Genicular Artery Embolization (GAE)

Clinical studies show that GAE provides significant pain relief for approximately 75-85% of patients with knee osteoarthritis. Most patients experience a meaningful reduction in pain levels within four to six weeks, with continued improvement over several months. 

The procedure has shown particular success in patients with moderate to severe knee pain who haven’t responded well to conservative treatments. Many patients report being able to return to activities they had previously given up due to pain.

The pain relief from GAE can last several years for many patients. Studies tracking patients for up to five years show sustained improvement in pain and function. Unlike steroid injections that typically provide relief for 3-6 months, GAE addresses the underlying cause of inflammation, leading to longer-lasting results. Some patients may experience a gradual return of symptoms over time as osteoarthritis progresses, but the procedure can be safely repeated if needed.

Absolutely. GAE can be performed even after knee replacement surgery if you’re still experiencing pain. Sometimes, patients continue to have discomfort following joint replacement due to ongoing inflammation in the surrounding tissues. GAE can effectively target these areas without affecting the artificial joint components. This makes it an excellent option for managing post-surgical pain that hasn’t responded to other treatments.

Most patients can return to desk work and light activities within one to two days. You’ll need to avoid heavy lifting or strenuous exercise for about a week to allow the access site to heal. Walking is encouraged the day after treatment to promote healthy circulation. Many patients find they can gradually return to activities like golf, gardening or hiking within two to four weeks.

While physical therapy isn’t always required after GAE, many patients benefit from a structured rehabilitation program. As your pain decreases, physical therapy can help restore strength and mobility that may have been lost due to prolonged inactivity. We often recommend waiting four to six weeks after the procedure before starting to allow the full benefits of GAE to develop.

GAE is considered a very safe procedure with minimal risks. The most common side effects are mild and temporary, including slight soreness at the access site, minor bruising or occasional low-grade fever for 24-48 hours. Serious complications are rare, occurring in less than 1% of cases. These might include infection, blood clots or damage to the surrounding blood vessels. The risk profile is significantly lower than knee replacement surgery.

Yes, genicular artery embolization is covered by most major insurance plans, including Medicare. The procedure has received widespread acceptance from insurance providers due to its proven effectiveness and cost-efficiency compared to knee replacement surgery. However, we always recommend contacting your insurance provider beforehand to understand your specific coverage details and any potential out-of-pocket costs. Our team can help verify your benefits and work with your insurance company to ensure coverage.