The Effectiveness and Safety of Genicular Nerve Radiofrequency Ablation for the Treatment of Recalcitrant Knee Pain Due to Osteoarthritis: a Comprehensive Literature Review

Tate, Quinn; Conger, Aaron; Burnham, Taylor; Cushman, Daniel M.; Kendall, Richard; Schneider, Byron J.; McCormick, Zachary L.

doi:10.1007/s40141-019-00246-3

Cited by 6 publications

(2 citation statements)

References 47 publications

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“…Genicular nerve blocks have emerged as an effective modality to manage knee pain secondary to osteoarthritis, even after total knee arthroplasty (5)(6)(7)(8)(9)(10). Fluoroscopic-guided injections to branches of the genicular nerve have been traditionally used for diagnostic and therapeutic purposes; however, the US has emerged as more favorable in the clinical setting.…”

Section: Discussionmentioning

confidence: 99%

“…However, 20% to 53% of patients complain of persistent knee pain status postreplacement (5). In these patients, as well as those who are not surgical candidates, genicular nerve blockade has emerged as a safe and effective modality to manage knee pain (5)(6)(7)(8)(9)(10). While typically performed under fluoroscopy (FS), there is increasing evidence for the use of ultrasound (US) and effective image-guidance for these procedures (11)(12)(13)(14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

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Procedural Approach to Ultrasound-Guided Geniculate Nerve Blockade for Knee Pain in Patients with OA

Henry

Best

Jose

et al. 2022

Curr Sports Med Rep

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Ultrasound-guided genicular nerve block can provide excellent pain control for patients with knee OA. This procedure has the advantage of providing sensory blockade with concomitant sparing of motor compromise, which is observed when the femoral and its lateral femoral cutaneous branches are blocked. Once the geniculate nerve of interest is identified, the operator can use ultrasound guidance to surround nerve fascicles with an injectate mixture of anesthetic and corticosteroid, yielding decreased pain sensation at the joint capsule. Given the role of the geniculate nerve in providing sensory innervation to the joint capsule and knee ligaments, blockade of this nerve can serve as a useful tool for managing patients with acute knee pain secondary to OA.

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