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Non-Surgical Solution for Knee Pain

Genicular Nerve Blocks and Radiofrequency Ablation: Advanced Non-Surgical Knee Pain Relief

For chronic knee pain that hasn’t responded to traditional treatments like physical therapy or injections, Virginia Orthopedics and Sports Medicine offers advanced, minimally invasive solutions focused on nerve-based pain management. Genicular Nerve Block and Genicular Radiofrequency Ablation are targeted procedures performed by our specialist, Dr. Stephanie Singh, to provide long-lasting relief without surgery. The pain you feel in your knee is transmitted to your brain by small sensory nerves called Genicular Nerves. These nerves branch out around the knee joint capsule. When the joint is damaged (most commonly due to osteoarthritis), these nerves continuously send pain signals.

Understanding Genicular Nerves

genicular block

(1) Genicular Nerve Block: The Diagnostic Tool

A Genicular Nerve Block is the first, crucial step. It is primarily a diagnostic procedure that helps Dr. Singh confirm if the genicular nerves are indeed the source of your chronic pain.

Procedure Overview

  1. Guidance: The knee area is numbed with a local anesthetic. Using fluoroscopy (live X-ray) or ultrasound guidance, Dr. Singh precisely locates the three main genicular nerve branches (Superior Medial, Superior Lateral, and Inferior Medial).

  2. Injection: A small amount of numbing medication (local anesthetic) is injected near the targeted nerves.

  3. Assessment: The patient tracks their pain levels for the following hours.

Key Outcome

If you experience significant, temporary pain relief (usually 50% or more) shortly after the block, it confirms that the genicular nerves are responsible for your pain. This positive response validates your candidacy for the longer-lasting treatment: Radiofrequency Ablation.

 

 

(2) Genicular Radiofrequency Ablation (RFA): The Long-Term Solution

If the diagnostic block provides relief, Genicular RFA is performed to deliver long-term pain control. RFA uses heat energy to disrupt the nerves’ ability to transmit pain signals.

Procedure Overview

  1. Preparation: The knee area is numbed, and Dr. Singh uses imaging to guide special electrodes (small needles) next to the genicular nerves confirmed in the diagnostic block.

  2. Ablation: A gentle electrical current generates a small amount of heat at the tip of the electrode. This heat creates a tiny lesion, effectively deactivating the nerve for an extended period.

  3. Duration: The entire procedure usually takes less than an hour, and patients go home the same day.

Benefits and Results

  • Long-Lasting Relief: While not permanent, the relief from Genicular RFA typically lasts 9 to 18 months, sometimes longer. The nerve eventually regenerates, but the pain relief period allows patients to engage fully in physical therapy.

  • Non-Surgical: Avoids the risks and lengthy recovery time associated with knee surgery.

  • Improved Function: By reducing pain, RFA enables patients to increase their activity, improve joint mobility, and strengthen surrounding muscles through rehabilitation.

  • Ideal Candidates: RFA is highly effective for patients suffering from chronic pain due to moderate to severe knee osteoarthritis or persistent pain after a total knee replacement (post-operative knee pain).

 

Experience the Dr. Singh Difference at Virginia Orthopedics and Sports Medicine

Dr. Singh’s commitment to performing all injections with ultrasound guidance reflects our practice’s dedication to employing the most advanced, patient-centric techniques available. Her expertise ensures that you receive the most precise, effective, and safest possible treatment for your musculoskeletal condition.

We believe in empowering our patients with the best care. If you are experiencing pain or limited function in your joints, tendons, or spine, we encourage you to discover the significant benefits of ultrasound-guided injections at Virginia Orthopedics and Sports Medicine.

Contact us today to schedule a consultation with Dr. Singh and learn how precision injections can help you achieve lasting relief and a faster return to your favorite activities.

Sports Medicine Specialists in Fairfax, VA

As a leader in sports medicine in Northern Virginia, VOSM helps athletes of all levels—from weekend warriors to professionals—recover quickly and safely. Our sports medicine doctors focus on non-surgical treatments first, with surgery as a last resort. We work closely with physical therapists to develop rehab plans that reduce downtime and support long-term joint health.

Conveniently Located in Fairfax, VA

Virginia Orthopedics and Sports Medicine is centrally located in Fairfax, VA, making it easy for patients from Northern Virginia, Arlington, Falls Church, and surrounding areas to access high-quality bone and joint care. Our modern facility is equipped to handle everything from on-site imaging to same-day orthopedic consultations.

Schedule an Appointment with Virginia Orthopedics in Fairfax Today

If you’re experiencing joint pain, limited mobility, or suspect a bone injury, don’t wait. Trust the experienced team at Virginia Orthopedics and Sports Medicine in Fairfax, VA to deliver compassionate, expert care.

📞 Call 703-646-1270 or
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