Minimally Invasive Treatments

The Andrews Institute specializes in a variety of Minimally Invasive Treatments including:

Tenex Health TX™ procedure (previously called the FAST™ procedure):
Based on technology developed in collaboration with the Mayo Clinic, Tenex Health TX (medically known as Percutaneous Tenotomy and Percutaneous Fasciotomy) is a minimally invasive treatment option that quickly and safely removes the source of pain caused by swimmer’s shoulder, tennis elbow, golfer’s elbow, runner’s knee, jumper’s knee, Achilles tendonitis and plantar fasciitis. The Tenex Health TX System combines ultrasound imaging used to identify damaged tissue with an advanced TX MicroTip™ that precisely cuts, breaks down and removes only the damaged tissue that causes pain.

Since surrounding healthy tissue is not disturbed, patients enjoy less discomfort and quicker recovery times versus traditional open surgical procedures. Tenex Health TX can be performed in 20 minutes or less. Only a local anesthetic is used, and patients are awake and alert throughout treatment. No sutures or stitches are needed, and only a small adhesive bandage is used. Most patients return to normal activity within 2-6 weeks.
Platelet Rich Plasma (PRP) Therapy:
PRP is blood plasma with concentrated platelets. These platelets include bioactive proteins that initiate connective tissue healing such as bone, tendon and ligament regeneration and repair. PRP can be injected in tendons and ligaments all over the body, which can help with sports injuries and more specific injuries including tennis elbow, carpal tunnel syndrome, shin splints and many other damaged ligaments and tendons. Patients see significant improvement immediately which may eliminate the need for aggressive treatments such as long term medication or surgery.
Minimally Invasive Spine Procedures:
The Andrews Institute has established a Spine Center that specializes in minimally invasive spine procedures. Our physicians are on the leading edge – developing new surgical techniques through ongoing clinical research and by taking on difficult cases. Our patients suffer much less pain and are often back to their normal activities within a few days to weeks.
Minimally Invasive Shoulder, Elbow, Hip and Knee Procedures:
Minimally Invasive orthopedic surgeries are a specialty for the Andrews Institute. Our surgeons provide outpatients procedures that allow a person to be home resting comfortably the same day as their surgery. Many of our surgeons specialize on one or a few orthopaedic areas and have undergone rigorous fellowship training in order to develop the expertise to successfully complete these surgeries.
Minimally Invasive Foot & Ankle Procedures
The Andrews Institute is unique in that it has orthopaedic foot and ankle specialists that see patients five days a week. They are the only board-certified orthopaedic foot and ankle specialists in the Pensacola area to surgically treat patients utilizing arthroscopic and open treatment of all foot and ankle disorders.
Minimally Invasive Hand & Wrist Procedures:
The Andrews Institute is able to treat congenital, traumatic and acquired conditions of the hand, wrist, and elbow as well as reconstructive microsurgery of the limbs including replantation and vascularized tissue transfer. Common conditions include carpal tunnel syndrome, fractures, arthritis, and sports injuries.
Minimally Invasive Benefits

Advanced Procedures

Autologous Chondrocyte Implantation (ACI)
ACI is a procedure to treat damaged cartilage in localized areas of the knee. The first step involves collecting a patient’s own cartilage cells. These cells are then sent to a laboratory to grow a large number of healthy cartilage cells. It typically takes about 4-6 weeks to grow enough cells before the implantation can take place. Once the new cells are ready, the implantation involves surgery to harvest periosteum tissue and implant the cells. The tissue is used as a patch over the area of damaged cells in the knee. The new cultured cells are injected under the patch that will hold them in place. This is a significant procedure and patients should expect a lengthy healing time with intense physical therapy. However, the treatment may be an alternative for younger, active patients who are not appropriate for a total knee replacement.
O-arm technology for Spine Surgery
O-arm technology is the most advanced and accurate imaging system available allowing for greater precision, safety and accuracy in spine surgery. The CT scan provides three-dimensional imaging guidance during surgery so that neurosurgeons can visualize the patient’s anatomy while safely placing instrumentation, ensuring that implants are precisely positioned. Additionally, following the placement of spinal hardware such as plates and screws, the O-arm can be used for confirmation that the implants are perfectly positioned before the surgery is completed. The O-arm is especially useful for maximally invasive spine surgery but can also be used for minimally invasive procedures.