Knee pain from osteoarthritis can limit daily activities and reduce quality of life for many adults in our community. Genicular artery embolization offers a minimally invasive option that targets the small arteries feeding inflamed knee tissue. Patients in Forest Hills and across Queens now have access to this approach through specialists who combine vascular expertise with orthopedic understanding.
This treatment focuses on reducing blood flow to areas of chronic inflammation inside the knee joint. By doing so, it helps decrease pain signals without removing bone or replacing the joint. Many individuals explore this path when conservative measures such as physical therapy and medications no longer provide enough relief.
What Is Genicular Artery Embolization?
Genicular artery embolization uses imaging guidance to deliver tiny particles into specific arteries around the knee. These particles slow excess blood supply that fuels ongoing inflammation. The procedure takes place in an outpatient setting and typically lasts between sixty and ninety minutes.
Dr. Amir Salem, our interventional radiologist, performs the treatment using real-time X-ray imaging. A small catheter enters through a tiny puncture in the groin or wrist and travels to the genicular arteries. Once positioned, the particles are released in a controlled manner. Patients remain awake but receive medication to stay comfortable throughout.
The goal centers on symptom improvement rather than structural repair of the joint. Results vary based on individual anatomy and the extent of arthritis present before treatment.
Who Can Benefit from This Procedure?
Adults with moderate to severe knee osteoarthritis often seek this option after other treatments fall short. Candidates usually report pain that interferes with walking, climbing stairs, or sleeping. Imaging such as X-rays or MRI confirms the presence of joint changes consistent with arthritis.
Individuals who wish to avoid or delay knee replacement surgery may find this approach suitable. Those with medical conditions that increase surgical risk sometimes prefer a less invasive route. Dr. Salem evaluates each case to confirm whether the blood vessels are appropriate targets and whether overall health supports the procedure.
Symptoms That May Indicate Knee Osteoarthritis
Persistent aching or stiffness in one or both knees often signals underlying joint changes. Pain that worsens after activity or toward the end of the day is common. Swelling around the kneecap and a sensation of warmth can accompany these symptoms.
Many patients notice reduced range of motion, especially when trying to fully straighten or bend the leg. Grinding or clicking sounds during movement may occur as cartilage wears down. When these issues continue despite rest, ice, and over-the-counter pain relief, further evaluation becomes worthwhile.
What to Expect During Your Consultation in Forest Hills
Your first visit includes a detailed discussion of symptoms, medical history, and prior treatments. Dr. Salem reviews recent imaging and may order additional studies to map the genicular arteries. Physical examination checks joint stability, swelling, and tenderness patterns.
Time is set aside to answer questions about the procedure steps, expected timeline, and any preparation needed beforehand. Patients receive clear instructions about medications to adjust and what to bring on the day of treatment. The office in Forest Hills provides a convenient location for Queens residents seeking specialized vascular care close to home.
The Procedure: Step by Step
Preparation begins with vital sign monitoring and placement of an intravenous line for comfort medications. After local anesthesia numbs the entry site, Dr. Salem inserts the catheter under fluoroscopic guidance. Contrast dye highlights the arteries so precise navigation is possible.
Once the target vessels are reached, the embolic particles are slowly introduced. Follow-up imaging confirms adequate coverage of the inflamed areas. The catheter is removed and gentle pressure applied to the puncture site. Most patients rest for a short observation period before heading home the same day.
Recovery and Aftercare
Mild soreness or bruising at the catheter site is typical and usually resolves within several days. Ice packs and over-the-counter pain medication help manage discomfort. Patients are encouraged to walk gently but avoid strenuous activity for the first week.
Follow-up appointments allow Dr. Salem to track progress and address any concerns. Improvement in knee pain often becomes noticeable within two to four weeks as inflammation decreases. Physical therapy may be recommended to support strength and mobility gains during this period.
How to Choose the Right Specialist for Genicular Artery Embolization
Look for a physician board-certified in interventional radiology who regularly performs vascular procedures in the knee. Experience with musculoskeletal embolization techniques matters because artery patterns vary among patients. A collaborative approach with orthopedic colleagues helps ensure comprehensive care.
Our practice in Forest Hills combines Dr. Salem’s vascular skills with Dr. Mehran Manoel’s orthopedic perspective. This teamwork supports thorough evaluation from both angles. Patients should feel comfortable asking about case volume, complication rates, and what follow-up support is provided after the procedure.
Frequently Asked Questions
Many people wonder how long pain relief lasts after embolization. Published studies show benefits extending twelve to twenty-four months in suitable candidates, though individual results differ. Repeat treatment remains an option if symptoms return later.
Another common question involves risks. As with any catheter-based procedure, minor bleeding, infection, or temporary skin changes can occur. Serious complications remain uncommon when performed by experienced specialists.
Patients also ask whether insurance covers the treatment. Coverage depends on specific plans and documentation of failed conservative care. Our office staff assists with verification before scheduling.
Call (718) 897-2228 or visit https://www.msorthovasc.com to schedule a consultation and learn whether genicular artery embolization fits your situation.