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Genicular Nerve Block

A genicular nerve block is a minimally invasive procedure used to treat chronic knee pain by targeting the genicular nerves, which transmit pain signals from the knee joint to the brain. This treatment is particularly effective for individuals with osteoarthritis or persistent knee pain after surgery. At RAD Clinics, we use ultrasound-guided genicular nerve block for knee pain to provide targeted relief, helping patients regain mobility and improve their quality of life.

An elderly man grimacing in pain, holding his knee, possibly due to a condition that could be treated with a genicular nerve block.

Causes of Chronic Knee Pain

Chronic knee pain, which often necessitates a genicular nerve block for knee osteoarthritis, can arise from:

  • Osteoarthritis: Degeneration of cartilage in the knee joint leading to inflammation and pain.

  • Knee injuries: Ligament tears, fractures, or meniscal injuries can result in long-lasting discomfort.

  • Post-surgical pain: Pain following knee replacement or other knee surgeries can persist despite healing.

  • Inflammatory conditions: Rheumatoid arthritis or gout can cause knee joint inflammation and pain.

  • Overuse: Repetitive strain from sports or physical activities can lead to chronic knee pain.

Symptoms Treated by Genicular Nerve Block

A genicular nerve block for knee pain is effective for relieving symptoms such as:

  • Chronic knee pain: Aching, throbbing, or sharp pain in the knee joint.

  • Pain during movement: Discomfort worsened by walking, climbing stairs, or bending the knee.

  • Stiffness: Reduced range of motion due to chronic pain or inflammation.

  • Swelling or tenderness: Persistent swelling or sensitivity around the knee.

Anatomy of the Genicular Nerves

The genicular nerves are small sensory nerves surrounding the knee joint, responsible for transmitting pain signals. These nerves are located near the femur, tibia, and patella, making them ideal targets for pain management procedures.

Diagnosis of Chronic Knee Pain

Diagnosing chronic knee pain involves:

  • Medical history and examination: A clinician will assess your symptoms, mobility, and the history of knee conditions.

  • Imaging tests: X-rays, MRIs, or ultrasounds may be used to identify structural issues such as arthritis or injury.

  • Diagnostic nerve block: A temporary anaesthetic injection can confirm if genicular nerves are the source of pain.

A man experiencing knee pain while hiking, with highlighted areas showing discomfort, potentially from a condition that could be treated with a genicular nerve block.

Ultrasound-Guided Genicular Nerve Block

At RAD Clinics, we perform ultrasound-guided genicular nerve blocks for knee pain to ensure precise targeting of the genicular nerves. This procedure involves injecting a local anaesthetic, often combined with corticosteroids, to block pain signals and reduce inflammation.

Benefits of Ultrasound-Guided Genicular Nerve Block

  • Precision: Real-time ultrasound imaging ensures accurate placement of the injection around the genicular nerves.

  • Minimally invasive: A non-surgical approach with minimal discomfort.

  • Effective pain relief: Blocks pain signals from the knee joint, providing immediate and lasting relief.

  • Reduced inflammation: Corticosteroids decrease swelling and irritation around the knee.

  • Improved mobility: Pain reduction enables better movement and participation in daily activities.

  • Quick recovery: Most patients can resume normal activities shortly after the procedure.

What to Expect During the Procedure

  • Preparation: The treatment area is cleaned, and a local anaesthetic may be applied to enhance comfort.

  • Injection: Using ultrasound guidance, the clinician inserts a fine needle near the genicular nerves to deliver the medication.

  • Post-procedure care: Some mild soreness at the injection site is normal and typically resolves within a few days.

When to Seek a Genicular Nerve Block

You should consider a genicular nerve block for knee osteoarthritis if:

  • Pain persists despite physiotherapy, medication, or lifestyle changes.

  • Mobility is limited, preventing participation in daily or recreational activities.

  • Knee pain worsens, affecting your ability to walk, climb stairs, or stand for extended periods.

  • Surgical options are not suitable, or you prefer a non-surgical alternative for pain relief.

At RAD Clinics, our tailored approach to chronic knee pain management ensures effective and lasting relief, empowering you to lead an active and pain-free life.

A healthcare professional performing a physical therapy technique on a patient, possibly assessing knee mobility for a condition that could be treated with a genicular nerve block.

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DISCLAIMER

We do not accept insurance coverage. If you wish to reimburse your fees, then please kindly check with your insurance provider prior to booking as we cannot be held responsible for any non-payments.

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