Genicular Nerve Block

WHAT IS A GENICULAR NERVE BLOCK?

The genicular nerves are small sensory nerves around your knee joint. When these nerves are irritated—due to arthritis, injury, or surgery—they send constant pain signals to your brain. A Genicular Nerve Block involves injecting local anesthetic and anti-inflammatory medication directly near these nerves to:

Numb the pain
Reduce inflammation
Improve mobility
Help avoid surgery

This procedure is especially helpful if other treatments, like medications or physical therapy, haven’t worked.

CONDITIONS TREATED WITH A GENICULAR NERVE BLOCK

At Louisiana Spine & Pain Institute, we recommend Genicular Nerve Blocks for many types of chronic knee pain, including:

Osteoarthritis of the knee
Post-surgical knee pain, including after total knee replacement
Rheumatoid arthritis
Meniscus injuries
Knee pain not responsive to other treatments
Pain in patients who are not surgical candidates
If you’re looking for relief without undergoing surgery or dealing with long-term medications, this non-invasive treatment could be the right fit.

WHAT TO EXPECT

The Genicular Nerve Block is a quick and safe in-office treatment, done by experienced pain specialists using fluoroscopic or ultrasound imaging for precision.

Here’s what happens:

Consultation
- Your provider will evaluate your symptoms, review your medical history, and possibly order imaging to confirm the source of your pain.
Injection Procedure
- You’ll lie comfortably while the area around your knee is cleaned and numbed.
- A thin needle is used to inject medication near the three main genicular nerves that supply the knee.
- Imaging guidance ensures accurate placement.
Post-Procedure
- Most patients can stand and walk out shortly after the procedure.
- You may notice immediate pain relief, and the full benefits usually develop over the next few days.