Frequently Asked Questions

Find answers to commonly asked questions about knee pain associated with knee osteoarthritis and treatment options such as Geniculate Artery Embolization (GAE).

Symptom FAQs

How do I know if my knee pain is serious?

Serious knee pain often accompanies symptoms like swelling, instability, or inability to bear weight. If pain persists despite rest, the knee swells, or if you experience a popping sound followed by intense pain, it could indicate a severe injury like a ligament tear or fracture. Additionally, sudden onset of severe pain, especially after trauma, warrants immediate medical attention. Chronic pain that interferes with daily activities or worsens over time may indicate underlying conditions such as osteoarthritis or tendonitis.

What to do if your knee is in excruciating pain?

If experiencing excruciating knee pain, seek immediate medical attention. While awaiting professional evaluation, applying ice, elevating the leg, and avoiding weight-bearing activities may provide temporary relief. If traditional treatments fail to alleviate pain, genicular artery embolization (GAE) offers promise. This minimally invasive procedure targets the tissues supplying the nerves sensory endings responsible for knee pain, providing long-lasting relief for many individuals. Consulting with a healthcare provider can help determine if GAE is a suitable option and provide guidance on managing acute pain until treatment can be administered.

How long does genicular artery embolization (GAE) in knee last?

The duration of relief from genicular artery embolization (GAE) can vary among individuals. Studies suggest that the effects of GAE typically last for at least six months to a year, with some patients experiencing longer-term relief. The longevity of pain relief depends on various factors such as the underlying cause of the pain, individual health status, and the extent of arterial blockage.

What is the best position to sleep in with knee pain?

Many people find relief from knee pain by sleeping on their back with a pillow placed under the knees to help alleviate pressure on the joints. This position can help maintain the natural alignment of the spine and reduce strain on the knees. Alternatively, some individuals may find relief by sleeping on their side with a pillow between their knees to keep the spine aligned and reduce stress on the knees. Experimenting with different sleeping positions and pillow arrangements can help identify the most comfortable position for managing knee pain during sleep.

Can lifestyle changes help alleviate vascular pain?

Yes, lifestyle changes can significantly alleviate vascular pain. Regular exercise promotes blood flow and strengthens blood vessels, reducing pain. A balanced diet low in saturated fats and high in fruits, vegetables, and whole grains helps manage weight and cholesterol levels, improving vascular health. Quitting smoking is crucial as it constricts blood vessels, worsening pain. Managing stress through relaxation techniques like meditation or yoga can also ease vascular discomfort. Additionally, maintaining a healthy weight and controlling conditions like diabetes and hypertension are essential. Overall, adopting a healthy lifestyle positively impacts vascular health, reducing pain and enhancing overall well-being.

How do I stop knee pain at night?

To alleviate knee pain at night, adopt a proper sleeping position: lie on your back with a pillow under your knees or on your side with a pillow between them. Before bed, apply ice for 15-20 minutes to reduce inflammation or use a heating pad for muscle relaxation. Over-the-counter pain relievers like acetaminophen or ibuprofen may offer temporary relief. Incorporate gentle knee stretches to enhance flexibility and reduce tension. Ensure a supportive mattress and pillows for optimal spinal alignment and pressure relief. Practice relaxation techniques to ease stress.

Knee Pain Treatment FAQs

What is better for knee pain, heat or cold treatment?

Both heat and cold treatments can be beneficial for knee pain, depending on the underlying cause and individual preference. Cold therapy, such as applying an ice pack wrapped in a towel, helps reduce inflammation, numbs the area, and temporarily decreases pain sensations. It is particularly useful for acute injuries or sudden flare-ups of pain. On the other hand, heat therapy, like using a heating pad or warm compress, helps relax muscles, increase blood flow, and alleviate stiffness. It is more suitable for chronic conditions or to loosen up stiff joints before engaging in gentle exercises. Experimenting with both methods can help determine which provides the most relief for your specific knee pain.

What are the risks of untreated vascular pain?

Untreated vascular pain can pose significant risks to one’s health and well-being. Without proper management, vascular pain may indicate underlying conditions such as peripheral artery disease (PAD), deep vein thrombosis (DVT), or arterial aneurysms, which can lead to serious complications if left untreated. These complications may include tissue damage, impaired wound healing, increased risk of blood clots, stroke, heart attack, or even limb amputation in severe cases. Additionally, untreated vascular pain can negatively impact quality of life, leading to decreased mobility, chronic discomfort, and psychological distress.

Should I wrap my knee if it hurts?

Wrapping your knee with a bandage or compression sleeve can provide support and stability, which may help alleviate mild to moderate knee pain. The compression can also reduce swelling by preventing fluid buildup in the affected area. However, it’s essential to use caution when wrapping your knee, as excessive compression or improper technique could worsen circulation or cause discomfort. If wrapping your knee doesn’t provide relief or if you experience increased pain, numbness, or tingling, it’s best to remove the wrap and consult with a healthcare professional for further evaluation and appropriate treatment recommendations.

Geniculate Artery Embolization (GAE) FAQs

How long does genicular artery embolization take to perform?

The duration of a genicular artery embolization (GAE) procedure typically ranges from 1 to 3 hours. The exact duration can vary depending on factors such as the complexity of the case, the number of arteries being treated, and individual patient factors. Despite the procedure’s relatively short duration, GAE can provide long-lasting relief for individuals suffering from chronic knee pain.

What is the success rate of GAE?

Genicular artery embolization (GAE) boasts success rates ranging from 70% to over 90%, offering promise in alleviating chronic knee pain. This minimally invasive procedure involves injecting tiny particles into arteries supplying blood to the tissue lining the knee joint. Success is measured by varying factors including pain reduction, improved function, and decreased reliance on medications.

What are the side effects of GAE?

The side effects of genicular artery embolization (GAE) are generally mild and temporary. Common side effects may include discomfort or bruising at the injection site, mild to moderate pain, and temporary swelling or numbness around the knee. Some patients may experience transient symptoms such as nausea, headache, or dizziness. In rare cases, more serious complications like infection, allergic reactions to the contrast dye or embolic material, or damage to nearby structures may occur. However, serious complications are uncommon, and the procedure is considered safe when performed by experienced interventional radiologists.

What is the benefit of GAE?

The primary benefit of genicular artery embolization (GAE) is its effectiveness in reducing chronic knee pain and inflammation. By targeting the blood supply to nerve endings responsible for transmitting pain signals in the knee joint, GAE can provide significant and long-lasting relief for individuals suffering from various conditions such as osteoarthritis, rheumatoid arthritis, or other forms of degenerative joint disease. Unlike traditional treatments like medications or injections, GAE is minimally invasive and carries fewer risks and side effects. Additionally, GAE can improve overall quality of life by reducing reliance on pain medications and enhancing mobility, allowing individuals to engage in daily activities with greater comfort and ease. 

Does genicular nerve block work?

Yes, genicular nerve blocks are often effective in providing relief from knee pain, particularly in cases of chronic pain related to conditions such as osteoarthritis or prior knee surgeries. By temporarily interrupting the transmission of pain signals from the knee joint to the brain, genicular nerve blocks can significantly reduce pain and improve mobility, allowing individuals to engage in daily activities with greater comfort. If genicular nerve block has failed or you are not a candidate for that procedure you may be a candidate for GAE. 

Can you walk normally after a GAE?

Yes, individuals can typically walk normally after undergoing genicular artery embolization (GAE). GAE is a minimally invasive procedure that targets the tissue lining the joint responsible for pain nerve fiber growth and inflammation in the knee joint, rather than affecting the structural integrity of the knee itself. While there may be some temporary discomfort or soreness at the injection sites immediately following the procedure, most people can resume normal activities, including walking, shortly after GAE.

How does a GAE procedure work?

Genicular artery embolization (GAE) is a minimally invasive procedure designed to alleviate chronic knee pain by targeting the tissue lining the joint responsible for pain nerve fiber growth and inflammation in the knee joint. During the procedure, an interventional radiologist guides a thin, flexible tube called a catheter through a small incision in the groin, foot/ankle or wrist and navigates it to the genicular arteries that supply blood to the knee. Using advanced imaging techniques such as fluoroscopy or angiography, the physician identifies the specific arteries supplying overgrown tissue lining the knee joint. Once located, tiny particles called embolic agents are injected through the catheter into these arteries, blocking blood flow and effectively “embolizing” them. By disrupting blood flow both inflammation and the abnormal pain fibers are reduced with time, providing significant and long-lasting relief for individuals suffering from chronic knee pain. After the procedure, the catheter is removed, and the incision site is typically closed with a small bandage. 

What is the recovery process like after a GAE procedure?

After a genicular artery embolization (GAE) procedure, recovery is typically swift. GAE offers a minimally invasive approach to alleviate chronic knee pain, with a relatively straightforward recovery process allowing patients to return home the same day as the procedure. Patients may experience mild discomfort or soreness at the catheter insertion site, managed with over-the-counter pain relief. Bruising or tenderness around the insertion site is common. Following post-procedure instructions, including avoiding strenuous activities temporarily and keeping the incision site clean, supports smooth recovery. Most individuals can resume normal activities within days.

How soon can results be seen after a GAE procedure?

The timeframe for experiencing results after a genicular artery embolization (GAE) procedure can vary among individuals. Some patients may notice an improvement in their knee pain shortly after the procedure, while others may take several days or weeks to experience significant relief.

What is the cost of a GAE knee procedure?

The cost of a genicular artery embolization (GAE) procedure can vary widely depending on factors such as geographic location, the healthcare provider performing the procedure, the specific facility where it’s conducted, and any additional services or tests required. In the United States, the cost of GAE knee procedures may range from several thousand to tens of thousands of dollars. It’s essential to check with your healthcare provider, insurance company, or healthcare facility to obtain an accurate estimate of the cost and to inquire about insurance coverage or financial assistance options that may be available.

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