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Musculoskeletal Embolization โ€” Knee, Shoulder, Ankle, Wrist

Interventional Radiology ยท Cochin Hospital AP-HP ยท Paris

๐Ÿฆด Musculoskeletal ยท Interventional

Musculoskeletal Embolization โ€” Knee, Shoulder, Ankle, Wrist

Chronic joint pain ยท Neovascularisation ยท Local anaesthesia ยท Outpatient ยท 70โ€“80% improvement ยท Cochin AP-HP

Key Facts at a Glance

  • 70โ€“80% pain reduction at 3โ€“6 months
  • Calibrated microspheres 75โ€“150 ยตm

Musculoskeletal embolization

Musculoskeletal embolization targets pathological neovascularisation โ€” abnormal new blood vessels that develop in painful joints and tendons, accompanied by nerve fibres that transmit pain signals. By selectively embolizing these micro-vessels with calibrated microspheres (75โ€“150 ยตm), the inflammatory pain cycle is interrupted without affecting normal tissue.

This technique, pioneered by Professor Okuno (Japan), is offered at Cochin AP-HP for chronic pain of the knee (osteoarthritis), shoulder (frozen shoulder/capsulitis), ankle, wrist, and tendinopathies (tennis elbow, Achilles), all refractory to conventional treatment.

Applications

๐Ÿฆต Knee (genicular artery embolization)

Grade IIโ€“III osteoarthritis. 70โ€“80% pain reduction at 3โ€“6 months. Alternative to or bridge before total knee replacement.

๐Ÿ’ช Shoulder (frozen shoulder/capsulitis)

Capsulitis refractory to physiotherapy and injections. 70โ€“80% pain reduction with restored mobility.

๐Ÿฆถ Ankle (arthritis/tendinopathy)

Tibiotalar osteoarthritis, Achilles tendinopathy, plantar fasciitis refractory to standard treatment.

๐Ÿคฒ Wrist/elbow

Radiocarpal arthritis, de Quervain tenosynovitis, lateral epicondylitis (tennis elbow) โ€” refractory to injections and physiotherapy.

Related pages

๐Ÿ‡ซ๐Ÿ‡ท French version: embolisation-articulations-inflammatoires.html

Why this page is trustworthy

Written by the Interventional Radiology team at Cochin Hospital AP-HP, Universitรฉ Paris Citรฉ. Medically reviewed by an interventional radiologist of the department. Last updated: August 2026.

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