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Joint Pain — Between Physical Therapy and Surgery, There’s Now a New Option

Joint pain is one of the most common causes of chronic suffering — and one of the most common reasons people have to limit their daily activities. The knee that hurts with every step on the stairs. The shoulder that hasn’t moved freely in months. The tennis elbow that refuses to heal despite physical therapy and cortisone injections.

Conventional medicine essentially offers two paths: continue conservative treatment — or operate. For many patients, neither option is satisfactory. Surgery feels too invasive or too risky, while conservative measures simply aren’t enough.

Genicular artery embolization (GAE) opens a third door — minimally invasive and supported by a growing body of scientific evidence. The core principle: chronic joint pain is often sustained by newly formed, inflamed blood vessels within the joint. When these are selectively shut down, inflammation subsides — and so does the pain.

Joint embolization does not replace a necessary joint replacement — but it can often relieve pain for months to years, delay surgery, or even avoid it entirely.

Kniearthrose (Gonarthrose)

Knee pain from osteoarthritis is among the most common musculoskeletal complaints. Genicular artery embolization (GAE) selectively reduces blood flow to inflamed vessels in the knee — and with it, the pain. In addition, genicular nerve ablation is available, which uses heat to target and deactivate the pain-sensing nerves of the knee.

→ Alles über Kniearthrose, GAE und geniculäre Nervenablation

Shoulder — Osteoarthritis and Tendinopathy

Shoulder arthritis, calcific tendinitis, and chronic rotator cuff inflammation impair range of motion and sleep. Shoulder artery embolization reduces inflammation within the joint and can provide lasting relief — outpatient, under local anesthesia.

→ Alles über Schulterprobleme und die Embolisation

Frozen Shoulder

Adhesive capsulitis (frozen shoulder) is an often excruciating condition that can persist for months to years. A combination of embolization and capsule distension (stretching the joint capsule with fluid) can restore range of motion and significantly reduce pain.

→ Alles über Frozen Shoulder und die Behandlung

Elbow — Epicondylitis

Tennis elbow (lateral epicondylitis) or golfer’s elbow is often more stubborn than expected, lasting months or even years. Elbow artery embolization targets the newly formed, inflamed vessels at the tendon attachment zone — offering the potential for lasting pain relief where other treatments have failed.

→ Alles über Epicondylitis und die Ellenbogenembolisation

Ankle, Hip, Fingers & Thumb

Arthritis doesn’t only affect the knee and shoulder — the ankle, hip, thumb base joint (basal joint arthritis), and finger joints can also be treated with joint embolization. Together, we’ll evaluate which locations are suited for embolization in your case.

→ Alles über Arthrose an Hüfte, Sprunggelenk und Fingern

Sehnen – Fersensporn, Jumper’s Knee, Achillessehne

Chronic tendon conditions such as plantar fasciitis (heel spur), patellar tendinopathy, and Achilles tendinopathy are driven by pathologic neovascularization within the tendon tissue. By selectively embolizing these abnormal vessels, inflammation is interrupted and the healing process can resume.

→ Alles über Sehnenerkrankungen und die Embolisation

Morton Neurom

Morton’s neuroma is a thickening of the nerve between the metatarsal bones that causes burning pain in the ball of the foot. IRZ treats Morton’s neuromas using embolization or cryoablation under ultrasound guidance — as an alternative to surgical nerve removal.

→ Alles über Morton Neurom und seine Behandlung

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Unsere Experten

PD Dr. med. Arash Najafi

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Dr. med. Lorant Szabo

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