Older Man Grabbing Knee in Pain

GAE vs. Knee Replacement: Choosing the Right Path to Knee Pain Relief

For many years, knee replacement surgery was the only effective treatment option for severe cases of osteoarthritis of the knee. The good news is that there are now knee replacement alternatives, such as genicular artery embolization (GAE), that relieve symptoms and increase mobility. GAE is a minimally invasive, image-guided technique that involves blocking the blood supply to the lining of the knee joint, which reduces inflammation and pain, potentially delaying or even eliminating the need for knee replacement. Knee replacement, on the other hand, is a major surgery that involves replacing the damaged knee joint with artificial joints. While highly effective in restoring function and alleviating pain, it’s a more invasive procedure with longer recovery times and potential complications.

Genicular Artery Embolization

Genicular artery embolization (GAE) is a cutting-edge, minimally invasive procedure designed to address moderate to severe knee pain associated with mild to moderate knee osteoarthritis. It targets the genicular arteries supplying blood to the knee, aiming to reduce pain and inflammation without the need for traditional surgery. Pain relief typically begins to occur two weeks after the procedure. The following are other benefits of GAE.

  • No hospital stay required
  • 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

Knee Replacement

Knee replacement surgery is an invasive procedure for patients who have severe end-stage osteoarthritis. Patients who may need a knee replacement usually have trouble with day-to-day mobility, such as walking or climbing the stairs. If your osteoarthritis is not as severe, you may want to consider knee replacement alternatives. It’s important to note that patients receiving a knee replacement too early can increase the risk of repeat surgery, as they only last for about 10 years. Although surgery is the most complete way to relieve osteoarthritis knee pain, it also comes with a longer hospital stay, recovery, and risks.

  • 1-3 day hospital stay
  • Full recovery in 6 months to 1 year
  • Higher risk of infection
  • Higher risk of blood clots
  • Higher risk of temporary or permanent nerve damage
  • Need 3-4 weeks of physical therapy after surgery
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Genicular Artery Embolization vs. Knee Replacement Surgery

Knee replacement surgery removes damaged bone and cartilage from the thigh bone, shin bone, and kneecap. It replaces it with an artificial joint typically made of metal and high-grade plastics that replicate the shape, size, and function of a natural knee joint. The patient is administered either general anesthesia or regional anesthesia to numb the lower part of the body. The surgeon makes an incision over the knee, exposing the damaged joint. The damaged portions of the femur (thigh bone) and tibia (shin bone) are carefully removed, and your doctor may also reshape your kneecap to fit the new prosthetic. The artificial knee joint is then implanted and attached to the bone using bone cement or press-fit without cement, depending on the specific type of prosthesis and the patient’s condition. The incision is closed with sutures or staples, and a dressing is applied to cover the wound. The procedure generally takes 1-2 hours to complete. 

Genicular artery embolization is a minimally invasive treatment that involves decreasing the blood flow to the lining of the knee. It is performed as an outpatient procedure and uses moderate sedation. The physician inserts a small catheter into the artery of the patient’s upper thigh and advances the catheter in the arteries to the areas of inflammation with live X-ray guidance. Once in position, tiny particles are injected through the catheter into these arteries, reducing the blood supply to provide long-term relief. The procedure generally takes 1-2 hours.

Tennis Player Grabbing Knee
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Genicular Artery Embolization vs. Knee Replacement Recovery

Knee replacement surgery requires a hospital stay of 1-3 days, and a full recovery takes between 6 months to 1 year. However, most patients may resume normal activities 6 weeks after surgery. During the recovery process, patients may also need to get physical therapy for up to four weeks after the procedure to rehabilitate and strengthen the knee. Patients may also experience pain in the first few weeks after the procedure and as the knee begins to heal. 

However, the recovery time for GAE is much quicker. Patients can go home the same day and return to light activities as soon as one week after the procedure, but it’s best to avoid high-impact activities for at least two weeks. You may experience some discomfort after the procedure, but relief from symptoms can occur as shortly as two weeks as the effects of the treatment take hold.

Older Woman Exercising

Which Knee Pain Treatment is Right For You?

At American Knee Pain Centers, we believe that patients should be informed of all available knee pain treatments for osteoarthritis. If you’re deciding between GAE and knee replacement surgery, there are a few important factors to consider. While a knee replacement provides long-term pain relief and improved mobility, it also requires hospitalization, a more intense recovery process, and a higher risk of complications. Knee replacement surgery is also not for everyone. For example, knee replacement surgery may not be recommended if you have pain associated with osteoarthritis that does not severely limit activities of daily living or negatively impact your quality of life.

We recommend genicular artery embolization at American Knee Pain Centers for patients considering treatment for osteoarthritis of the knee. GAE is an innovative, minimally-invasive treatment option for patients who are suffering from chronic knee pain and are either not a candidate for a knee replacement or would like to avoid major surgery. It can be performed multiple times without increasing the risk of complications, helping to delay knee joint replacement surgery in the long run. GAE also effectively reduces knee pain and inflammation, improves knee function and range of motion, and has fewer risks and complications compared to a knee replacement.

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Why Choose American Knee Pain Centers for GAE?

American Knee Pain Centers stands out as the premier choice for addressing knee pain related to osteoarthritis, providing unparalleled expertise and cutting-edge treatments, such as genicular artery embolization. GAE is a breakthrough procedure that targets the genicular arteries, addressing the root cause of osteoarthritis-related knee pain with precision. At American Knee Pain Centers, we stand out as leaders in this innovative approach, boasting a team of skilled interventional radiologists dedicated to providing effective, minimally invasive solutions. Our focus on GAE reflects our dedication to advancing treatment options for osteoarthritis, offering patients a non-surgical alternative that can significantly alleviate pain and improve joint function. By choosing American Knee Pain Centers for GAE, individuals with osteoarthritis can access state-of-the-art technology and a team devoted to enhancing their quality of life through patient-centric care.

Our Knee Pain Specialists

Osteoarthritis got your knees down? We have a team of experienced and compassionate board-certified interventional radiologists in New York and New Jersey who understand your unique challenges. Our affiliated team works with you to create a personalized treatment plan that goes beyond just managing pain. It’s about restoring your movement, confidence, and quality of life. You can find the following specialists at our New York and New Jersey locations.

Find Relief at Our Knee Pain Centers in NY & NJ

At American Knee Pain Centers, we have affiliated outpatient centers in New York and New Jersey that offer genicular artery embolization for osteoarthritis of the knee. We utilize the latest image-guided technology and minimally invasive techniques to deliver the highest-quality outcomes for patients suffering from osteoarthritis. Visit any one of our knee pain centers in New York and New Jersey to help you get the relief you need.

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The staff are the best. Very elated,with the exceptional care,professionalism, and genuine concern, displayed by all the staff.
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I felt very comfortable with him. Excellent bedside manner, proper teaching , and knowledgeable. I highly recommend him!
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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🙏🏾
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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
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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
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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.
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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
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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!
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kadine campbell
kadine campbell
21:01 23 Oct 23
I was given good advice about my blood circulation
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17:04 08 Oct 23
Dr. Shams office is amazing. Whitney and Angela were AMAZING. Great sense of humor. Staff is WONDERFUL.
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21:13 18 Sep 23
Nice office, personnel friendly, & caring, good informative information concerning my care.
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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
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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
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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
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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
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21:22 30 May 23
Great doctor. Everyone is so kind and caring. Great place to go
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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.