[Asian MSK US Meeting 2025] [Academic Training] [Tennis Elbow] [Simplified Transarterial Microembolization (TAME)] [Regenerative Injection] [Nerve Release/Blocking] [High-Frequency Thermocoagulation Therapy] 2025-5/28-5/29

Tennis elbow is a tendinopathy characterized by micro-tears in the tendons of the forearm extensor muscles (particularly the extensor carpi radialis brevis, ECRB) at their attachment to the lateral epicondyle of the humerus. These tears fail to heal due to prolonged repetitive use, leading to tendon degeneration. These muscles attach to the lateral epicondyle of the elbow. Repetitive movements or activities, in addition to causing micro-tears and degeneration of the tendons, can also lead to chronic inflammation and pain.

Unlike the conventional TAME (Transarterial Microembolization (TAME)) which requires angiography,

The US-guided simplified TAME (ultrasound), also known as Donchu treatment, does not require the placement of a vascular puncture guide sheath, catheter, or microcatheter to select the vessel, as with the conventional Transarterial Microembolization (TAME). Instead, it involves direct injection through a fine needle puncture into the proximal artery under ultrasound guidance. Therefore, the treatment time is much shorter, and the recovery period and complications after injection are also lower. However, its efficacy is relatively poor. Therefore, after using the [Simplified Transarterial Microembolization (TAME)], it can be combined with local injections/regenerative injection therapy for follow-up enhancement to achieve better therapeutic results.

In conclusion, summarizing the key takeaways from this conference, besides future efforts in [ultrasound diagnostics combined with MRI interpretation], we will further refine and integrate pain management techniques in areas such as [local injection/regenerative injection therapy]; [traditional angiography/ultrasound guided simplified Transarterial Microembolization (TAME)]; [X-ray fluoroscopy guidance/ultrasound guidance/computed tomography (CT) guidance/nerve release/nerve block]; and high-frequency thermocoagulation therapy. We aim to address more intractable [musculoskeletal joint and spinal pain, MSK pain].