Coolief: Genicular Nerve Block & RF Neurotomy of Knee Joint
Chronic osteoarthritis pain of the knee is often not effectively managed with non-pharmacological or pharmacological treatments. Radiofrequency (RF) neurotomy (Coolief), when applied to articular nerve branches (genicular nerves), provides a therapeutic alternative for effective management of chronic pain associated with osteoarthritis of the knee.
Although surgery is generally effective for patients with advanced disease, some older individuals with comorbidities may not be appropriate surgical candidates. In addition some patients do not wish to consider surgery and prefer non- surgical options. In these patients, radiofrequency (RF) neurotomy of the genicular nerves might be a successful alternative to surgery. This procedure is based on the theory that cutting the nerve supply to a painful structure may alleviate pain and restore function.
At Pain Spa Dr Krishna is very experienced in performing interventional pain procedures. In December 2013, Dr Krishna became the first clinician in the UK to perform cooled radiofrequency treatment (Coolief) of the knee joint.