NanoATi · Patient selection
Which tendon problems may suit NanoATi?
NanoATi is considered only after the diagnosis, tendon continuity, previous loading programme and functional demand have been defined.
Reviewed byProfessor Paul Lee MBBch, FRCS (Tr & Orth), PhDCartilage and joint preservation expertiseQuick answer
Selected tendinopathy, intrasubstance degeneration and partial-thickness damage may fit when viable continuity remains and first-line rehabilitation has been addressed. Complete rupture, detachment or marked retraction is a different mechanical problem.
Verified across three networks
Trusted by patients on Doctify, Google and Top Doctors
Structural starting point
The tendon must still be a continuous mechanical cable
NanoATi may be considered for selected tendinopathy, intrasubstance degeneration and partial-thickness damage where viable continuity remains. It cannot reattach a complete rupture or a tendon that has pulled away from bone.
The same pain location can reflect tendon overload, a partial tear, referred pain, joint disease or nerve irritation. Diagnosis has to be more precise than “sore tendon”.
- Persistent symptoms after a well-run first-line rehabilitation programme
- A defined abnormal tendon target on examination and imaging
- Useful tendon continuity and function remain
- A realistic loading plan can be completed after treatment
Assessment
Imaging, strength and load history must tell the same story
Ultrasound can show tendon structure dynamically and guide precise delivery. MRI may be useful for deeper anatomy, tear extent and associated joint disease. Neither scan replaces examination or a clear account of what load provokes symptoms.
Strength loss, night pain, traumatic onset, change in function and previous rehabilitation all alter the decision. For the Achilles, patellar tendon, rotator cuff and common extensor tendon, the meaningful functional demands are different.
Reasons to change route
Some tendon findings need surgical assessment
Complete rupture, marked retraction, tendon detachment from bone, substantial functional weakness or an acute injury where delay matters can point towards repair. The precise threshold depends on the tendon, patient and functional goal.
NanoATi also should not bypass a well-designed exercise programme. It is generally considered after diagnosis and first-line load management have been addressed.
NanoATi suitability questions
Can NanoATi treat a complete tendon rupture?
It cannot reattach a completely ruptured or detached tendon. Complete failure, retraction or major weakness needs an appropriate surgical assessment.
Do I need to try physiotherapy first?
A well-run progressive loading programme is first-line treatment for many tendon problems. NanoATi is normally considered when the diagnosis is clear and symptoms persist despite appropriate rehabilitation.
Which tendons may be assessed?
Examples include Achilles, patellar, rotator cuff and common extensor tendon problems. Suitability is specific to the tendon and damage pattern.
Is ultrasound enough?
Ultrasound is valuable for many tendons and for guided delivery. MRI may still be needed when anatomy is deep, the tear is complex or associated joint disease must be assessed.
Still have more specific concerns?
Free Discovery CallOptions that our doctors may discuss include NanoACi, ChondroFiller, Mytocel MSK, joint replacement, established conservative care or surgery, depending on examination and imaging.
Define the tendon before choosing treatment
Professor Lee can combine examination, ultrasound and MRI where required to distinguish overload, degeneration, partial tear and rupture.