Genicular Nerve Blocks/Radio-Frequency

Genicular Neurotomy (aka ablation) is a recently developed, innovative treatment option for treating knee pain without surgery. This highly advanced procedure is on the absolute cutting edge of medicine. By selectively applying a sophisticated type of radio wave to the nerves surrounding the knee (the genicular nerves), one can effectively relieve pain in the knee from any number of causes.

 While surgery is considered to be the accepted treatment option for patients with advanced joint disease, many individuals have comorbidities that may prevent them from being an appropriate surgical candidate. Others may simply want to avoid surgery, as they may be unable to take off the necessary time from work for the procedure and post-operative recovery period. In these cases, [radiofrequency/ablation] of the genicular nerves is a safe and successful alternative to joint replacement.

Despite the general efficacy of knee replacements, there are those with pain that persists after surgery. Traditionally in these unfortunate cases, patients had few options, if any, that did not involve additional surgery that was rarely successful. With the advent of genicular nerve radio-frequency, patients can look forward to pain relief without any further surgeries.

Genicular Radiofrequency ablation can provide a therapeutic alternative to surgery in effectively treating chronic knee pain. The targets in this treatment modality are three nerve branches that are easily accessible by percutaneous approach under fluoroscopic guidance. For the first diagnostic procedure, a local anesthestic is injected adjacent to these nerves. Should the patient receive relief within 24-48 hours (which will be temporary), Radio-frequency will be performed to these nerves in order to achieve long-term relief.

Side effects of Genicular Nerve Injections / Radio-Frequency are rare and your provider will discuss them with you in advance of the procedure. You will be asked to sign a written consent prior to the procedure, as well as a brief medical history questionnaire. You will also be asked to refrain from taking any NSAIDs or other blood-thinning medications within three days of the procedure in order to prevent increased bruising.

Genicular Nerve Injections / Radio-Frequency, as with most other procedures, are performed in our fluoroscopy suite. X-ray, or fluoroscopy, is used for nearly all injections to ensure safety and accuracy. Intravenous sedation is typically not offered but a mild sedative may be utilized, depending on your medical condition.


Should any anesthesia be administered, driving will not be possible directly after the procedure, and arrangements will need to be made by the client for transportation to and from the LifeLinc facility. Normal activities may be resumed the day after the procedure, unless the physician directs the client otherwise. It may take several weeks to experience the full amount of relief. A follow-up evaluation will be scheduled to monitor and access the results of the procedure.

Please contact our office with any additional questions regarding this method of treatment.