Our procedures help relieve pain at the source
to promote healing.

Let’s Talk About Your Pain and Tendon Treatments!

Our Pain Specialists are happy to discuss the possibilities of the latest and most advanced pain relief options.

Chronic Tendon Pain Prodedure

Are you suffering from Chronic Tendon Pain that has lasted 3 months or more? Our minimally invasive, no stitch procedure could be the answer you are looking for.

Free Pain Screening Quiz

Pain presents itself in many different ways, at different times and in many cases is triggered by specific activities.

Arizona Pain Treatment Centers will be happy to answer your questions in conjunction with a personal phone call follow up with one of our doctors.

Please answer the questions as accurately as possible.

Step 1 of 10

Tenex Health TXTM - Your Solution

Tenex Health TXTM is a minimally invasive procedure that provides relief for chronic tendon pain with a one-time* ultrasonic treatment.

It allows you to identify and specifically cut and remove diseased, pain-generating soft tissue, leaving healthy tissue undisturbed while stimulating a healing response in tendons and other musculoskeletal structures.

Unlike conventional interventions that require open surgery, Tenex Health TX does what traditional treatments can’t. With this system, our specialists use a needle to do the work in replace of a scalpel.

Fasciotomy and Surgical Tenotomy


FAST™ Technique — Fasciotomy and Surgical Tenotomy — is an innovative, gentle method for percutaneous cutting and removal of tissue and restoration of natural tendon and soft tissue function. The FAST Technique utilizing the TX1™ Tissue Removal System can be used to address the most common areas for tendon and soft tissue injuries including:

• Lateral and medial epicondyle
• Patellar tendon
• Rotator cuff
• Plantar fascia
• Achilles tendon

Based on technology developed in collaboration with the Mayo Clinic, FAST combines conventional ultrasonic imaging for visualization with the advanced TX1 Tissue Removal System.

Tendon treatment

The TX1 MicroTip simultaneously cuts and debrides diseased tendon or other soft tissue in various musculoskeletal structures. This video demonstrates the removal of pathologic tissue in the lateral epicondyle of the elbow.

Fast and Minimally Invasive

The FAST Technique enables doctors to provide their patients with a rapid and precise option for removing pathologic soft tissue without an open surgical procedure.

• Perform under local anesthetic with patient completely awake
• Percutaneous insertion of TX1 MicroTip
• Requires only a nurse or technician to assist with system controls
• Tiny microinsertion minimizes infection risk
• Treatment performed in 15 minutes or less
• Tiny microincision (3 mm) closed with an adhesive bandage
• Anticipated patient recovery time is approximately 6 weeks for return to normal activity levels

Chronic Tendon Disease / Tendinosis

What is Chronic Tendon Disease or Tendinosis?

An endoscopic rhizotomy is a minimally invasive endoscopic surgery that allows direct visualization of the medial branch nerves that supplies the facet joints in the back of the spine. This procedure may also be called a facet joint denervation.

Pain and discomfort to an affected tendon for approximately 3 months or more is when tendonitis becomes Chronic Tendon Disease, medically known as tendinosis, and at this point should be treated differently.


Chronic Tendon Disease can happen to any tendon and is most commonly located in the shoulders, lateral and medial epicondyles, patellar tendons, Achilles tendons, and plantar fascia.

Which is Commonly know as:
• Tennis Elbow
• Plantar Fasciitis
• Achilles Tendon Pain

Once again, it is a short amount of time before tendinitis becomes painful tendinosis and occurs when there is tendon trauma or tendonitis fails to heal through conservative therapies such as:
• ice and rest
• physical therapy
• compression and elevation
• injections
• medications

How would you describe Chronic Tendon Pain?

The pain might feel like burning, or cutting, stabbing or walking on shards of sharp, broken glass. This discouraging part is the Chronic Tendon Pain can get worse with time and activity.

Can repetitive motions create micro tears in tendons?


Yes! Repetitive motions, no matter how ordinary, can cause small micro tears that occur each time you use your tendon. When you do the same activities persistently, the micro tears do not have time to heal properly, causing injury.

• Walking constantly or standing for long periods can cause knee, ankle or heel pain.
• Everyday cleaning, including sweeping, vacuuming and mopping that require repetitive motions can cause pain.
• Typing or texting.
• Running and various types of exercise and physical activity can create micro tears and lead to tendonosis.

When are the common symptoms of Chronic Tendon Disease?

1. Pain is worsened daily with activity.
2. Pain can be identified with point of tenderness.
3. There is a ‘lack’ of inflammation and mobility decrease.

How AZPTC Works

Since 1997, our multi-disciplinary team has been helping our community and changing lives.

Schedule a Phone Consultation with our Doctor

During your complimentary phone consultation with our Doctor, you will receive a personal one-on-one conversation about the symptoms you are currently experiencing and discover how we can be the perfect fit for you.

an appointment
date and time

This appointment is the next step in discovering the new treatments and procedures that we successfully offer every day. Our diverse team brings to you the latest techniques and an array of options for treatment.

Begin your
new life of Health
and Healing

our care is ‘backed’ by our entire team and we are now ready to take amazing care of you! From Non-Surgical Procedures and Non-Steroidal Injections, to custom Muscle Work Treatment, we promise you won’t be disappointed.

We Offer Telemedicine Video Chats.

Don't let pain get you down. Contact us today to see how we can help.

Pain presents itself in many different ways, at different times and in many cases is triggered by specific activities. Arizona Pain Treatment Centers will be happy to answer your questions in conjunction with a personal phone call follow up with one of our doctors.


Congrats to another raving fan of Dr. Timothy Luke and the team at Minimally Invasive Spine AZ! The patient had an out-patient, decompression surgery of his lumbar spine at L3/L4! He is standing tall and feeling great again. “When I came to here my pain level was through the roof. And after the surgery the pain was small the first two weeks, but now I am getting stronger and my mobility has totally improved. Today I am in NO pain! I have my life back thanks to Dr. Timothy Luke.”
We love seeing our patients get back to living a life they love after a minimally invasive spine surgery. Dr. Luke performed an L4-L5 decompression surgery to alleviate back and leg pain. Carlos wrote, "Before my laminectomy with Dr. Luke I had been in terrible pain for 4 years. I tried everything from physical therapy to shots with little results. The pain kept me from enjoying the outdoors and working out. After the procedure I was hiking within a week. I’m in considerably less pain and I can once again be active. Thank you so much."
"As a medical doctor i recognize an excellent physician when I find a good balance of knowledge, skill, caring, compassion and understanding. I would only allow a physician with those qualities to perform my required invasive procedures. Without question, Dr. Nasser possess this balance. From the time of the first interview, until completion of my last surgery, Dr. Nasser and all this staff have gone great lengths to assure my successful recovery with the utmost professionalism, skill, knowledge, understanding, caring and compassion. Thanks again for being there."
I am very grateful that I took a chance on AZPTc. Dr. Nasser is the BEST! I've been having back pain for at least a decade but the last two years have been extremely bad. My really bad days were a 10 out of 10. After meeting Dr. Nasser for the first time and having him look at my MRI he immediately came up with a plan of attack to help me get my life back. Four weeks after having a Radio Frequency Ablation I have ZERO PAIN. I mean ZERO. In fact, immediately after my procedure I was pain free. I’m back to working out and doing the activities that I enjoy doing and not having to worry about how my back is going to feel the next day. I would recommend AZPTC to anyone especially Dr. Nasser but everyone in the office is really nice and professional. Many Thanks to Dr. Nasser and the whole AZPTC team. For people out there who think there is no hope and your just going to have to live with your pain please give AZPTC a chance.

About Arizona Pain Treatment Centers

As a multi-disciplinary team, we understand that pain can change and destroy a person’s life. It is discouraging to watch our patients, friends and family suffer in pain. We know we can make a difference and help provide the best education and options available. We offer Endoscopic Microdiscectomy and Endoscopic Rhizotomy procedures. Our non-surgical treatments offered are therapeutic and diagnostic injection medicine therapy. These include epidural steroid injections, non-steroidal injections, nerve blocks and ablations, joint injections, and trigger point injections. We also offer many other procedures for pain relief.

We are passionate about giving life back to our community every day. We specialize in most types of pain, including neck and back pain, arm and shoulder pain, leg, hip and knee pain, as well as headaches and migraines. We treat pain from Car Accident or Wreck Injuries, Sport Injuries, Workman’s Comp and daily wear and tear.

We are excited to be known by our patients and referring Primary Care Physicians as Top Doctors and Top Pain Specialists in Phoenix. We are also proud to have great relationships with other pain centers like Arizona Pain Specialists, The Pain Centers of Arizona, Arizona Pain Centers, Advanced Pain Management, Sonoran Spine and Barrow Neurosurgical Institute.

Arizona Pain Treatment Centers has been serving the greater Phoenix area since 1997. We have patients under our care that live in Phoenix, North Phoenix, Scottsdale, Peoria, Glendale, Maryvale, Tolleson, South Phoenix, Mesa, East Mesa, Tempe, Chandler, Ahwatukee, Gilbert, Queen Creek, San Tan Valley, Apache Junction, Tuscon, and even Globe.

We are commitment to making a difference and being the difference in all of our patient’s lives and their family and friends lives. Thank you!