Research & Academic Exchange
【Transarterial Microembolization (TAME)】Pain Relief Treatment - 【Indications】 and 【Original Author's Clinic Visit Experience】
Author: Bow Wang, M.D.
My two-week visit to Dr. Okuno's clinic has concluded. Besides diligently learning techniques and knowledge, Dr. Okuno generously shared his relevant treatment experience.
Dr. Okuno actually just returned from speaking at the Global Embolization Symposium (GEST2023) held in Paris, France at the end of last month.GEST introduction hereHe also shared the current treatment results of the French team using 【Transarterial Microembolization (TAME)】, from which we benefited greatly.Image sourceOkuno.Clinic
Image sourceOkuno.Clinic
In addition, Dr. Okuno generously shared with us the prognosis of [Transarterial Microembolization (TAME)] for different indications, which are listed below in Chinese translation for physicians who need referrals.
Indications and prognosis for treatment of various body parts using 【Transarterial Microembolization (TAME)】: (For patients who have not shown significant improvement after more than three months of traditional treatments, including medication and injections, and whose pain score exceeds 5/10)
【1. Most likely to improve after treatment】
Frozen shoulder, tennis elbow/golfer's elbow, De Quervain's disease/stenosing tendinitis, triangular fibrocartilage complex injury, low back pain (confirmed by Enhanced MRI, with significant visualization of the facet joint or surrounding soft tissues), jumper's knee, mild degenerative osteoarthritis, Achilles tendinitis, plantar fasciitis.
—————————
【2. Improvement is highly likely after treatment】
Heberden's node (finger osteoarthritis), wrist osteoarthritis, sacroiliitis, severe osteoarthritis of the knee, lower back pain (MRI shows no clear diagnosis), severe enthesitis (poor response after 5 or more injections, significant Doppler vascularization and local thickening, high daily workload).
—————————
【3. Approximately 50% chance of improvement】
Morton's metatarsalgia (significant contrast enhancement at the affected area), postherpetic neuralgia (PHN), rib/intercostal pain.
—————————
【4. Few people have experienced improvement with this method, so it is not highly recommended, but there is still a chance of improvement.】
Severely deformed osteoarthritis of the hip, Morton metatarsalgia (no radiographic findings).
—————————
【5. This method is not recommended.】
Intermittent claudication caused by spinal stenosis, Complex Regional Pain Syndrome (CRPS) lasting more than three years, and pain related to herniated discs in the elderly.
Bow Wang, M.D. Clinic Online Appointment
This page is for medical education and academic communication. It does not replace individual diagnosis or treatment advice.
Continue reading this category →