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Ankle tenography is primarily a therapeutic technique for treating chronic ankle and tendon pain that has not improved with conservative treatments.  

Learn more about this Tenography Injections:

  • We will contact you prior to your appointment to review medications you are currently taking, your medical history, potential risks and answer any of your questions.
  • Contact your provider before you stop taking any medication.
  • If you have films, reports or CD-ROMs of any MRI, CT or X-rays you have already had, please bring them to the appointment.
  • You will need a driver to bring you home after your appointment.
  • At the time of your appointment, women should always inform their provider or X-ray technologist if there is any possibility that they are pregnant or if they are breast feeding.
  • Overall you should plan on approximately one hour of your time for this procedure from check-in until you leave the clinic.
  • Using X-ray guidance, our specialized radiologist will insert a thin needle and inject contrast solution. The contrast solution is designed to highlight your anatomy to make sure the area thought to be causing your pain is precisely targeted.
  • The radiologist will then slowly release a combination of anti-inflammatory (steroid) and anesthetic (numbing) medications into the ankle and tendon area.
  • You may feel slight pressure or discomfort during the exam. The radiologist may ask how this compares to your usual symptoms to better target the medication.
  • You may experience numbness and/or relief from your symptoms for up to six hours after the injection. Your usual symptoms may then return and possibly be worse than usual for a day or two. The beneficial effects of the steroids usually require two to three days to take hold, but may take as long as five to seven days.
  • If an initial injection provided a certain amount of relief, a second injection might strengthen the pain relief effect. Also, if your pain subsides, but begins to return weeks or months later, additional injections are possible.
  • You may be asked to keep track of how long relief lasts and report it to your provider; this information is useful to them when considering next steps.

Although complications are rare, we will review possible side effects and risks with you prior to your exam so you can ask questions and decide if this exam is right for you.


NOTE: This procedure is not performed in all of our centers. Please contact the location or region nearest you for more information or to schedule an appointment. We are happy to help answer any questions you may have!