Innovative Treatment Option for Knee Osteoarthritis
Tuesday, March 04, 2014

Dr. Andrew MedvedovskyKnee Osteoarthritis is one of the most common musculoskeletal conditions affecting approximately 20 million people in US. This condition affects primarily older population, but multiple other factors including genetic predisposition, injuries, and obesity play a significant role and affect a much younger population as well. While many patients respond to conservative treatments, over 600,000 people in US annually will progress to a total knee replacement. However, there is a large population of patients who are not candidates for surgical intervention due to preexisting health conditions, age, and body mass index. These patients may be candidates for a new innovative treatment is called Genicular Nerve Neurotomy, which is a nonsurgical, minimally invasive procedure that takes minutes, and performed on outpatient basis that can offer significant pain relief and improvement in function.

Genicular nerves are located around the knee joint, and are involved in transmitting pain signals from the knee joint to the brain. The first step in this treatment involves temporarily blocking these nerves with local anesthetic, to assess the degree of temporary pain relief and functional improvement.  Patients who experience significant pain relief lasting at least 24 hours will proceed with a radiofrequency Neurotomy, which uses heat generated by radio waves to interrupt pain signals, providing significant pain relief and improvement in function lasting on average 3-6 months.

Patients suffering with Chronic Knee Pain are encouraged to consult with their primary care physician, who may recommend a trial of conservative therapy, and a consultation with an Orthopedic Surgeon. Patients diagnosed with knee degenerative arthritis, and are deemed poor surgical candidates after consulting with an Orthopedic Surgeon may be candidates for the Genicular Nerve Neurotomy.

Dr. Andrew Medvedovsky is a pain specialist in practice with RA Pain Services.  The physicians of RA Pain Services are available for consultation about this treatment by calling his office at 856-228-7246