Bow Wang, M.D.Musculoskeletal & Interventional RadiologyKNOWLEDGE CATEGORY
Clinical principles, patient assessment, research evidence, safety considerations, and case-based learning for transarterial microembolization for musculoskeletal pain.
44 articles available in EnglishTOPICS COVERED
ENGLISH ARTICLES
TAME & Musculoskeletal Embolization01A treatment-focused review of TAME for refractory patellar tendinopathy and Hoffa fat pad disease, including the 89-patient case series, Bow Wang’s JVIR cases, target vessels, ultrasound changes, patient selection, and safety limits.
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TAME & Musculoskeletal Embolization02A clinically grounded review of elbow TAME, from Okuno’s pioneering studies to lateral and medial epicondylitis evidence, MRI/DCE-MRA/DSA planning, target arteries, patient selection, and current limitations.
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TAME & Musculoskeletal Embolization03An evidence-based guide to complications, prevention, warning signs, and management in conventional catheter-based TAME and ultrasound-guided simplified TAME (Dochu).
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TAME & Musculoskeletal Embolization04An evidence-based overview of frozen shoulder, MRI and MRA findings, how transarterial musculoskeletal embolization (TAME) works, clinical outcomes, safety, and patient selection.
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TAME & Musculoskeletal Embolization05Thank you to Professor Hsieh Lin-Fen of Shin Kong Rehabilitation Department for the invitation and recognition. I am honored to contribute my clinical experience and perspectives on Transarterial Microembolization (TAME) (GAE/TAME) to Braddom’s Physical Medicine and Rehabilitation, 7th Edition (a classic textbook in rehabilitation medicine). I am also very honored to be listed in the same chapter and on the same page as Professor Tseng Fan-Wen. This is not only a personal milestone, but also a symbol of Taiwan's continued international recognition in the field of pain intervention and interdisciplinary integrated treatment.
Read article →![Thumbnail for TAME: Destruction or Repair? Ischemia or Reperfusion? [Regenerative Injection Therapy]](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjC9tx2TgNQL7LuKDPlrMC27LdlK_KH_XVqntjs3WZ3Nq3IfU53lkMBAzsFcsYN9DxQPSKdT439f36XX7yqlG6ZE_y6YECbyVRODqzIMns_2v0J42dT0nBOeCnvavMgp8Z_7q8GMVrnPTJtwcgTri1MWbszPtQU73Q1n7CQFmii6qI7XvnsO0Py7k14C1t3/s16000/%E6%8A%95%E5%BD%B1%E7%89%871.JPG)
TAME & Musculoskeletal Embolization06Author: Bow Wang, M.D. Before departing for VENTI in Tokyo, Japan last month, I had an in-depth discussion with Dr. Pan Chien-Li, a renowned rehabilitation physician and pain medicine expert from Taiwan, regarding whether Transarterial Microembolization (TAME) primarily repairs or damages injured structures, and whether it causes local tissue ischemia (de-perfusion) or increased perfusion (re-perfusion) on imaging. I also took this opportunity to consult with the original author, Dr. Yuji Okuno…
Read article →![Thumbnail for [Mommy Thumb/De Quervain's Disease] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8mH0Pt8fvBfmHquY1_SKCrO_twJn1pJE2Gl9sl9AxA_mbKm14k36sUsqUVg8Pbyzx9pFlglWdaTSKC572BVUJ57jIH-CBUUIeDC35pVfYQERhyBuw2cTMW4uS88D8D91OUXjd4NuDSthRe2v0pr1oDZODP2-lsnFiei2tJf5cix0go3My2JZEdhfQd_kY/s16000/De%20Quervain)
TAME & Musculoskeletal Embolization07Author: Bow Wang, M.D. Ms. C, 44 years old, suffered from long-term swelling and pain on the thumb side of her left wrist, especially when twisting her wrist, which severely affected her quality of life and sleep. Even after using medication, rehabilitation, wearing a wrist brace, and receiving multiple injections, the pain remained unbearable. Her pain score was as high as 6-7 out of 10. Based on medical history and physical examination (Finkelstein's Test), Bow Wang, M.D. diagnosed [Mommy's Thumb/Stenosing Tenosynovitis,...]
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TAME & Musculoskeletal Embolization08Author: Bow Wang, M.D. Mr. T had suffered from pain in his left groin, thigh, and right lateral hip for many years, with stiffness and decreased flexibility due to pain. After consultation and examination, Bow Wang, M.D. diagnosed him with mild osteoarthritis of the left hip and greater trochanter pain syndrome of the right hip. After discussion, Transarterial Microembolization (TAME), TAME, was administered to Mr. T. Guided by X-ray fluoroscopy and under local anesthesia, Bow Wang, M.D. inserted a microcatheter into the painful area via puncture of the inguinal artery. [Arterial angiography, angi…
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TAME & Musculoskeletal Embolization09Author: Bow Wang, M.D. Mr. C, 60 years old, suffered from pain in the front of both knees for several months, with pain directly above and below the patella, and the left side being more severe than the right. After seeking medical attention, he was diagnosed with quadriceps tendinitis and patellar tendinitis. Despite receiving various traditional treatments including medication and rehabilitation, the pain persisted without significant improvement. After various traditional treatments proved ineffective, Mr. C sought further consultation at the National Cheng Kung University Hospital Interventional Medical Center…
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TAME & Musculoskeletal Embolization10Author: Bow Wang, M.D. Ms. K, 59 years old, had been experiencing right shoulder pain for nine months. Raising her shoulder forward or backward to a certain angle caused pain, making even fastening her bra difficult. After seeking medical help, she was diagnosed with [adhesive capsule inflammation], commonly known as [fifty-shoulder], also called [frozen shoulder] or [adhesive capsulitis]. Despite various traditional treatments, the pain persisted without significant improvement. Ms. K was in so much pain that she could not raise her arm, lift heavy objects, or even sleep at night when turning over and pressing on the affected side, causing excruciating pain and severely impacting her quality of life. …
Read article →![Thumbnail for [Knee Osteoarthritis] [Transarterial Microembolization (TAME)] [Prolotherapy] [PRP Injection] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiomv4NnUGdhlqYFn6xycehNOAeTdaA4vMvLXNrl1FpCSG4u35iiEzlAuff00XwMK74xNM7N4Yr0bOM8i4yt81PX0RfsJNtDCKEWH67rszBi0V2XYL696RvOyimStWfUTFFOP2wfAw3hFGpLjLQJxRXe00zfepdWBoaAZSrkXkCXJVm702zvrvIpvWgmDqK/s16000/Combined.jpg)
TAME & Musculoskeletal Embolization11Author: Bow Wang, M.D. Ms. C had suffered from pain on the inside of her left knee for many years, enduring this pain daily, experiencing tightness when walking, and weakness in her leg when standing or sitting. Bow Wang, M.D. After consultation and examination, she was diagnosed with "osteoarthritis of the knee". After discussion, Transarterial Microembolization (TAME), TAME, was performed on Ms. C. ultrasound Under local anesthesia, guided by local anesthesia and X-ray fluoroscopy, a microcatheter was inserted into the painful area via groin artery puncture. Under arterial angiography, embolization medication was then injected through the microcatheter. After…
Read article →![Thumbnail for [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](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_XmGFXU2cD9w1F9Ol_rVgxiT5KyXkkSoRnioczp14wVSOHYayA3c8dlq4b8kU7AYa-0ckC71r7TKsTwFj8CAkJV-I3Ez9wfYYjW_3GjFg_zUDJFHO_S0ENO3jk4CxumkHNS3kNv_z3_Z7d6i4FaOrxiUkgM1BYtRY9vcKds6B539z12yWrsnxaaY7-jXQ/s16000/1.jpg)
TAME & Musculoskeletal Embolization12Author: Bow Wang, M.D. The [Asian MSK US Meeting 2025] is the second musculoskeletal meeting hosted by Dr. Omodani. This year's meeting is being held at the Kongo Noh Theater in Kyoto. The Kongo Noh Theatre is quite unique. Besides the host country, Japan, participants included doctors from Taiwan, Hong Kong, South Korea, Thailand, the Philippines, Indonesia, Bangladesh, India, and the United States…
Read article →![Thumbnail for [Golfer's Elbow/Medial Epicondylitis] [Traditional Type Combined with Simplified Type Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhp2xJbgUPXHQAcRFvH68SpCdkpzABmMPCJZ28ZKwZvYx-3scgtzmUJVyM0HvNIcTXiR8x59Kkkqq4UTwLtLgDIJmUkbSWeBteeEOvOwBzCP_DDHZGYPqh7AlFykt7ZfLigQUcAeo15Zfi8a1i_-gZr7omcyCdRJRjahO3guWu08S28TyTJBqlL0AchAcym/s16000/%E6%8A%95%E5%BD%B1%E7%89%872.JPG)
TAME & Musculoskeletal Embolization13Author: Bow Wang, M.D. Mr. C, 44 years old, had been experiencing pain on the inside of his right elbow for three years. After examination, he was diagnosed with [Medial Epicarthritis], commonly known as [Golf's Elbow]. Mr. C has tried painkillers, patches, and local injections including steroids, high-concentration glucose solution, and PRP, as well as rehabilitation treatments. However, the pain has persisted for over three years, with a pain index as high as 8 out of 10. He was referred by Dr. Lin Weiping, Rehabilitation Department, Yu-Tung Clinic in Tainan City, to the Interventional Medical Center at National Cheng Kung University…
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TAME & Musculoskeletal Embolization14Author: Bow Wang, M.D. Ms. W, in her early twenties, has been experiencing persistent pain on the ulnar side of her wrist since injuring it while moving a patient a year ago. The pain limits her ability to bear weight and perform activities like bracing her wrist against a table. In addition, Ms. W has experienced intermittent tingling and numbness in her fourth and fifth fingers since the injury. Despite local injection treatment, Ms. W's condition has not significantly improved. After a clinical physical examination by Dr. Hong Zhikai of National Cheng Kung University Hospital Orthopedics and diagnosis by magnetic resonance imaging (MRI), she was diagnosed with a triangular fibrocartilage complex (TFCC) injury and subsequently referred to interventional cardiology…
Read article →![Thumbnail for Successful Case Sharing of Achilles Tendinitis [Traditional Transarterial Microembolization (TAME)] [Simplified Transarterial Microembolization (TAME)]](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjetgjodorXWmRuxuCE5Bb80rtIGyMBQP7CzipV2pJMV5enBMMasPvIZYrkJL9z49r4WGhP1pFvSRVEpyJ9N1dHzDbjhaYxiKrCA4ydqmghTNwJM56Ay_5FP_2uFh31mn2Zs8R4HcIQBRiIqlBH_aUBPN8uqyajRCZwLlaLkmwNCzG-dwWKJoxzrD-uuDM4/s16000/%E6%8A%95%E5%BD%B1%E7%89%871.JPG)
TAME & Musculoskeletal Embolization15Author: Bow Wang, M.D. Mr. C, 60 years old, had been experiencing left posterior ankle pain for over two years. After seeking medical attention, he was diagnosed with Achilles tendinitis. He required long-term use of painkillers and pain patches, and despite undergoing shockwave therapy and various injections, the pain persisted. Mr. C's pain index (out of 10) reached a high level of 8. After consulting with Dr. Lin Weiping at Yu-Tung Clinic, Mr. C was referred to National Cheng Kung University Hospital Interventional Medical Center and Bow Wang, M.D. Clinic for further discussion. After discussing with Mr. C, Bow Wang, M.D. first performed an X-ray…
Read article →![Thumbnail for Successful Case Sharing of [Post-Traumatic Degenerative Ankle Arthritis with Bone Marrow Edema] [Transarterial Microembolization (TAME)] and [Intramedullary PRP Regenerative Injection]](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhryeY9OEpMupz3WZwu6fzk3JSpw2ly9nbw0SLr_GeaXL-JLrOFcbr5ECDs88enpTBkey7ARtfE8nshsxq_7OCoDy2mwabKO7AmQGyWcWvpLvvbnWXeece-izfaQc0HK0a74_S8QcaE-0MeWshTw1RjLewN50wP9kiI9XCNHYFV66CVHDfy43uhehk14_r8/s16000/%E6%8A%95%E5%BD%B1%E7%89%871.JPG)
TAME & Musculoskeletal Embolization16Author: Bow Wang, M.D. Mr. C, 61 years old, suffered from pain in his left ankle for many years after an injury more than ten years ago. After seeking medical help, he was diagnosed with [traumatic degenerative ankle arthritis]. Although he underwent arthroscopic debridement and various injections, the pain persisted. Mr. C's pain index (out of 10) reached a high level of 10, requiring long-term use of painkillers and pain patches. After consulting with Dr. Liu Bingtang at the [Chiao Li Clinic] in Kaohsiung, Mr. C was referred to the National Cheng Kung University Hospital [Interventional Medical Center] and [Bow Wang, M.D.] clinic for further discussion. Bow Wang, M.D....
Read article →![Thumbnail for [Taiwan Society for Peripheral Vascular Surgery (TSPI)] [Taiwan Medical Association (TNMSKUS)] [Kaohsiung Veterans General Hospital Radiology Department] [Transarterial Microembolization (TAME)] 2024-4-19~2024-4-21](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMLTJG4srJFA3iaoWvq6VWcBg6UDC6jGznJLcxUIV5NDzFjxpnUbMT9piwmyzOAg8Xapl0nGcnX6O9ZI3uPQmfPmj52p01SKxHJK4G537JqvK59yzaohJfYpRXqK9xN4D7olAHB6c9vW2yaFox2JYhv0n3jGiRHSCGTO_WUTiTJsSswnGGZWoAUx1BUYy3/s16000/%E6%8A%95%E5%BD%B1%E7%89%872.JPG)
TAME & Musculoskeletal Embolization17Author: Bow Wang, M.D. Thanks to [Kaohsiung Veterans General Hospital Radiology Department], [Taiwan Society for Peripheral Vascular Surgery (TSPI)], and [Taiwan Medical Association (TNMSKUS)] The invitation gave me the opportunity to share in detail my experiences attending the American Interventional Radiology Annual Meeting, as well as the relevant content and treatment experience of [Transarterial Microembolization (TAME), TAME]. I am also very happy to have further discussions and exchanges with the experts present. However, Bow Wang, M.D. was even happier to be able to…
Read article →![Thumbnail for Successful Case Sharing of [Osteoarthritis of the Knee with Subchondral Incomplete Fracture] [Transarterial Microembolization (TAME)] and [Intramedullary PRP Regenerative Injection]](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjY6l34jFUVl2LBHKgJjij3XPB1DrajhRA1P2mIh-WPCqEzPokIb5Qqzgy1bdt3Tw1LgOwRgpVjr_yMQ675yMXH87e9mCkZRnnXsXBUxEHN_DnfxwtYiYjlcES1Xpwd2s32689XvZatOi1tav2Npalq2k_0ZphH2dkB08vl7UiCzFm4WkeQsH4u8FCZ0dXa/s16000/%E6%8A%95%E5%BD%B1%E7%89%873.JPG)
TAME & Musculoskeletal Embolization18Author: Bow Wang, M.D. Ms. Y, 69 years old, had suffered from right knee pain for many years. After seeking medical treatment, she was diagnosed with stage II [Osteoarthritis of the Knee] and needed to use painkillers and pain patches for a long time. Despite months of medication, the pain persisted, with a pain index (out of 10) reaching a high level of 7.5. She experienced knee weakness and pain upon standing, and the pain would begin after walking for only a short time. After various treatments proved ineffective, she sought medical attention at National Cheng Kung University Hospital [Interventional Medical Center] and further discussion at Bow Wang, M.D. clinic. Bow Wang, M.D.…
Read article →![Thumbnail for [Hip Osteoarthritis] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhtgfokCaQ274u2tzzYF-Gxe0KXlVT4he_xZx5JLNFng_cAsNV8xRcpLqrU0CU4bDmc8MpD6OrRz5zBfFmnO28UAL87nzgAaYyhrEK7o3wE0tX5r1NBqAFvMd5TFzBIhxsIg2n0pi3mQgycv3BSq_-5JFwMzIaEIcpZZuFigHqlpnGBCDZhUYJf5Lx0dhak/s16000/Hip%20OA.jpg)
TAME & Musculoskeletal Embolization19Author: Bow Wang, M.D. Mr. W, 65 years old, suffered from long-term right hip pain, which worsened in the past month, especially when climbing stairs, severely impacting his quality of life and sleep. Even with medication, rehabilitation, and various injections, the pain remained unbearable. His pain score was 10 out of 10. Based on medical history, physical examination, and imaging, Bow Wang, M.D. diagnosed him with [Hip Osteoarthritis]. Following discussion, Bow Wang, M.D. diagnosed Mr. W with…
Read article →![Thumbnail for [Triangular Fibrocartilage Complex Injury] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyiz9MMt7vtmE65jLT33jcjtaL-x5XVHFtJSFn2PoXPm-PK89LWChYyjAH7cF9K_x5QP7FHaSQn8EqtbIDok-hbO100ht5CPDyVVSTx1re4afGCx90Ok82qQ-fX79w7tQQgYZNJ8OyYGsr0V-2ro-oV48lMO9IInjpmw6S7_940Vx8wrJBxepcA7-Ln6hg/s16000/TFCC%20injury.jpg)
TAME & Musculoskeletal Embolization20Author: Bow Wang, M.D. Mr. T, 21 years old, had been experiencing persistent pain on the ulnar side of his wrist since a car accident a year ago, which limited his mobility, especially when playing wind instruments. His pain score was 6 out of 10. Despite prolonged rehabilitation and injections, Mr. T showed no significant improvement. After a clinical physical examination by Dr. Yang Daihua of the Department of Orthopedics at National Cheng Kung University Hospital and diagnosis using magnetic resonance imaging (MRI), the patient was diagnosed with [triangular fibrocartilage complex injury, TFCC injury] and subsequently referred to the outpatient department of the Interventional Medical Center at National Cheng Kung University Hospital in Tainan…
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TAME & Musculoskeletal Embolization21Author: Bow Wang, M.D. Ms. J from Hong Kong suffered from inner knee pain for over three years, enduring constant pain daily. She experienced tightness when walking, and weakness in her legs when standing or sitting. Various treatments offered no significant improvement. Ms. J's husband, Mr. T, found a video on YouTube featuring Bow Wang, M.D. and Dr. Dai Dawei introducing the [Transarterial Microembolization (TAME), TAME] treatment. He then flew from Hong Kong to Taiwan to consult with Bow Wang, M.D. at the [National Cheng Kung University Hospital Interventional Medical Center]. After the consultation, Bow Wang, M.D.…
Read article →![Thumbnail for [De Quervain's Disease/Stenosing Tenosynovitis] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkT6KVdM6DT5OKyJOgctrXA3Gouh3xrfi7WkRddIZkFbZcPYUZlz7eSVRm16OM9JVLWSrGQs3mRdkdaYsSzx1irpwdZVGpZ8-vjYdQE7SzC7oub88MPdXlMd_dA49f3THBgxAyKCj0E8EALCzYC2i8lZomGkvIVueDroIM0cQ4E9bdhtFgB7Y_5Es81oL1/s16000/%E6%8A%95%E5%BD%B1%E7%89%871.JPG)
TAME & Musculoskeletal Embolization22Author: Bow Wang, M.D. Ms. H, 42 years old, suffered from persistent pain on the thumb side of her left wrist. The pain had worsened in the past month, especially in the morning or when making wrist-twisting movements, severely impacting her quality of life and sleep. Even with medication, rehabilitation, and wearing a wrist brace, the pain remained unbearable. Her pain score was 7-8 out of 10. Based on medical history and physical examination (Finkelstein's Test), Bow Wang, M.D. diagnosed [Mommy's Thumb/De Quervain's Tenosynovitis]...
Read article →![Thumbnail for [Osteoarthritis of the Finger] [Arterial Perfusion Microvascular Removal] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjctftnkrYC5gBTieRIRCBb1aupB749k6LIJpEeFEXkAhf238hMNiVfD8lMZn0aTrl5NSkMfRgTb01dXfGT63JBTzCqxvORO7tNNtlD0dl7UXGfX0RZyLVEusKkAzeUB2Waa1EHjQdJFbEYfZg2lldp0gKPgiWMi_URVay-_q0alsPVej4WXcWVAVzYtA/s16000/%E6%8A%95%E5%BD%B1%E7%89%873.JPG)
TAME & Musculoskeletal Embolization23Author: Bow Wang, M.D. Osteoarthritis of the Hand, [Arterial Perfusion Microvascular Removal] Content Introduction: Ms. C, 69 years old, is a housewife. She had suffered from pain and deformity in the distal interphalangeal joints of both hands for several years. Some fingers even had pain levels as high as 10 out of 10. She had to endure this swelling and pain every day, which also reduced her finger dexterity. Ms. C went to the National Cheng Kung University Hospital Interventional Medical Center for further discussion. After consultation, Bow Wang, M.D. performed X-rays and blood tests on Ms. C, diagnosing her with [Osteoarthritis of the Finger]. After discussion, Ms. C underwent […
Read article →![Thumbnail for [Triangular Fibrocartilage Complex Injury] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgjvgcdAGWrCYLqMX4YEkCtMCs4m4_qO7hFGJpT1HNM3SGg2S1ggsDyaE_72WpQ2lqX9h4Lp5KIQYzgi5iBRTO_TPJtQ2-DOhCZRWTIWr-dgnpGilUDQYGGKhSc-mraWj5uXLgf6gTHnoTjc0vUZDAUj2WILoxY2fu1O_M3nzQ1GMTmx61AxOrt3pTSZQ/s16000/TFCC%20injury.jpg)
TAME & Musculoskeletal Embolization24Author: Bow Wang, M.D. Ms. W, 38 years old, had been experiencing persistent pain on the ulnar side of her wrist since a car accident six months prior. Her mobility was severely limited, including pain when using her wrist to support herself on a table or turning the handlebars of a motorcycle. Her pain score was as high as 7.5 out of 10. Despite prolonged rehabilitation and injections, Ms. W showed no significant improvement. After a clinical physical examination by Dr. Yang Daihua of the Department of Orthopedics at National Cheng Kung University Hospital and diagnosis by magnetic resonance imaging (MRI), she was diagnosed with [triangular fibrocartilage complex injury, TFCC injury] and subsequently referred to the Interventional Department of National Cheng Kung University Hospital in Tainan…
Read article →![Thumbnail for [Adhesive Capsulitis/Fibrosis] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgVWZi1fmCAipP8t_FSf0Df-jk-FpF8CvR3pybaXD-BXZe8LcHbloe6VKp-yEs_kuAOo8A3_9uiiok8KkWv0_T3uBtQnUpi-qgDSb9rCEI6spD7_sMJAySBQ1zdRfoaR0jqefv9kz38E_bbMNQqkYtuvMBlgyu32ewMwbCSF88mAyPDlktWGVZ6NBuPqg/s16000/%E6%8A%95%E5%BD%B1%E7%89%871.JPG)
TAME & Musculoskeletal Embolization25Author: Bow Wang, M.D. Ms. P, 66 years old, was on long-term medication to control her rheumatic immune disease. She experienced multi-joint pain, especially in both shoulders, for over two years, with a pain score of 10 out of 10. She had difficulty raising her shoulders, making dressing and bathing difficult and sometimes requiring assistance. The pain also caused severe nighttime spasms that made it hard to sleep. After undergoing various injections, including proliferative therapy, at the Taichung Jianxing Clinic, Dr. Chen Jianxing, her pain score improved to 5. She was then referred to the Tainan National Cheng Kung University Interventional Medical Center Clinic, where Bow Wang, M.D. provided further treatment. Following discussion, Bow Wang, M.D. performed micro-arterial embolization on Ms. P…
Read article →![Thumbnail for [Persistent Local Pain After Fracture Healing] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidyaFfTQGkHWXUPBWbVzz4jbXdWgVQrns3WtOqkjNccMMDddvNvrWno1dE11Rkg3O6hX7k57DVC2J36NsQsNlOhEcqX32ROrDWex414-Q9Gknh0ibXCfOjUqobt-pXdghwQ1pmxYcZM5NzkRLn4HWLdeyRCT5hzcnVxTTi6Ixk10ll9N2PAHwcWvOUbw/s16000/%E6%8A%95%E5%BD%B1%E7%89%871.JPG)
TAME & Musculoskeletal Embolization26Author: Bow Wang, M.D. Mr. K, 36 years old, suffered a closed fracture of his left big toe three years ago. Although the fracture had healed, the affected area still experienced pain when touching external objects (such as the leather upper of shoes), affecting his standing and walking. Mr. K had tried painkillers, patches, local injections, and rehabilitation treatments, but the pain persisted. He was referred by Dr. Kuo Yao-Hung of the Rehabilitation Department at National Cheng Kung University Hospital to the Interventional Clinic Bow Wang, M.D. for further evaluation and interventional treatment. Based on imaging assessments including Bow Wang, M.D., the patient was diagnosed with…
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TAME & Musculoskeletal Embolization27Author: Bow Wang, M.D. Ms. L, 54 years old, enjoys embroidery and also runs her own orchard. For the past six months, Ms. L has experienced persistent pain on the inner side of her right elbow joint. A doctor's examination diagnosed her with medial epicondylitis, commonly known as golfer's elbow. Ms. L has tried painkillers, patches, and local injections including steroids and high-concentration glucose solutions, as well as rehabilitation treatments, but the pain persists, with a pain index of 8-9 out of 10. She was referred by Dr. Ko Po-Yen, an orthopedic surgeon at National Cheng Kung University Hospital, to the Interventional Clinic (Bow Wang, M.D.) for further evaluation…
Read article →![Thumbnail for [Scaphoid-Trapezoid Osteoarthritis] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgeONxE32HTg70MtamK2BhrxBABdK4MkKuLB3eK5Z4GL63-3ZdXbDH9MgRdnkZcT-OBvYdanC6SNGJvZ-Czg_ZsvCOAjuOEywrMJVZLhDekwnll14XPUiDrGFMbV7RuzP_IbTiXEvKsxPBKhs87ewRQKbmcdf7acM3vI6tcfgyMDd5fffBHF5E9rrxY-g/s16000/%E6%8A%95%E5%BD%B1%E7%89%872.JPG)
TAME & Musculoskeletal Embolization28Author: Bow Wang, M.D. Ms. H, 55 years old, had been experiencing wrist pain below her thumbs for over two years, which had worsened in the last three to four months, especially during gripping movements such as riding a motorcycle, causing excruciating pain. After consulting with Dr. Huang Jingcan at the Chi Mei Rehabilitation Department, she was diagnosed with "scaphoid-tunica minor osteoarthritis." Blood tests ruled out rheumatoid arthritis, and she was referred to the National Cheng Kung University Hospital Interventional Medicine Center for further discussion with Bow Wang, M.D.. Following the discussion, Bow Wang, M.D. ultimately chose to perform the [Transarterial Microembolization (TAME)] procedure on Ms. H…
Read article →![Thumbnail for [Patellar Tendinopathy/Jumper's Knee] [Transarterial Microembolization (TAME)] Success Story Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZQk2WSBCSUzqtmlGbglBpS4VT3O3e0ha4WOGoiWWZM04N0-NeurTjT4OwXrnXy0HP6s6WC4GQJHQJv005usFgCc8WaXyIyK4TMZAGn9PV64PvOO5AP9Ok_mFpSHcXYkSlMPZXhCRAa-Wz0CdiIzbIkYBKXhvz1A80TeJHROqsiTxDeVuu8GybGF3jHg/s16000/Patellar%20tendinopathy.jpg)
TAME & Musculoskeletal Embolization29Author: Bow Wang, M.D. Mr. W, 34 years old, is a professional soldier. Six months ago, after a workout, he experienced persistent pain in the lower front of his knee. Besides pain levels reaching 7 out of 10, he also experienced swelling and a burning sensation. The pain was particularly severe during exercise and climbing stairs. Mr. W underwent rest, medication, acupuncture, shockwave therapy, injections, and rehabilitation, but the pain did not significantly improve. Finally, after consulting with Dr. Zhang Zhiwei, Chief Physician of Orthopedics at National Cheng Kung University Hospital, he was diagnosed with [Patternis Tendinitis/Jumper's Knee] and subsequently referred to National Cheng Kung University Hospital...
Read article →![Thumbnail for [Adhesive Capsulitis/Fibrosis] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCnK6wb1tgI2N3zkx4yE8_tvyAYtaeu3IGH5iGm1_Mi_lGwm3zRucHFdu8MfAy6gQdfv8oJdWQ4XiD_pOUfHEi37E8lgeGLwTj8Ft8NI6tpchzEJpV7QTKx4BKf4UtAb1LoS71ZuQX7Zy0K8dY1awNAN4tpUCala42DXAQFikfXIwDWDbu3b-FjMVPGg/s16000/%E6%8A%95%E5%BD%B1%E7%89%871.JPG)
TAME & Musculoskeletal Embolization30(Uploaded with Ms. L's consent) Author: Bow Wang, M.D. Ms. L, 42 years old, had right shoulder pain for over a year. She experienced pain when raising her shoulder forward or backward to a certain angle, and even fastening her bra was difficult. After seeking medical attention, Ms. L was diagnosed with "adhesive capsulitis," commonly known as "frozen shoulder." Despite long-term rehabilitation, local injections, and joint expansion injections, her pain and range of motion remained largely unchanged…
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TAME & Musculoskeletal Embolization31Author: Bow Wang, M.D. Swelling and deformity of the finger joints; X-ray shows changes in osteoarthritis of the fingers. Ms. L, 52 years old, is a housewife with previous experience playing the mandolin. She had suffered from pain and deformity in the distal finger joints of both hands for several years. Due to the pain being a perfect 10, she had to constantly endure this swelling and pain, resulting in decreased finger dexterity. Ms. L visited the National Cheng Kung University Hospital Interventional Medical Center for further discussion. The crossed-out area in the image indicates the location of Ms. L's joint pain. After consultation, Bow Wang, M.D. performed X-rays and blood tests on Ms. L…
Read article →![Thumbnail for [Adhesive Capsulitis/Fibrosis] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/a/AVvXsEgGiY2JL2Lj_VsZ51azNoQqHISfkcrJTBqeMTdMjgY-TOyXtlKSm1F2Q_KMio4P4Ra5kzAJyuGgP9RHRvHDHPjYAnXs3BehCnEqGc82W_8Vk5yyDGwsSm13Wp8Xkb2ebk7VujHLaHIDd556v8zZoJBmCcZn0m093KLqBS_vkYCITOkbzCMYwu-UfVvviw=s16000)
TAME & Musculoskeletal Embolization32Author: Bow Wang, M.D. Ms. K, 72 years old, had been experiencing left shoulder pain for over six months. She experienced pain when raising her shoulder forward or backward to a certain angle, and even fastening her bra was difficult. After seeking medical attention, Ms. K was diagnosed with adhesive capsulitis of the shoulder, commonly known as "frozen shoulder," also called "adhesive capsulitis" or "adhesive shoulder periarthritis." Despite long-term rehabilitation and joint expansion injections, the pain persisted without significant improvement. Ms. K was in so much pain that she couldn't raise her arm, lift heavy objects, or even sleep soundly at night when turning over and pressing on the affected side, causing excruciating pain…
Read article →![Thumbnail for [Infrapatellar Fat Pad Syndrome] [Transarterial Microembolization (TAME)] Success Story Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEikZaviy2JLiky2g5hdblOdjiFHW3xEgsXV4xex4oryryA0TxrhW4thDSCPdmU_D8TZfw9dwmCeFJ9lu0I7VleyVkWTOwF1lMV2rF4zjSV-I8XvB8i3NLuyHHPn0NUC-NyBgdsamDRHjCAH/s16000/%25E6%258A%2595%25E5%25BD%25B1%25E7%2589%25871.JPG)
TAME & Musculoskeletal Embolization33Author: Bow Wang, M.D. Ms. K, 32 years old, suffered a car accident two years ago that damaged her left knee. Since then, she has experienced persistent pain in the lower front of her knee, scoring 9 out of 10 in pain, along with swelling and intense tingling sensations upon touch. Physical examinations and imaging revealed no fractures, ligament damage, tendon damage, or meniscus damage. She was diagnosed with "post-traumatic sympathetic dystrophy syndrome" and "infrapatellar fat pad syndrome." Ms. K has undergone rest, rehabilitation, medication, and even arthroscopic surgery, but her pain has not significantly improved…
Read article →![Thumbnail for [Tennis Elbow/Golfer's Elbow] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgN4Od7UoPRvNobz7vreQz-gjRyuOoSn4gNDJovAbBnM3sNxFp0oIq8uPFLL7YqsXzNI3NUH039S_dC2IdK3rk_VjzROAh8BqNOcfRPFsmLHuy_0iLfN_vQmsYBUmOVW23YbcAC2gPZXd8E/s16000/New.jpg)
TAME & Musculoskeletal Embolization34Author: Bow Wang, M.D. Mr. K, 51 years old, is a long-time saxophone player, enjoying playing it daily. However, frequent playing caused him to experience bilateral elbow pain for over three years. A doctor diagnosed him with bilateral lateral epicondylitis, commonly known as tennis elbow. Mr. K tried patches, local injections including steroids, high-concentration glucose solution, and PRP, and underwent rehabilitation treatments, but the pain persisted, reaching a pain index of 6-7. After various treatments proved ineffective, he went to National Cheng Kung University Hospital…
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TAME & Musculoskeletal Embolization35Author: Bow Wang, M.D. Dr. Yuji Okuno (Ph.D.) is the founder of Transarterial Microembolization (TAME) (TAME for pain). To help the public better understand the related issues of abnormal blood vessel proliferation causing local chronic joint and tendonitis pain, Dr. Bing-Sheng Lu of the Department of Radiology at Taoyuan Lianxin International Hospital collaborated with Dr. Okuno to create a video introducing the principles of blood vessel proliferation and pain relief, with Chinese subtitles, for your reference. Dr. Okuno is an interventional radiologist in Japan…
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TAME & Musculoskeletal Embolization36(Photo taken with the patient's consent) Ms. K, 76 years old, had been experiencing right heel pain for over 2 years and was diagnosed with "plantar fasciitis" after seeking medical attention. Despite long-term use of painkillers and pain patches, and despite rehabilitation therapy, several local injections, nerve blocks, and proliferative therapy, the pain persisted, reaching a pain index of 10 (the highest level). The pain was so severe that she could not walk and had to use a wheelchair. Furthermore, without medication, the pain prevented her from sleeping. After various treatments proved ineffective, she sought treatment at National Cheng Kung University Hospital Orthopedics Clinic and was subsequently referred to the Interventional Medicine Center for further discussion…
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TAME & Musculoskeletal Embolization37Ms. L, 57 years old, had right shoulder pain for more than 3 years and was diagnosed with "Rotor Tendinitis" after seeking medical attention. Despite long-term use of painkillers and patches, and traditional treatments such as rehabilitation, the pain persisted, reaching a pain index of 8 (out of 10), to the point that even raising the arm was impossible, and lifting heavy objects was impossible. After traditional treatments proved ineffective, the patient consulted National Cheng Kung University Hospital Orthopedics. Because the patient was unwilling to undergo surgery, she was referred to the Interventional Medicine Center for further discussion. After discussion, Bow Wang, M.D. ultimately decided to perform "transarterial inflammation..." on Ms. K.
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TAME & Musculoskeletal Embolization38Mr. C, 45 years old, had suffered from right back pain for more than 2 years and was diagnosed with "Gaohuang Pain" after seeking medical treatment. He received rehabilitation, local injections, and regenerative medicine treatments, but the pain did not improve significantly, and the pain index reached the highest level of 10. Mr. C initially sought treatment at National Cheng Kung University Hospital Orthopedics Clinic, and was subsequently referred to the Interventional Medicine Center for further discussion. After consultation, Bow Wang, M.D. ultimately decided to perform "transarterial embolization therapy" on Mr. C. Guided by X-ray fluoroscopy and under local anesthesia, a microcatheter was inserted into the painful area via radial artery puncture. …
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TAME & Musculoskeletal Embolization39Ms. K, 52 years old, had suffered from left elbow pain for over 10 years. After seeking medical attention, she was diagnosed with "lateral epicondylitis," commonly known as "tennis elbow." She had long used painkillers and patches, and received rehabilitation, local injections, regenerative medicine treatments, and even arthroscopy, but the pain did not improve significantly, and her pain index reached 7 to 8 out of 10. She consulted National Cheng Kung University Hospital Orthopedics and was then referred to the Interventional Medicine Center for further discussion. After discussion, Bow Wang, M.D. ultimately chose to perform "transarterial embolization therapy" for Ms. K…
Read article →![Thumbnail for [Chronic Pain After Knee Replacement Surgery] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhUdUIXeNt924_zUQM1gUgdtNCqn9Q0s92tZvjcYCp6FJ8SH7uLLD3n_yaiiMr6JxFQGyTnMKX3QwD_ARi9fcEjGKAheWJ4ogBnp-a6h34xI02xLuIHnC5w5WBwid2gFHpYqe9ZdzjQFhMi/s16000/Post+TKA.jpg)
TAME & Musculoskeletal Embolization40Mr. W, 61 years old, had undergone total knee arthroplasty in his left knee more than 2 years ago, and still experienced knee pain post-surgery. He had received medication, but the pain did not improve significantly, and the pain score was as high as 9 out of 10. He was referred by National Cheng Kung University Hospital Orthopedics to the Interventional Medicine Center for further discussion. After discussion, Bow Wang, M.D. ultimately chose to perform "transarterial embolization for inflammation" on Mr. W. Under local anesthesia, guided by X-ray fluoroscopy, a microcatheter was inserted into the painful area via puncture of the femoral artery in the groin. Under arterial angiography, injection…
Read article →![Thumbnail for [Osteoarthritis of the Knee] [Transarterial Microembolization (TAME)] Successful Case Sharing](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEis4LZZ_Fw_kyUYmD5KhHsHTMgqakadbQS5De_knnu1wWDT26DirpGBZNe7i5Q06YlNy5yYw3RFmoHbwCKnZJw34vBMslCFzukJ1WMwvWlkCbH-RYWRmH7ZC-ZN6i4XkuT8E4KQMVfX95pu/s16000/Knee+pain.jpg)
TAME & Musculoskeletal Embolization41Ms. W, 63 years old, had been experiencing right knee pain for more than 2 years. After seeking medical attention, she was diagnosed with stage II "Osteoarthritis of the Knee" and required long-term use of painkillers and pain patches. After months of rehabilitation therapy, several intra-articular steroid injections, and proliferative therapy, the pain persisted, with a pain index (out of 10) reaching a high level of 7. The pain would begin after walking for only a short time, and without medication, the pain was so severe that she couldn't sleep. After various treatments proved ineffective, she sought treatment at National Cheng Kung University Hospital Orthopedics and was subsequently referred to the Interventional Medicine Center for further…
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TAME & Musculoskeletal Embolization42Ms. S, 51 years old, had been experiencing pain in the second and fourth fingers of her right hand for over 3 years. After seeking medical attention, she was diagnosed with "distal interphalangeal joint osteoarthritis." She received medication, but the pain did not significantly improve. Ms. S then went to the National Cheng Kung University Hospital Interventional Medical Center Clinic for further discussion with Bow Wang, M.D.. After discussion, Bow Wang, M.D. ultimately chose to perform "transarterial embolization for inflammation" on Ms. S. Guided by X-ray fluoroscopy and under local anesthesia, a microcatheter was inserted into the painful area via radial artery puncture under local anesthesia. Contrast-enhanced angiography was then performed…
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TAME & Musculoskeletal Embolization43【Transarterial Microembolization (TAME)】【Basic Introduction】 New methods for relieving pain in chronic arthritis and tendinitis: 【Transarterial Microembolization (TAME)】 【National Cheng Kung University Hospital】Chengda e-Learning Classroom 【Transarterial Microembolization (TAME)】New choice for treating intractable pain in chronic joints and tendinitis Department of Imaging Medicine Bow Wang, M.D. 【Transarterial Microembolization (TAME)】(TAME for pain) Founder: Dr. Yuji Okuno (Ph.D.) 【Osteoarthritis of the Knee】Related treatment literature Successful case sharing 1 Success…
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TAME & Musculoskeletal Embolization44Author: Wang Bo A 76-year-old woman had been experiencing left knee pain for over two years. She had tried painkillers, patches, intra-articular injections, and rehabilitation, but the pain persisted. Her pain index (out of 10) had reached a high level of 9, causing her to experience pain after walking only a short time, and the pain was so severe that she couldn't sleep without medication. After various treatments proved ineffective, she consulted National Cheng Kung University Hospital Orthopedics. An orthopedic evaluation diagnosed her with osteoarthritis of the knee, and she was then referred to the Interventional Radiology Clinic for further interventional treatment. National Cheng Kung University…
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