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The two major forms of (less invasive) Tenotomy are: Injection treatments involving hypodermic needles, and… Minimally-invasive surgical techniques involving “needle-like” tools / probes (There’s also a more invasive arthroscopic surgery form of Tenotomy that’s performed under general anesthesia, which we’ll cover later.) Hypodermic Needle-Based Injection Treatments If you have a mild-to-moderate tear the following injection therapies may have the potential to help you recovery without resorting to full, open surgery