Hip Embolization: A Minimally Invasive Option for Chronic Hip Pain

Patient Flow

At Advanced Vascular Centers, hip embolization is performed by expert interventionalists following the original Okuno method, below you can find information on the individual steps we take for each patient. 

1. Pre-procedural consultation

As a patient, you will meet with the doctor beforehand and we review your symptoms, exam findings, prior medical record, and prior imaging (X-ray, MRI, or CT) to confirm your diagnosis. We discuss your case in depth and make sure you have a complete understanding of the procedure.

2. Procedure day

• Check in – One to two hours beforehand to prepare and for a medical history review.
• Numbing medication – Local numbing medication is given at the access site (typically the groin or ankle). A mild relaxing medication can be given to make you comfortable as well. A nurse will be monitoring your blood pressure as a precaution while our doctor is performing the procedure. 
• Access – A tiny IV needle accesses the blood vessel (in the groin or foot) and a catheter is inserted and guided into the arteries supplying the hip joint.
• Treatment – Once the catheter is in the correct position, medication is injected to block the abnormal vessels. The normal blood vessels supplying the hip joint remain open.
• Completion – The catheter is removed, and a small bandage is applied—no stitches, no large incisions.

3. Recovery

• Rest for approximately one hour after the procedure.
• You go home about 1 hour after the procedure.
• Most patients resume light activity the next day.
• Full activity will resume in about 1 week.
• Pain relief typically begins within 2–4 weeks and can be sustained for 2+ years.

4. Follow-up

• 1 month after the procedure we see you in clinic to check your symptoms.
  • If you are progressing as expected, no further follow ups are needed. 
• We love hearing and sharing in our patients’ success so we encourage all our patients to follow up as needed!

What Results Can I Expect?

• Patients often report:
• Less groin or hip pain
• Improved walking ability
• Better mobility and endurance
• Improved sleep and comfort
• Reduced reliance on medications

In studies, many patients show pain improvement of 50–80% or more, especially in early- to mid-stage arthritis.

Is Hip Embolization Right for Me?

You may be a good candidate if:

• You’ve had hip pain for 3+ months
• You’ve tried medications, physical therapy, or injections without lasting relief
• You want to avoid or delay surgery
• Imaging confirms excess blood vessels and signs of chronic inflammation
  

Our expert vascular team will review your imaging and health history to determine if this is the right option for you.