Genicular nerve block is a procedure to manage knee pain from osteoarthritis or post-surgery when other treatments fail. Using X-ray or ultrasound guidance, a provider places a small needle near key knee nerves and injects a numbing medication like lidocaine to block pain signals temporarily. This 5 to 10-minute procedure targets three nerve areas: top outside, top inside, and lower inside of the knee.

It helps assess if a longer-lasting treatment, radiofrequency ablation (RFA), could be beneficial. A 50% pain reduction within 24 hours suggests RFA might be effective long-term.

Other options include physical therapy, anti-inflammatory meds, knee injections, and regenerative therapies like PRP, BMAC, and M-Fat. In severe cases, knee replacement might be considered.

If RFA isn't effective, another option is Genicular Artery Embolization (GAE), which reduces pain by blocking small arteries causing inflammation, helpful for severe osteoarthritis patients not ready for surgery. Peripheral nerve stimulation (PNS) is another option if GAE fails, using an implanted device to modulate nerve signals. If both RFA and PNS are unsuccessful, advanced treatments like Dorsal Root Ganglion (DRG) or Spinal Cord Stimulation (SCS) may be used for long-term relief.

Genicular nerve blocks are generally safe, though risks include temporary soreness, increased pain, or, rarely, nerve damage or an allergic reaction. Some medications, like blood thinners, may need to be paused. Rest post-procedure is recommended.

After the injection, most experience pain relief, aiding in planning long-term management. Follow-up is crucial to evaluate the procedure's success. If knee pain limits mobility, a genicular nerve block might be your first step to relief. Discuss with your provider to explore suitable options.