Tennis / Golfer's Elbow (TAME)
Alternative to tennis elbow straps or physical therapy, TAME addresses the biological pain signal at the source, targeting 'junk' blood vessels.
TAME for Tennis / Golfer's Elbow: Cutting Off the Source of Pain
For tennis elbow (Lateral Epicondylitis) and golfer’s elbow (Medial Epicondylitis), the application of TAME (Transcatheter Arterial Microembolization) follows the same fascinating principle as it does for the shoulder: targeting the "junk" blood vessels that shouldn't be there. In chronic cases of these conditions, the tendon doesn't just have "inflammation"—it develops angiofibroblastic hyperplasia. Basically, the body tries to heal a tiny tear by growing a messy web of new micro-vessels (neovascularization) and associated pain fibers.
Understanding the Condition
While traditional treatments like 'tennis elbow straps' or physical therapy focus on offloading the tendon, TAME addresses the biological pain signal at the source. By cutting off the blood supply to these abnormal vessels, the accompanying 'pain nerves' stop firing.
How the Procedure Works
Identifying the 'Blush'
Using high-resolution fluoroscopy, the interventional radiologist looks for a 'hyperemic blush' near the epicondyle. This blush is the visual representation of those abnormal, leaky micro-vessels.
Access
Usually performed via a tiny puncture in the radial artery at the wrist (similar to a heart cath but much simpler).
Targeting
A microcatheter is navigated to the branches of the radial recurrent artery (for tennis elbow) or the ulnar recurrent artery (for golfer’s elbow).
Embolization
Temporary embolic particles (often a suspension of antibiotic particles or specialized beads) are injected to prune away the abnormal vessels.
Key Benefits & Advantages
Significant reduction in the sharp, 'stabbing' pain felt when gripping or lifting objects.
Targets the biological pain signal at its source.
Minimally invasive procedure performed via the wrist.
No large incisions or physical therapy required for pain cessation.
Recovery & Aftercare
By cutting off the blood supply to these abnormal vessels, the accompanying 'pain nerves' stop firing. This typically leads to a significant reduction in the sharp, 'stabbing' pain felt when gripping or lifting objects.
Related Pain Management Procedures
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Schedule an appointment with our specialists to discuss if Tennis / Golfer's Elbow (TAME) is right for you.
