mild discomfort but become more persistent over time.

Chronic tendon pain may involve tissue thickening, degeneration, poor load tolerance, or incomplete recovery. In some cases, the tendon does not fully respond to rest or basic care because the underlying tissue quality has changed.

That is why some patients need a more targeted approach. The right plan may include regenerative medicine, energy-based therapy, a minimally invasive tendon procedure, physical therapy coordination, activity guidance, or a combination of recommendations.

 

Tendon Conditions Tenex / TenJet May Be Considered For

Depending on your evaluation, Tenex or TenJet may be discussed for certain chronic tendon concerns, including:

  • Tennis elbow
  • Golfer’s elbow
  • Achilles tendon pain
  • Patellar tendon pain
  • Rotator cuff-related tendon pain
  • Gluteal tendon pain
  • Hip, knee, shoulder, elbow, ankle, or foot tendon concerns
  • Soft tissue pain that has not improved as expected with conservative care

Not every tendon injury is appropriate for Tenex or TenJet. The recommendation depends on the tendon involved, the quality of the tissue, how long symptoms have been present, what treatments have already been tried, and whether a minimally invasive tendon procedure fits your goals.

 

When Patients Ask About Tenex or TenJet

Patients often ask about Tenex or TenJet after dealing with tendon pain for months or years. They may have tried stretching, strengthening, rest, bracing, injections, medication, physical therapy, or activity modification, but still feel limited.

A consultation may be helpful if you are dealing with tendon pain that:

  • Keeps returning with activity
  • Limits exercise, work, hobbies, or daily movement
  • Has not improved as expected with conservative care
  • Affects gripping, lifting, walking, running, stairs, or overhead movement
  • Has been described as tendinosis, tendinopathy, or chronic tendon degeneration
  • Has imaging that suggests tendon tissue changes
  • Makes you feel stuck between “keep resting” and considering a more invasive option

At Maple Medical, the goal is to help you understand whether the tendon itself may be the source of the problem and whether Tenex, TenJet, PRP therapy, shockwave therapy, EMTT, physical therapy coordination, or another approach may be the better next step.

 

Tenex / TenJet vs. Other Tendon Treatments

Tenex and TenJet may be part of a broader conversation about tendon care. They are not automatically the first or only option.

  • PRP therapy may be considered when a targeted regenerative option using platelet-rich plasma is appropriate.
  • Shockwave therapy may be considered for certain chronic tendon or soft tissue concerns, especially when the goal is to stimulate tissue response in a non-invasive way.
  • EMTT may be used as part of a broader musculoskeletal recovery plan.
  • Physical therapy coordination may help improve strength, load tolerance, mobility, and return-to-activity planning.
  • Tenex or TenJet may be considered when unhealthy or damaged tendon tissue appears to be a key contributor to persistent symptoms.

Dr. Blatz will explain how these options differ and why one approach may be more appropriate than another for your specific condition.

 

How Maple Medical Evaluates Tendon Injuries Before Tenex / TenJet

Your treatment plan begins with a detailed consultation and condition-focused evaluation.

Dr. Blatz will review your symptoms, previous care, medical history, imaging history, activity level, and goals. He may evaluate tenderness, strength, mobility, range of motion, movement patterns, and how your symptoms respond to certain activities.

When appropriate, ultrasound may be used to support evaluation, treatment planning, or procedure guidance. If you already have imaging, reports, records, or notes from previous treatment, those materials can help support a more complete conversation.

The goal is to determine whether your tendon pain may be appropriate for Tenex or TenJet, or whether a different treatment pathway makes more sense.

 

What to Expect With Tenex / TenJet Treatment

If Tenex or TenJet is recommended, the Maple Medical team will explain the process before treatment begins so you know what to expect.

Your care may include:

  • Consultation and Candidacy Review: Dr. Blatz evaluates your tendon symptoms, prior care, imaging history, activity demands, and goals.
  • Treatment Recommendation: If Tenex or TenJet may be appropriate, Dr. Blatz explains why the procedure is being considered and how it fits into your broader care plan.
  • Preparation: The team reviews preparation instructions, expected costs, and next steps before treatment begins.
  • Procedure: Tenex or TenJet is used to target unhealthy or damaged tendon tissue in the treatment area. The details of the procedure depend on your condition and recommended plan.
  • Recovery Guidance: After treatment, your plan may include activity modification, follow-up visits, physical therapy coordination, gradual return-to-activity guidance, or at-home support when appropriate.

 

Recovery and Follow-Up After Tenex / TenJet

Recovery after Tenex or TenJet depends on the tendon treated, the severity of the condition, the procedure performed, and your activity goals.

Some patients may need to limit certain activities for a period of time. Others may need a structured return-to-activity plan with physical therapy coordination or specific movement guidance.

Tendon recovery often requires patience and follow-through. Even after a minimally invasive procedure, the tendon needs time to respond. Dr. Blatz and the Maple Medical team will help you understand what recovery may involve before treatment begins.

 

Tenex / TenJet in Lake Oswego and the Portland Area

Maple Medical is located in Lake Oswego and serves patients from Portland and nearby communities who are looking for a more personalized approach to chronic tendon pain and non-surgical musculoskeletal care.

Patients often come to Maple Medical because they want to understand why tendon pain keeps returning and whether a more targeted option such as Tenex, TenJet, PRP therapy, shockwave therapy, EMTT, or coordinated recovery planning may help them move forward with greater clarity.

 

Take the Next Step

If chronic tendon pain is limiting your movement, exercise, work, or quality of life, Maple Medical can help you explore whether Tenex, TenJet, or another non-surgical option may be appropriate.

Our Lake Oswego team will help you better understand what may be contributing to your tendon pain and what next steps may make sense for your goals.

answers to your Questions

FAQs About Tenex / TenJet

What are Tenex and TenJet?
Tenex and TenJet are minimally invasive treatment options for certain chronic tendon and soft tissue concerns. They may be considered when unhealthy or damaged tendon tissue is contributing to ongoing pain and limited function.
Depending on your evaluation, Tenex or TenJet may be discussed for certain chronic tendon concerns, including tennis elbow, golfer’s elbow, Achilles tendon pain, patellar tendon pain, rotator cuff-related tendon pain, gluteal tendon pain, or other tendon conditions.
Tenex and TenJet are minimally invasive procedures, not traditional open surgery. Dr. Blatz will explain how the recommended option works, why it may be considered, and how it compares with other treatment pathways.
Candidacy depends on the tendon involved, how long symptoms have been present, prior care, imaging history, tissue quality, activity goals, and clinical evaluation. A consultation is needed to determine whether Tenex, TenJet, or another option may be appropriate.
In some cases, Tenex or TenJet may be part of a broader care plan that includes PRP therapy, shockwave therapy, EMTT, physical therapy coordination, activity guidance, follow-up care, or at-home support when appropriate.
Many regenerative medicine and specialty procedures are not covered by insurance. Maple Medical will review expected costs before treatment begins so you can make an informed decision.

Moving You Toward Pain Relief & Recovery

get back to doing what you love. Our Role Is to Guide You There.

01

Book a Consultation

Schedule a convenient time to visit our Lake Oswego, OR office, just 15-min South of Portland, to meet with Dr. Blatz and our care team.

02

Understanding Your Needs

Dr. Blatz takes the time to listen and understand your goals, ensuring that your care begins with a clear picture of your health and desired outcomes.

03

Comprehensive Planning

Your treatment goes beyond a single procedure. Combining orthobiologic and shockwave therapies, Dr. Blatz addresses your pain and promotes recovery holistically.

04

Supportive Partnerships

In collaboration with physical therapists and other specialists, your plan includes ongoing support to strengthen your recovery and optimize results.

05

Lasting Results

Your care doesn’t end with treatment. Through follow-ups and maintenance, Dr. Blatz ensures you continue to thrive, supporting long-term wellness with a focus on prevention and strength.
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Meet the doctor

DR. BRICE BLATZ

Dr. Brice Blatz is a double board-certified physician in Family Medicine and Sports Medicine with more than a decade of experience in non-surgical pain relief, regenerative medicine, and musculoskeletal care. He serves as a Clinical Associate Professor in the Department of Sports Medicine at Stanford University, where he helps train the next generation of physicians in advanced ultrasound, orthobiologics, and image-guided treatment techniques.

As President of the American Society for Medical Shockwave Treatment and core faculty for The Orthobiologic Institute, Dr. Blatz is recognized as a leader in regenerative and energy-based therapies, including focused and radial shockwave, PRP, stem cell treatments, and ultrasound-guided procedures.

Inspired by a long-held dream to bring personalized, innovative care to Lake Oswego, he founded Maple Medical as a boutique medical experience where advanced medicine, compassion, and patient empowerment come together to address pain, restore function, and support lasting wellness.

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John Swan
10 days ago
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Dr. Blatz listens to his patients and is thorough in his analysis. Those are hard to find qualities in my experience with healthcare.
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dorine bright
49 days ago
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I have used Dr. Blatz several times since 2021 for knee, SI joint, and most recently for tears in my shoulder. I have had PRP with stem cell injections, shock wave and EMTT therapy. I live in SW Washington yet the drive to Lake Oswego is not a problem for me since I have full trust in Dr. Blatz's work. The team at Maple Medical is excellent in my opinion. Cole is responsive to every message- Annee is superb at shockwave therapy focusing on patient comfort yet accomplishing goals specific to therapy needs. Lexi also put me at ease with my procedure and works seamlessly with Dr. Blatz. I consider Dr. Blatz to be an important part of my medical care team along with his staff. In conversations with other people, I have heard various results about experiences in offices that would be closer to my area that provide these services. It has been my experience that Dr. Blatz spends the time with you to answer your questions even throughout the procedure! His knowledge of PRP and his love of his work is evident. I have had excellent results from Dr. Blatz and his team and will continue to use them if the need arises.
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Debbie Lampson
58 days ago
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Mary Fox profile picture
Mary Fox
106 days ago
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Dr. Blatz has given me the best chance to live my life pain free and with the ability to physically do the things I haven’t been able to. He is extremely knowledgeable, patient and kind. I am grateful for all the information he provided when asked, from literature to detailed explanations. I felt so grateful to have found a provider for my condition who is such an expert in his field along with an attentive, caring bedside manner. His entire office staff is just as caring. They are all knowledgeable and excellent at what they do. The connections with each felt personal and the level of communication so reassuring.
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Charlene McCarthy
121 days ago
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I had a stem cell procedure done by Dr. Blatz on one of my knees. Long story short, I had a long history of degenerative issues. I had done lots of PT, am too young for certain other interventions, but it still continued to worsen. After the procedure done by Dr. Blatz, I was able to do simple things like sit and stand and walk on stairs with no pain in my knee (this was after having nearly 10 years of pain). Not only that, but he knew my goals of keeping up certain activities and I progressed back into those activities as he said I would. Having Dr. Blatz do that procedure was 100% the best decision. He and his staff also closely monitored my recovery and rehab. Also, at this point, I think I have interacted with everyone at his office. They are all great. His office is very responsive. He fit me in same day recently on very short notice for an unrelated new injury, and he got the MRI I needed very quickly and the appropriate referrals that I needed. Also, the shockwave treatment they do was great at reducing pain levels for me during recovery.
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Amy Fleming
164 days ago
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I’ve had a great experience with Maple Medical and Dr. Blatz. He is extremely thorough in his assessments and takes the time to really understand the root cause of injuries rather than just treating symptoms. I have used shockwave and EMTT treatments and have had excellent results for recovery and pain improvement. His knowledge, attention to detail, and personalized approach really stands out. Highly recommend for anyone looking for thoughtful, cutting-edge care focused on recovery and long-term healing.
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Mike Doolin
183 days ago
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I am a professional guitarist. I was unable to play guitar for 15 months due to an injury to my left wrist. I had seen many other doctors and therapists, from chiropractors to acupuncturists to orthopedic surgeons, and nobody could treat my wrist injury. I found Dr Blatz by searching for PRP therapy. He treated my wrist, and in 4 weeks the injury was healed. It's been 2-1/2 years now and I've been playing guitar regularly again all that time without pain. Dr Blatz restored my music career!
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tracy coultas
183 days ago
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Maple Medical is the definition of concierge patient care. Cutting edge science meets Every member of the team truly cares about your wellness and treats you with compassion. I had stem cell treatment with Dr Blatz and continue my care with Annee for ESWT and EMTT. I have increased mobility, decreased pain, and improved posture. I cannot say enough nice things about the whole team. Schedule a consultation and see for yourself. It’s evident from the first meeting that you made the right choice.
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Tyler King
259 days ago
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Brice and his team are outstanding. They've helped me get clarity on several injury related issues and provided shockwave therapy that noticeably improved my recovery. Professional, knowledgeable, and results driven. I'm very grateful for their care.
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Bob Lewicki
281 days ago
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My experience with Maple Medical has been great. The front desk folks, Cole & Lexi, are uniformly helpful.......Dr Blatz has been a wonderful ally. He doesn't over-promise and is realistic in our conversations. He has explained that my condition is a stubborn one (Don't I know it!) but from the start told me he believed they could help me and they have. He also is very positive and good humored. The condition has been with me for years so you don't get overnight success and I have had to be patient and now am seeing positive results....... Annee is my clinician and performs the shockwave treatment. She has been very professional and approachable at the same time. Some days it's not a walk in the park but the discomfort is fleeting. For instance, I drive to and from my appointments with no problem and the condition is in my foot. Professional, smart, honest, people is a great place to start. I am now back walking at a pace and distances that is very satisfying and am encouraged that it will continue on a positive trajectory.