What to Expect · Atlanta, GA

Your first shoulder appointment, step by step

Not knowing what a first appointment involves can make it more stressful than it needs to be. Here's a clear walkthrough of what happens when you see one of our Atlanta network physicians for shoulder pain.

See How It Works View Specialists

Atlanta physicians

visit to evaluate

Ultrasound

confirms diagnosis

Real Results

What TenJet Patients Describe

Below, a patient treated with TenJet describes chronic tendon pain and the outcome of the percutaneous procedure.

TenJet Patient Testimonial

Video courtesy of HydroCision, Inc., the maker of TenJet®. Individual results vary; this patient's experience is not a guarantee of outcome. Talk with a specialist about whether the procedure is appropriate for you.

The Procedure

If TenJet^® comes up in that conversation

It's one of the minimally invasive options your physician may mention. Manufactured by HydroCision, Inc., it's designed to treat degenerated rotator cuff tendon tissue in an office setting, using the same ultrasound imaging from your evaluation to guide the procedure itself.

Same ultrasound technology used for diagnosis guides the treatment

A high-pressure saline jet removes only the damaged tissue

Built-in suction clears debris immediately

Local anesthesia — no operating room

Widely covered by insurance, including Medicare

Full technical details at hydrocision.com →

The TenJet device's 12-gauge needle tip, used to selectively resect diseased rotator cuff tendon tissue — The TenJet needle tip: a dual-lumen, 12-gauge device that delivers a high-pressure saline jet while suction clears debris. Image courtesy of HydroCision.

Watch the Procedure

Official shoulder technique video from HydroCision, the manufacturer of TenJet. May include clinical imagery. Watch on YouTube.

What to Expect

Your visit, step by step

1. Intake and history

You'll describe when the pain started, what makes it worse, and what you've already tried.

2. Physical examination

The physician will test your shoulder's range of motion and strength to narrow down the likely cause.

3. Imaging if needed

Ultrasound is commonly used to directly visualize tendon tissue and confirm tendinopathy versus other causes.

4. Treatment discussion

You'll review the full range of options together, from conservative care to minimally invasive procedures.

Common Questions

Frequently Asked Questions

What is calcific tendinosis of the shoulder?

Calcium deposits forming within a degenerated rotator cuff tendon. Published cases describe deposits identified on ultrasound and removed with the pressurised saline jet during treatment.

How long does the device run during treatment?

Only a few minutes. In a published shoulder case the device was active for approximately seven minutes; the rest of the appointment is imaging, positioning and numbing.

Will I need physical therapy afterwards?

Almost certainly. Published shoulder cases describe progressive range-of-motion and strengthening work roughly weekly over about six weeks following the procedure.

Can I return to racquet sports?

Many patients do. In one documented case a recreational tennis player resumed play at three months following a staged return-to-sport program.

This information is general and is not medical advice. Whether any procedure is appropriate for you can only be determined by a physician who has examined you and reviewed your imaging.