

Episode # 71 • 11 Mar 2025
Genicular Nerve Ablation Insights: Techniques & Data
Dr. John Smirniotopoulos, an interventional radiologist at Georgetown/MedStar Washington Hospital Center, discusses the intricacies of genicular nerve ablation (GNA) for pain management in patients with osteoarthritis and post-surgical knee pain. He delves into the history and evolution of GNA, outlines the neurovascular anatomy, and explains his specific rationale for targeting various nerves for ablation.
Timestamps
00:00 - Introduction
03:13 - Understanding Genicular Nerve Anatomy
12:06 - Tailoring GNA Treatment to Each Patient
22:39 - Comparing Ablation Devices and Methods
28:06 - GNA in Surgical and Post-Traumatic Patients
33:19 - Patient-Centered Decision Making
38:50 - Evaluating Functional Outcomes
43:39 - Comparing Treatment Modalities
49:34 - Post-Procedure Counseling and Expectations
58:40 - Future Directions in GNA Research
Resources
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More about this episode
Dr. Smirniotopoulos also compares GNA with other procedures such as corticosteroid injections, hyaluronic acid injections, and genicular artery embolization (GAE). He emphasizes the importance of managing patient expectations, the role of physical therapy, and explores different modalities of GNA, including the use of cryoablation versus radiofrequency technology. The episode offers a comprehensive overview of expert insights for evaluating knee pain and performing effective GNA.
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