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Genicular Nerve Ablation Insights: Techniques & Data with Dr. John Smirniotopoulos, Dr. Venkatesh Krishnasamy on the BackTable MSK Podcast
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BackTable MSK

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

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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.

The Materials available on BackTable are provided for informational and educational purposes only and are not a substitute for the independent professional judgment of a qualified healthcare professional in diagnosing or treating patients. Any opinions, statements, or views expressed are those of the individual contributors and do not necessarily reflect those of the publisher, platform, or any affiliated organization.

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