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Genicular Artery Embolization

Knee Pain Relief Without Surgery

Knee Pain Issues

GAE—Minimally Invasive Alternative to Surgery

Genicular artery embolization (GAE) is a non-surgical, minimally invasive procedure used to treat knee pain, particularly in patients with osteoarthritis (OA) where conservative treatments such as knee injections or anti-inflammatory medications have not provided adequate relief. Statistically, osteoarthritis (OA) is the leading cause of chronic pain and disability in older people in the US — approximately 37% of Americans over the age of 60 experience chronic pain from OA in the knee. GAE is an alternative treatment option for OA that has been shown to be a safe and effective treatment for the chronic pain of early and intermediate osteoarthritis. 

The goal of GAE is to reduce pain and improve the overall function of the knee joint by decreasing the blood flow to the lining of the knee, reducing the amount of inflammation and knee pain. Two recent studies in the Journal of Vascular and Interventional Radiology in 2020 and 2021 reported significant relief for patients with chronic knee pain at six months and one-year post-GAE and a significant reduction in NSAID and opioid use, respectively. Although genicular artery embolization does not provide a cure for osteoarthritis, it relieves knee pain for a minimum of 1-3 years, compared to 2-3 months from a cortisone shot or other joint injection.

Benefits of Genicular Artery Embolization

Patients undergoing GAE can experience a range of benefits, including:

  • No hospital stay
  • Same day procedure
  • Fewer complications
  • Short recovery time
  • Improved knee function and range of motion
  • Reduced knee pain and inflammation
  • Symptom improvement for 1 to 3 years

Candidates for Genicular Artery Embolization

The following patients are considered good candidates for GAE:

  • Age: 40+ years
  • Moderate to severe knee pain
  • Mild to moderate OA on X-ray
  • Local knee tenderness
  • Stiffness in knees
  • Repeated conservative treatment (NSAIDS/PT/joint injection) without relief

How to Prepare for Genicular Artery Embolization

Before undergoing GAE, patients should expect the following:

  • Consultation with a specialist to go over your medical history and previous surgeries
  • Receive imaging tests such as X-rays, MRI, or CT scans to better visualize the blood vessels in your knee
  • Adjust or temporarily discontinue certain medications before the procedure, especially blood-thinning medications like aspirin
  • Follow fasting instructions for a certain period of time before the procedure
  • Arrange for someone to drive you before and after the procedure
  • Follow any specific pre-procedure instructions provided by your specialist
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Take the first step toward a pain-free life!

Are you tired of knee pain holding you back? Take the first step towards getting back to an active life by requesting an appointment at American Knee Pain Centers today!

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How Does GAE Work?

Genicular artery embolization is performed using moderate sedation as an outpatient procedure by an interventional radiologist, a physician specially trained in minimally invasive treatments utilizing image guidance to diagnose and treat diseases. The physician inserts a small catheter (a thin hollow tube) into the artery of the patient’s upper thigh and, with live X-ray guidance, advances the catheter in the arteries to the areas of inflammation. Tiny particles are injected through the catheter into these arteries, reducing the blood supply. This reduces the factors creating the inflammation and pain associated with OA. The procedure generally takes 1-2 hours.

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Genicular Artery Embolization Recovery

GAE is a minimally invasive procedure that typically allows for a quick recovery. You can generally return to light activities as soon as one week after the procedure, but it’s best to refrain from high-impact activities for at least two weeks. It’s common to experience some knee discomfort immediately after the procedure, but this discomfort typically diminishes over the course of two weeks as the effects take hold.

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What to Expect After Genicular Artery Embolization

Patients often enjoy significant relief from knee pain, swelling, and stiffness as a result of the procedure, leading to improved quality of life and increased mobility. Pain relief typically begins to occur after two weeks, as the inflammation in the knee lining is reduced, relieving the knee pain associated with osteoarthritis.

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Why Choose American Knee Pain Centers for GAE?

American Knee Pain Centers’ affiliated physicians are among the nation’s most respected and experienced in diagnosing and treating osteoarthritis. Our team of board-certified interventional radiologists will evaluate your symptoms, provide an accurate diagnosis, and create a personalized treatment plan that best suits your unique needs and relieves your knee pain.

GAE Frequently Asked Questions

What is osteoarthritis (OA)?

Osteoarthritis is a degenerative joint disease that can affect the many tissues of the joint. It is by far the most common form of arthritis, affecting more than 32.5 million adults in the United States, according to the Centers for Disease Control and Prevention. OA is caused by trauma or age-related wear and tear on the joints over time and is most likely to affect weight-bearing joints such as the knees, hip, lower spine or big toe. Injury or overuse, such as knee bending and repetitive stress on a joint, can damage a joint and increase the risk of OA in that joint. The risk of developing OA increases with age and is most common from middle age onward.

What is genicular artery embolization?

Genicular artery embolization (GAE) is an effective minimally-invasive treatment that reduces knee pain for patients with osteoarthritis. It decreases the blood flow to the lining of the knee, relieving patients from knee pain and inflammation without the need for surgery.

How long does genicular artery embolization last?

Genicular artery embolization does not provide a permanent cure for osteoarthritis, but it relieves knee pain for a minimum of 1-3 years, which is longer pain relief than receiving a cortisone shot every 2-3 months.

Is genicular artery embolization covered by insurance?

Insurance clears roughly 50% of the procedure. Please take a look at our accepted insurance and call us if you have any questions about your coverage.

Our Knee Pain Specialists

Our affiliated knee pain specialists in New York and New Jersey are board-certified interventional radiologists committed to providing the highest quality care for patients suffering from osteoarthritis of the knee. They use state-of-the-art technology and minimally invasive techniques to deliver the best outcomes possible. If you’ve been diagnosed with knee osteoarthritis and are experiencing debilitating symptoms, request an appointment with one of our affiliated knee pain specialists today!

Our Knee Pain Centers in NY and NJ

At American Knee Pain Centers, our outpatient offices are equipped with individual treatment rooms, cutting-edge operating rooms, and an onsite recovery area for your safety and convenience. Visit your nearest American Knee Pain Center in New York and New Jersey to get the care you need for osteoarthritis of the knee.

Queens, NY
28-18 31st Street
Queens, NY 11102
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Harlem, NY
505 East 116th Street Suite 400
Harlem, NY 10029
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Brooklyn, NY
71 Carroll Street
Brooklyn, NY 11231
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West Orange, NJ
347 Mount Pleasant Avenue
West Orange, NJ 07052
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What Our Patients Are Saying

It’s personal
Ricot Charlot
Ricot Charlot
10:57 03 Jul 24
Sheer perfection. The care and expertise and teamwork are the best I have ever experienced. I’m a former nurse and I recognize and give a shout out to the best!!!!
Barbara Murray
Barbara Murray
16:22 02 May 24
First Impressions are lasting impressions! First, the staff are phenomenal! How is it possible that each and every one of them are incredibly kind, caring, professional, personable and treat you like you are THE most important person in the world!? Well, meet this team for an experience that will make you feel valued as a person, not just as a patient. In walks this amazing Doctor and now you understand why his team are the way they are! They regard each other with the utmost respect, and kindness, and they communicate with each other like family. And as a new patient, I had the honor and pleasure to experience excellence in patient care and concern. I am so very grateful to have found a Doctor who is in my opinion perfect with a team who are exceptional! I’m excited for my next visit, honestly! I write this with a great big Smile on my face!
CC
CC
14:57 24 Apr 24
EXCELLENT, EXCELLENT, EXCELLENT ALL AROUND!!! THANK YOU!!!
Marion Moore
Marion Moore
13:44 17 Apr 24
Excellent, professional, organized and efficient all best describes the service here.
Delsi Cunningham
Delsi Cunningham
17:28 05 Apr 24
Very nice and friendly staff.I was so nervous, they all made me feel relaxed and comfortable.They explained everything to me step by step.
Keith Dickens
Keith Dickens
13:10 02 Apr 24
Excelente servicio es lo mejor que me a pasado gracias a sus buenos tratamiento ya no tengo dolor
The staff are the best. Very elated,with the exceptional care,professionalism, and genuine concern, displayed by all the staff.
Constance Sidberry
Constance Sidberry
03:50 17 Mar 24
I felt very comfortable with him. Excellent bedside manner, proper teaching , and knowledgeable. I highly recommend him!
Jamel Jackson
Jamel Jackson
14:07 27 Feb 24
Yes it was a good place
Carmen Diaz
Carmen Diaz
14:22 20 Feb 24
The absolute BEST Dr!! Detailed, caring & kind! The best medical procedure I’ve ever had from consultation to post procedure, perfect! 10s all around 👏🏽👍🏽👍🏽 many thank yous🙏🏾
Josi W
Josi W
22:04 12 Jan 24
Is good to be with friendly and professional staff at doctor’s offices like this one.
Dr. Joseph Sham and the entire Team were very professional, knowledgeable, informative and had incredible patience with me by answering all my questions and concerns. Great Team…Thank you all! 👍
Marion
Marion
22:17 27 Dec 23
I was treated very well. The staff was very professional and made me feel comfortable. Looking forward to my next visit.
Stephen Lapinsky
Stephen Lapinsky
20:17 20 Dec 23
This experience was great I’m so happy with everything
stephanie suazo
stephanie suazo
22:53 13 Dec 23
Love this Dr and staff. They are all kind courteous and professional with excellent medical care. I would highly recommend them to anyone in need.
Sybil Wilkins
Sybil Wilkins
21:58 28 Nov 23
I love this place stuff is helpful an they all were nice. I had a wonderful experience Dr Shams was great.
Victoria Pacheco
Victoria Pacheco
22:07 17 Nov 23
Professional services
Ricky Mo
Ricky Mo
22:14 15 Nov 23
I like the doctor they were kind of pretty thorough he says that he could help me he found out the filter in my abdomen from the surgery I had in 1996 has been clogging my blood flow for 25 years and that’s causing the swelling at every other doctor told me was lymphedema it was not lymphedema it caused the lymphedema because no other doctor took the time or care enough to find out the reason for my leg swelling this doctor was the only one who finally found out and he’s going to see if you could put a stent inside the filter to open it up and and stop my legs from swelling hopefully this will all go good it hasn’t happened yet but I’ll keep you posted thankful for this docto I just pray and hope that it works otherwise I like the doctor very much
Mitchell Dedios
Mitchell Dedios
21:01 27 Oct 23
Excellent service , good customer service and friendly staff. Thanks
Raysa Polanco
Raysa Polanco
20:54 27 Oct 23
You may likely have to wait. Avoid anxiety and frustration. Schedule extra time for the visit. Allow for personal attention to your care needs once in the examination room. Friendly, nice staff and doctor puts you at ease. Bottom line: worth the wait!
Sisle
Sisle
21:49 26 Oct 23
Excellent service and staff i’ll let you feel relaxing and comfortable
kadine campbell
kadine campbell
21:01 23 Oct 23
I was given good advice about my blood circulation
Emma Bb
Emma Bb
17:04 08 Oct 23
Dr. Shams office is amazing. Whitney and Angela were AMAZING. Great sense of humor. Staff is WONDERFUL.
Sara Correa
Sara Correa
21:13 18 Sep 23
Nice office, personnel friendly, & caring, good informative information concerning my care.
Loretta Johnson
Loretta Johnson
21:26 22 Aug 23
Really like this doctor, talks in your language, just over all regular nice person.
Linda Thoomey
Linda Thoomey
22:03 21 Jul 23
I’m very satisfied of my visit for the first time, everyone was concerned about me, and Dr David was very patient to listen to my long health stories, after that He gave me good explanation for my problem, that was great 👍
Claude Jean Pierre
Claude Jean Pierre
22:38 18 Jul 23
Follow up to a procedure. Dr Mobley and his staff are great and always helpful
DanLiza Diehl
DanLiza Diehl
21:25 10 Jul 23
David monkey,MD and the grupo are excellent very kind and helpful.i will return to them.the attention.its very satisfied.thank u ..
Luis Sarria
Luis Sarria
12:16 29 Jun 23
I had a good experience with my procedure and Dr. Mobley’s follow-up calls are great. I’ve never had a doctor who has been so concerned about following up after a procedure to see how I’m doing and if there are any post-procedure problems I may have experienced (which there aren’t). I’d highly recommend Dr. Mobley.
Hey Beej
Hey Beej
16:42 23 Jun 23
Dr Mobley was so helpful, informative and made me feel secure in making my future medical plan. Supportive and kind. Highly recommended.
Amanda L Browder
Amanda L Browder
15:57 23 Jun 23
Doctor was very thorough. Explaining what the procedure is all about. Tell me what I could realistically expect. Couldn’t have asked for a better consultation. Highly recommended if you have a prostate issue
John Buric
John Buric
16:26 15 Jun 23
I was very pleased and satisfied on how Dr. David Mobley examined me and explained everything on what I need to know regarding my condition. He’s very professional and knowledgeable in all aspects of his profession. I would highly recommend him to my other friends!
Celine Parcon
Celine Parcon
23:16 07 Jun 23
Dr Shams was very attentive and explained everything in detail. The staff was very nice, the staff/nurse were all so very helpful, It was a Monday morning and I didn’t expect such happy staff.
Stacy Lebeau
Stacy Lebeau
21:22 06 Jun 23
He puts his patients before himself, returning calls and e-mails quickly. Not only is he kind and considerate, he is an excellent physician. I had to have a procedure that requires me to be awake, and he talked me through it and kept me at ease. If I could give him more stars, I would.
Super friendly, tentative, once in the procedure rm the sx staff made you feel comfortable, easy,+ answered all questions. David mobley, MD answered all my questions, very informative, caring. I felt confident in his care
Thais Bini
Thais Bini
21:22 30 May 23
Great doctor. Everyone is so kind and caring. Great place to go
Joan Jurica
Joan Jurica
14:46 30 May 23
Good service!
Veronika Shopina
Veronika Shopina
21:09 24 May 23
There is a friendly atmosphere, fast medical attention and an advanced medical equipment !!!The Staff is very knowledgeable and the best care possibly !!!100 % Satisfied !!!
Cruz Figueroa
Cruz Figueroa
03:06 08 May 23
Whole staff was very friendly and professional. I feel confident that I came to the right place for treatment.
Rudy Padilla
Rudy Padilla
02:08 13 Apr 23
The best in Astoria I recommend Dr mobley and staff 100 percent
michaela1951
michaela1951
21:25 30 Mar 23
Knowledgeable , experienced, great bed side manners
mohamed hamed
mohamed hamed
10:09 30 Mar 23
I am pleased w/my experience @ endovascular. I hope they can save my foot.
Margo A Williams
Margo A Williams
19:19 29 Mar 23
This has been the best medical experience I’ve had in over thirty years. I was nervous to have a procedure after only knowing about my condition a year ago. They made this process so easy for me that I’m in shock that I had no pain, no discomfort thanks to an excellent doctor and professional staff! Thank you all and best of luck to your practice.
Stacey Marius
Stacey Marius
14:16 29 Mar 23
The doctor was very nice and professional. He explained the tests that I need and why I need them.
Judith AndersonNeal
Judith AndersonNeal
22:12 27 Mar 23
This was the best experience I have had in such a long time and I have had quite a few procedures in the past both in patient and out including the procedure I was currently present for. No other surgeon has been so kind, transparent, and gentle. Not only did he personally come out beforehand to provide me with education on my procedure, but he talked me through every step of the way and made me feel so comfortable and relaxed. Not to mention his amazing staff! Despite being extremely nervous they kept me smiling and laughing throughout the whole process. 10/10 would recommend. Thank you so much guys!!
Riah L.
Riah L.
13:49 22 Mar 23
Excellent bedside manners and the procedure was a breeze.
sen-pei hsia
sen-pei hsia
18:26 20 Mar 23
Los mejores/ the best💖🙏
Ruthy Ochoa
Ruthy Ochoa
04:17 03 Mar 23
Excellent, Patience, don’t Rush you to be finished. The Doctor explains everything and answers your questions. I would Recommend Dr.Sham service anytime, they are. Great!
Debra Farmer
Debra Farmer
00:16 01 Mar 23
I went with my mom who just had a hip surgery. The whole team was very caring, nice and very professional. I did appreciate that the surgeon took the time to explain to me what was wrong with my mom’s arm and what he did to fix it.
mouna khalyat
mouna khalyat
14:37 24 Feb 23
Very good and very responsive.
James Young
James Young
19:33 22 Feb 23
Although I didn’t meet with the doctor, the receptionist, assistant and nurse were great.
Theresa Gaines
Theresa Gaines
13:25 13 Feb 23
Every thing and the process are being done properly ..Terissa you are very Carey ..thank you so much every body are very polite and very professional.. Thank you so much to Dr.Mobley..God blessed you all .🙏🙏🙏👍
Remigio Ruda
Remigio Ruda
03:28 31 Jan 23
Very knowledgeable, personable and professional. I came to Dr. Mobley to correct another surgeons work and I was pleased with the outcome. There is a Hispanic woman that runs things in the O.R.She is great! The whole staff is wonderful and caring.Highly recommend
Lakesha Kingdom
Lakesha Kingdom
15:57 17 Jan 23
I had a wonderful PA take care of me, & the nurses were very sweet. I was happy with my visit
Aurora Anello
Aurora Anello
19:20 10 Jan 23
Everything always goes well.staff are very caring.
Lillian Rodriguez
Lillian Rodriguez
19:00 11 Dec 22
Excellent Doctor he explains the procedure process so that it is understandable and comfortable for the patient!
T. J.
T. J.
14:48 06 Dec 21
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Take the first step toward a pain-free life!

Don’t let knee pain limit your life any longer! Request an appointment with our specialist to start your pain-free journey today.