Chronic knee osteoarthritis (OA) is one of the most common diseases of advanced age. With up to 20 million adults in the US suffering from OA of the knee¹, close to 700,000 cases progress to total knee joint replacement.² However, there exists a large demographic of chronic joint pain patients who are not candidates for invasive procedures due to BMI, age and other comorbidities. Alternative therapies such (as) arthroscopic debridement or injections are associated with less than optimal clinical outcomes.
For patients with chronic osteoarthritis or degenerative joint disease of the knee, home remedies and medication regimes are not always effective. In many cases surgery may be very effective, however, in cases where the patient is not a good surgical candidate, for example due to age or the existence of two or more chronic conditions (comorbidities), there is another option to treat their knee pain. The genicular nerve block and radiofrequency ablation (neurotomy) provide very effective therapeutic alternatives to surgery. The geniculate nerves are the nerves that sense pain in the knee.
Both the Genicular Nerve Block and Genicular Radiofrequency Ablation (RFA), can be done prior to or following knee surgery and may help patients avoid the need for invasive surgery altogether.
The nerve block injects local anesthestic on the genicular nerve itself. This procedure tests the patients response to determine if sufficient pain relief is experienced.
When the nerve block is successful in providing substantial relief this justifies a genicular nerve ablation or radiofrequency ablation which is a longer lasting pain relief option. The ablation procedure works on the theory that cutting the nerve supply to the knee may alleviate pain and restore function.
Dr. Jim Melton and all the staff are fantastic. He is an excellent surgeon and his team is GREAT!!!! I just had surgery at the surgery center, I have only great things to say about my experience. Without him I really don't think I would be here to write this. If you’re looking for a good cardiovascular team, they are a 5 star for sure.
Dr. Parsons and staff are amazing. He truly listened to me from the consult. Staff showed genuine care for my progress post procedure. I had my follow up appointment today so satisfied with results. Blake made me comfortable from the start. He is an activist for uterine fibroids treatment beyond the standard.
Professional and caring staff. Dr. Smith is very knowledgeable and shows genuine concern for your personal health. I enjoyed the background music in the procedure room, it really adds to the relaxing atmosphere.
Dr. John Schrader is the most personable doctor we know. He stays on top of my dads health care and is genuinely concerned about his health. We never leave his office with questions. He answers them all. Even questions we don’t think of. Always professional but never cold or bad bedside manner. In our opinion he is THE BEST around.
Thank you Dr Schrader.
I came to Dr. Warren by a self referral for mals when it took me 8yrs 50+ doctors and thousands of dollars spent on no answers. My first visit I was scared I was just going to be gaslighted just like the past however I was pleasantly shocked when Dr. Warren immediately believed me. She took the time to review many disk I had brought from past tests. She never once dismissed me and listened to ever word I had to say. She scheduled one last test to confirm the diagnosis then I was scheduled for surgery right away. Surgery was a success and I can’t thank her and her staff enough. Dr. Warren truly saved my life.
Dr. Garner literally saved my life 18 months ago and I've followed him to his new practice with Cardiovascular Health. He explains things so clearly, listens and is just a very nice person. His staff is great, too! I highly recommend!
Some of the nicest staff that I have ever dealt with!! They have been so incredibly awesome to my mom!! Would definitely recommend them to anyone!! Thank you so much for being so great with her!!