Chronic Knee Pain: Coolief

Added 19 Jan, 2019 [ssba]


The patient presented with knee pain of at least 5 years duration secondary to severe osteoarthritis. She was not keen on a knee replacement because of other co-morbidities. The pain was constant and exacerbated by activity. Her walking ability was restricted to a few steps at a time.




Xray of the knee confirmed severe osteoarthritis. She had seen various specialists in the past including physiotherapists, chiropractors and the orthopaedic specialist.

Unfortunately, pain relief from injection treatment with local anaesthetic and steroids lasted only a few weeks. Medications did not help her pain significantly.


The patient saw Dr. Krishna at his private clinic in Bristol, desperate for pain relief. Dr. Krishna offered her Coolief treatment (cooled radiofrequency treatment of the knee joint), following a successful test injection with local anaesthetic (diagnostic Genicular Nerve Block). The patient had an excellent response to the radiofrequency treatment and was relatively pain-free within 2 weeks of the treatment.


At the follow-up appointment 3 months after the injection, the patient reported excellent progress following Coolief treatment. She was able to walk much farther and her overall function had improved significantly. She also managed to reduce her painkillers.

She will be followed up again in 6-9 months time.

For further information please contact us at

Have a question? Or would like to book in with us?

Get in Touch

Common Conditions
that we Treat Everyday

View All Conditions

Latest from the Blog

Posted 04 Oct, 2019

How To Prevent Headaches And Migraines During Pregnancy

Have you noticed an increase in your migraines and headaches since you became pregnant? Are you worried that they may be the result of some other underlying problem? Many pregnant women will suffer from migraines and headaches during their pregnancy. The increased hormone levels can even cause these headaches to be of...
Posted 07 Feb, 2019

Stellate Ganglion Block a Potential Lifesaver in Severe PTSD

Case reports are mounting of immediate, durable, and significant relief of severe refractory symptoms of posttraumatic stress disorder (PTSD), according to an anesthesiologist who has seen the benefits firsthand. Stellate ganglion blockade (SGB) “seems to significantly improve PTSD symptoms as well as significant...