Genicular Nerve RFA in Patna
Breakthrough C-Arm guided thermal neurotomy providing 12 to 24 months of non-surgical pain relief for severe knee osteoarthritis, bone-on-bone arthritis, and post-knee replacement pain.
Turn Off Knee Pain Signals Without Knee Replacement
Genicular Nerve Radiofrequency Ablation (RFA) is a cutting-edge, non-surgical interventional procedure designed to provide long-term pain relief for patients suffering from moderate to severe Knee Osteoarthritis.
The knee joint is innervated by several sensory branches known as genicular nerves (Superior Medial, Superior Lateral, and Inferior Medial Genicular Nerves). These purely sensory nerves transmit pain messages from worn-out cartilage, meniscus tears, and bone-on-bone friction directly to the brain.
Under live C-Arm Fluoroscopic X-Ray guidance, Dr. Shrutika Bhagat places micro-cannulas against the bony epicondyles of the femur and tibia. After confirming 100% motor safety with electronic nerve testing, controlled radiofrequency heat energy (80°C) is applied to deactivate the sensory pain fibers—yielding 12 to 24 months of sustained pain relief, enabling patients to walk, climb stairs, and live active lives without major surgery.
Who is a Candidate for Genicular Nerve RFA?
Ideal for individuals suffering from chronic knee arthritis where conservative pills or standard injections have stopped working.
Moderate-to-Severe Knee Osteoarthritis
Kellgren-Lawrence Grade 2, 3, or 4 knee arthritis with severe daily pain during walking, standing, and stair climbing.
Medically Unfit for Knee Surgery
Elderly patients with high cardiac risk, uncontrolled diabetes, severe obesity, or blood-thinner use who cannot undergo major surgery.
Persistent Pain After Knee Replacement
Up to 20% of patients have unexplained chronic anterior knee pain after Total Knee Replacement (TKR), successfully silenced via RFA.
Patients Wanting to Avoid Total Knee Replacement
Individuals who wish to preserve their native biological knee joint and avoid metallic artificial implants, hospitalization, and long rehab.
Temporary Relief from Steroid Injections
Patients whose pain returns 3 to 4 weeks after simple knee injections, seeking a lasting 12 to 24-month solution.
Positive Diagnostic Genicular Block
Patients who experienced ≥70% temporary pain relief following a preliminary local anesthetic diagnostic test block.
Genicular Nerve RFA vs. Total Knee Replacement (TKR)
| Clinical Parameter | Genicular Nerve RFA (Dr. Shrutika) | Total Knee Replacement Surgery (TKR) |
|---|---|---|
| Invasiveness | 3 Pinhole needle punctures (Zero stitches) | 150–200 mm open surgical incision, cutting bone |
| Implants & Metal | None (Preserves 100% natural joint biology) | Cobalt-Chromium / Titanium artificial joint & bone cement |
| Anesthesia | Targeted Local Anesthesia (Awake & safe) | Spinal / Epidural or General Anesthesia |
| Hospitalization | Daycare: Walk in 30 mins, home same day | 4 to 7 days hospital stay |
| Recovery Period | Immediate walking; full recovery in 24–48 hours | 3 to 6 months intensive physiotherapy |
How Genicular Nerve RFA is Performed
Diagnostic Test Block
A small drop of local anesthetic numbs the genicular nerves. If knee pain reduces by >70% for a few hours, RFA is indicated.
Sterile C-Arm Positioning
The patient lies comfortably with the knee supported. The high-resolution C-Arm fluoroscope is aligned with the knee joint line.
Micro-Cannula Placement
Three fine RF cannulas are navigated precisely to the junction of the femoral shaft/epicondyle and medial tibial epicondyle.
Sensory & Motor Safety Testing
Electronic stimulation confirms the probe is on the sensory nerve and far away from any leg motor nerves, ensuring 100% safety.
Targeted Thermal Neurotomy
Controlled radiofrequency energy deactivates the sensory nerve fibers for 90 seconds per site under local numbing.
Band-Aid & Immediate Walking
Cannulas are removed and Band-Aids applied. The patient stands up, walks comfortably, and returns home within 1 hour.
Genicular Nerve Modalities in Patna
Continuous Thermal RFA
Standard 80°C thermal lesioning that coagulates sensory genicular fibers for 12 to 24 months of relief.
Cooled RFA (Coolief)
Creates larger spherical lesions to capture anatomically variable genicular nerve paths for enhanced longevity.
Pulsed Genicular RFA
Non-thermal electromagnetic neuromodulation for mild osteoarthritis or post-arthroscopic knee pain.
RFA + PRP Combination
Combines genicular nerve RFA for immediate pain shutdown with intra-articular PRP for biological cartilage repair.
Common Questions on Genicular Nerve RFA
Why Choose Dr. Shrutika for Genicular Nerve RFA in Patna
- Avoid Invasive Knee Surgery: Ideal for elderly patients unfit for surgery, patients with severe arthritis, or persistent pain following knee replacement.
- Targeted 3-Nerve Sensory Ablation: Selectively desensitizes the superior medial, superior lateral, and inferior medial genicular pain nerves.
- Dual Fluoroscopy & Sonography Guided: Combines C-arm bone landmarks with high-resolution ultrasound for zero vascular risk.
- Walk Home Same Day: No hospital admission, no surgical cuts, no blood loss; patients walk comfortably immediately after treatment.
- Long-Lasting 1–2 Year Knee Relief: Provides durable pain control allowing elderly patients to stand, climb stairs, and walk without agony.
- Pioneering Knee Pain Care in Bihar: Extensive experience in modern non-surgical knee joint denervation with proven patient satisfaction.
Don't Let Chronic Pain Control Your Life.
Take the first step toward understanding your pain and exploring modern, evidence-based minimally invasive relief with Dr. Shrutika Bhagat.