{"id":188,"date":"2021-08-23T05:42:29","date_gmt":"2021-08-23T05:42:29","guid":{"rendered":"https:\/\/www.vasculardoctorindia.com\/blog\/?p=188"},"modified":"2021-08-23T05:44:45","modified_gmt":"2021-08-23T05:44:45","slug":"get-rid-of-your-knee-joint-pain-by-genicular-artery-embolization-gae","status":"publish","type":"post","link":"https:\/\/www.vasculardoctorindia.com\/blog\/get-rid-of-your-knee-joint-pain-by-genicular-artery-embolization-gae\/","title":{"rendered":"Get rid of your Knee joint Pain by Genicular Artery Embolization (GAE)"},"content":{"rendered":"\n

Most Advance & Non-Surgical method to treat mild to moderate osteoarthritic Knee Pain.<\/p>\n

Dr. Virender K Sheorain<\/strong>
\nSenior Consultant & Vascular Specilaist<\/p>\n

In India, age & obesity (overweight) related Osteoarthritis (OA) of the knee affects millions of people, resulting in pain and disability that can severely limit quality of life. <\/p>\n\n

In our country, the treatment of knee pain usually starts with home remedies, Ayurveda and homeopathic medications. Initial treatment usually involves conservative measures such as physical therapy, use of knee braces, and medical analgesic\/anti-inflammatory therapy.<\/p>\n

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As the symptoms become more severe and, patient usually consults orthopedician and intra-articular injections are then considered, including platelet-rich plasma (PRP) corticosteroids and hyaluronic acid compounds. Finally, if patients are still limited by pain despite these measures, surgical treatment including Knee replacement surgery is advised. <\/p>\n

I am writing this blog for all those patients who have mild to moderate OA knee pain and is not yet severe enough to warrant joint replacement, and is resistant to nonsurgical options.<\/p>\n

Let’s understand the pathogenesis of pain in the setting of OA of the knee. The latest research suggests that the pain is less mechanical and more often a result of chronic inflammation. The degradation of articular cartilage triggers an inflammatory cascade. Inflammatory factors result in the growth of new blood vessels and nerves within the synovium. Irritation of these \u201cnew\u201d nerves is ultimately the stimulus that causes the deep joint pain in knee OA<\/strong>. As sensory nerves grow along new blood vessels in osteoarthritic joints, they eventually penetrate non-calcified articular cartilage, osteophytes, and the inner regions of the menisci. It is hypothesized that angiogenesis contributes to structural damage and pain in OA, and thus may therefore provide a potential embolization target. <\/p>\n\n

Who invented GAE & What is done in procedure ? <\/h3>\n

This technique of embolization of knee joint to reduce pain secondary to knee OA, was first proven by Dr. Okuno in Japan in 2014. He found that the majority of the patients who were routinely taking pain killer medications prior to GAE stopped taking them after the procedure. In GAE, vascular specialist like Dr. Virender Sheorain, who are certified and trained in embolization; very carefully looks for the abnormal supply to the affected area of the knee ( as seen on MRI, X-ray or site of severe pain). This is called as selective angiography and is done simply by injection of special contrast material on angiography machine. Once the abnormal blood supply is found, the expert will selectively inject a special calibrated time particles \/ medication in that abnormal artery to decrease the inflammation. It is actually a day care procedure and very rarely patient needs to stay overnight. Patient can do all his routine activities from the very next day. There are No cuts, No need of any surgery, No blood loss and No need for anesthesia. No reported significant complications.<\/p>\n

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Who should opt for GAE & will benefit from procedure?<\/h3>\n