Knee Osteoarthritis Treatment in Patna
Relief from knee joint wear, crepitus, and walking pain through precision Genicular Nerve Radiofrequency Ablation (RFA), regenerative PRP & viscosupplementation without open knee replacement.
Understanding Knee Osteoarthritis (Cartilage Wear)
Knee Osteoarthritis (Gonarthrosis) is a chronic degenerative joint disorder characterized by the progressive wear and breakdown of shock-absorbing articular cartilage, subchondral bone remodeling, joint space narrowing, and painful bone spurs (Osteophytes).
Sensory pain signals from the arthritic knee joint capsule and periosteum are transmitted to the central nervous system through a network of specialized sensory nerves called the Genicular Nerves (Superior Medial, Superior Lateral, and Inferior Medial Genicular Nerves).
Genicular Nerve Radiofrequency Ablation (RFA) uses precision thermal neurolysis under live ultrasound and fluoroscopy guidance to deactivate these sensory pain-transmitting nerves. This "turns off" knee arthritis pain for 12 to 24 months—enabling patients to walk freely, climb stairs, and avoid major open Total Knee Replacement (TKR) surgery.
Kellgren-Lawrence Stages of Knee OA
Accurate radiological grading helps determine whether regenerative PRP, viscosupplementation, or Genicular RFA is the optimal pathway.
Doubtful / Early OA
Minute osteophyte bone spurs with minimal joint space narrowing. Occasional stiffness after long walks.
Mild Osteoarthritis
Definite osteophytes with preserved joint space. Pain when climbing stairs or squatting.
Moderate Osteoarthritis
Moderate joint space narrowing, subchondral sclerosis, and crepitus (grating sound) on movement.
Severe / Bone-on-Bone
Severe joint space obliteration, large bone spurs, and varus/valgus knee deformity.
Our 4-Step Diagnostic Protocol for Knee Pain
Comprehensive evaluation to precisely map joint wear and verify genicular nerve pain origin.
Joint Line Palpation
Clinical assessment of medial vs lateral joint line tenderness, patellofemoral tracking, and range of motion.
Weight-Bearing X-Rays
Standing AP, lateral, and skyline views to quantify true joint space narrowing under functional load.
High-Resolution Ultrasound
Dynamic ultrasound to detect knee joint effusion, synovial thickening, Baker's cyst, and meniscus extrusion.
Genicular Diagnostic Block
Gold Standard: Image-guided test block of 3 genicular nerves. >70% relief confirms RFA success.
Non-Surgical Interventions for Knee Osteoarthritis
State-of-the-art daycare procedures performed under live fluoroscopic C-Arm and ultrasound guidance by Dr. Shrutika Bhagat in Patna.
12-24 Mos Relief
Genicular Nerve Radiofrequency (RFA)
Thermal neurolysis precisely targeted at the Superior Medial, Superior Lateral, and Inferior Medial genicular nerves, blocking pain transmission for 1 to 2 years while leaving leg motor function 100% intact.
- Walk comfortably and climb stairs pain-free
- Daycare procedure under local anesthesia
Biologic Repair
Autologous Knee PRP Biotherapy
High-concentration autologous growth factors injected under ultrasound into the joint space to slow cartilage degradation, suppress inflammatory cytokines, and stimulate synovial healing.
- 100% natural, patient's own healing cells
- Protects and nourishes remaining cartilage
Joint Lubrication
Hyaluronic Acid Viscosupplementation
Ultrasound-guided delivery of high-molecular-weight cross-linked hyaluronic acid to restore lubricating synovial fluid, reduce joint friction, and cushion impact during walking.
- Eliminates joint crepitus & grinding
- Provides 6 to 12 months of smooth mobility
Diagnostic Test
Genicular Nerve Diagnostic Block
A quick, painless test block using local anesthetic to temporarily numb the genicular nerves, verifying immediate pain relief before proceeding to long-term RFA.
- Confirms candidacy for radiofrequency
- Performed in 10 minutes in daycare
Bursa & Tendon
Pes Anserine Bursa Hydrodissection
Ultrasound-guided targeted injection to relieve co-existing pes anserine bursitis, patellar tendinitis, and medial collateral ligament (MCL) strain around the arthritic knee.
- Calms inner knee burning & night ache
- Pinpoint dynamic ultrasound accuracy
Rehabilitation
Biomechanical Knee Rehabilitation
Targeted vastus medialis oblique (VMO) strengthening, unloader knee bracing, and gait correction to reduce joint compression force during walking.
- Builds dynamic muscular knee support
- Prevents joint misalignment progression
Total Knee Replacement (TKR) vs. Daycare Genicular RFA
Why Genicular Nerve Radiofrequency Ablation is the leading non-surgical alternative for knee osteoarthritis.
| Clinical Feature | Total Knee Replacement (TKR) Surgery | Daycare Genicular Nerve RFA |
|---|---|---|
| Anesthesia Required | Spinal / General Anesthesia (High cardiac/diabetic risk) | Local Anesthesia only (Safe for 75+ age group) |
| Incision & Bone Cutting | Large 6 – 8 inch incision with heavy bone resection | Zero incisions (Pinhole needle puncture) |
| Artificial Metal Implants | Artificial metal and polyethylene knee prostheses | 100% natural joint preservation (Zero metal implants) |
| Post-Operative Recovery | 8 to 12 weeks of painful intensive physical therapy | Immediate walking; resume routine in 24–48 hours |
| Hospital Stay | 4 to 7 days hospital admission | Daycare: Discharged in 2 to 3 hours |
Dr. Shrutika Bhagat
MBBS, MD, FIRA, FIAPM | Interventional Pain & Spine Endoscopy
Dr. Shrutika Bhagat brings super-specialized training in full-endoscopic spine surgery and image-guided interventional pain management, having successfully treated thousands of patients with severe back pain, disc prolapse, sciatica, nerve compression, and joint arthritis in Patna.
Knee Osteoarthritis FAQs
Clinical answers regarding Genicular RFA, avoiding knee replacement surgery, PRP therapy, and recovery timeline.
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.