What is a Genicular Nerve Radiofrequency Ablation?
A genicular nerve radiofrequency ablation (RFA) is a procedure in which a needle is placed near the genicular nerves in your knee and the needles are heated to destroy the sensory nerves that are responsible for sending pain signals into your brain. Radiofrequency ablations are a common procedure that can help to treat localized pain in knee(s) caused by osteoarthritis and other degenerative conditions.
"Dr. Maniam is great and you took care of my knee. My knee feeks great and i can walk again. The visit was beautiful and they treat me with respect."- K.D. / Google / May 18, 2021
"On first arrival Dr. Kohler and his staff at Ospina Medicine were warm and welcoming. He was precise in his knowledge and explained all parts of both my pain management due to previous injury, and preventative measures for future treatment. Their New York City based state of the art technology and contemporary office made me feel at ease immediately. As someone with continual back pain, and as someone who wants to avoid opioid treatment, the very nature of Ospina Medical using non-opioid approaches to pain management for me was a big bonus. The results have been brilliant, and I am so pleased to have Dr. Kohler to help me through my pain management process."- M.M. / Google / May 17, 2021
"The nicest people, the best care. I feel so much better already. Would recommend to any and all friends, dancers, athletes, who are having pain."- C.J. / Google / May 14, 2021
"Dr Maniam and his staff are excellent. Renya at the front desk is always friendly and makes me feel comfortable. There’s a real sense that they care about their patients. I’ve had numerous spinal epidural‘s and radio frequency ablations, they’ve been painless and have gotten excellent results. This is the best pain management group that I’ve been to and I’ve been to more than a few... I highly recommend Ospina!"- M.G. / Google / May 14, 2021
"I've had 3 cortisone injections with Ospina and I'm amazed by the care they take when applying the injections. I can't believe how well it works and what good care they take of me. (I had received an injection somewhere else and it was more painful, bruised badly, and didn't last near as long.) I will ONLY go to Ospina now. The staff and doctors are truly WONDERFUL. Don't hesitate!"- P.G. / Google / Apr 30, 2021
Who is a candidate for Genicular Radiofrequency Ablation?
Patients who have a history of knee pain that has not responded to other treatments may be a candidate for a radiofrequency ablation. During your first consultation, your physician will review your medical history and perform a physical exam to determine if you may benefit from a genicular RFA. A genicular nerve block will be performed first, in which local numbing is injected around the genicular nerves as a diagnostic test. These diagnostic blocks are used to determine if your pain is being caused by your genicular nerves. Patients who experience relief from the genicular nerve blocks are considered to be good candidates for a genicular nerve RFA.
How is a Genicular Radiofrequency Ablation performed?
A genicular RFA is performed by targeting your medial branch nerves in your neck, mid-back or low back. Using fluoroscopic guidance (X-Ray) your physician will place a needle near your genicular nerve(s). Once the needle(s) are in the correct position a thermal lesion is created that destroys the sensory nerve. The procedure takes approximately 30 to 45 minutes and has little to no downtime. Patients may experience increased sensitivity in the area following the procedure and can expect to experience improvement around the 4 week mark. Patients who receive relief from a genicular RFA can have the procedure repeated every 6 months, if needed.
If you are experiencing knee pain that has not responded to conservative treatments, contact our midtown Manhattan office today to find out if genicular radiofrequency ablations may be the right for you!