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Joint Pain Ablation

We use an innovative procedure called COOLIEF™ to treat pain in your hip, shoulder, and knee. With COOLIEF, there’s no surgery, no incision, no hospital.

If you’ve experienced arthritis or pain in your hip, back, shoulder or knee for two to three months without an adequate explanation, you may have chronic joint pain.

This pain can be caused by injuries, mechanical problems, types of arthritis, and (much less likely) tumors. Chronic hip, shoulder or knee pain can affect a person of any age.

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“An innovative procedure for your knee, back, hip and shoulder pain with no surgery”

What are the symptoms?

Depending on the cause of problem, the location and severity of pain may vary. However, common symptoms include:

  • Swelling and stiffness
  • Popping or crunching noises
  • Weakness or instability
  • Inability to fully straighten the knee
  • Redness and warmth to the touch

Am I at risk?

A number of factors can increase your risk of having chronic joint pain, including:

  • Being overweight or obese
  • Lack of muscle flexibility or strength
  • Participation in certain sports or occupations that require repetitive stress on the knees
  • A past injury of the knee
  • Age
  • Osteoarthritis (OA)
  • Gout
  • Disease

Overarching Benefit for Patient

Our physician team uses COOLIEF to treat knee, shoulder and back pain.

If you are not a surgical candidate or you are not ready for surgery, or have persistent pain after surgery, your interventional radiologist may suggest genicular nerve ablation (COOLIEF™)—a minor procedure that involves deactivating the nerves responsible for the pain.

COOLIEF™ or Cooled Radiofrequency is a minimally invasive treatment option targeting nerves that transmit pain signals and the first and only radiofrequency treatment FDA-cleared for the relief of osteoarthritis knee pain.

Genicular nerve ablation is an excellent option to bring non-surgical relief to those suffering from chronic pain, without the use of opioid medication. So, if you are not ready for surgery, or you don’t like the potential side effects of opioids, then ask your interventional radiologist about COOLIEF.

In studies of patients who specifically had a COOLIEF treatment, two-thirds say that their pain level has been cut in half, compared to those who chose intra-articular steroid injections. Eighty-three percent of patients who had been suffering from severe arthritis also report a reduction in pain with COOLIEF.

COOLIEF is often a good option for people with moderate to severe osteoarthritis pain who are not ready to have a bigger surgery, like knee replacement surgery, or who have health conditions that don’t make them a good candidate for surgery.

Physicians typically start with conservative measures to treat joint pain, including anti-inflammatory medication, rest and physical therapy. If conservative measures don’t work, and there is persisting pain, an MRI may be suggested. At this point your interventional radiologist becomes involved in treatment of your pain.

Prior to your COOLIEF procedure a test nerve block will be performed; this acts as a trial run to determine if the actual procedure will be effective. Once this has been confirmed, your COOLIEF procedure will follow. Your interventional radiologist will determine whether there are specific instructions will be needed regarding withholding medications or fasting the night prior to the procedure on an individualized basis.

The COOLIEF* procedure uses cooled radiofrequency energy to safely target the sensory nerves responsible for sending pain signals. The procedure is typically performed with local anesthetic— sedation is rarely needed. While lying on your back, the knee to be treated will be gently cleaned with antiseptic solution and covered with a sterile drape. The ablation probe will then be positioned in the regions that were pre-determined for treatment based on your initial nerve block. A radiofrequency generator then transmits a small current of RF energy through the probe, causing heating that will deactivate the nerves causing the pain.

The COOLIEF* procedure time varies depending on the specific treatment you need, but it typically takes less than an hour.

You may experience some discomfort at the radiofrequency site for a short period, but this discomfort can be treated with common over-the counter medications. It may take a couple of weeks for you to feel the full effects of the procedure. Long term, you can expect:

  • Pain relief for up to 12 months. In clinical studies, most patients receiving COOLIEF™* reported that their pain was significantly reduced.
  • Improved mobility. COOLIEF™* has been proven to significantly improve long-term physical function and quality of life for OA knee patients for up to 12 months.
  • Quick recovery time. Because the procedure is minimally invasive, most patients can expect to feel pain relief within 1-2 weeks, and experience an enhanced quality of life much sooner than with surgery.
  • No opioid recovery medication. You may experience some discomfort for a short period, but this discomfort can be treated with common over-the-counter medications.
  • No overnight hospital stay. Since this outpatient treatment requires no general anesthesia, you can return home shortly after treatment.
  • Unlike surgery, COOLIEF™* involves only a tiny incision.
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At the Fairfax Vascular Center, you are at the Center of personalized patient care.

You will receive a personal one on one consultation with one of our expert physicians. Schedule a consult with one of our doctors to see if this treatment might help you.

Outpatient Procedures at a Center Designed for Your Comfort and Safety

The Fairfax Vascular Center was built with the patient in mind, designed to make your procedure as easy and as comfortable as possible. When you come to our state-of-the-art Center, you’ll find something remarkable:

  • Advanced equipment often only found in the area’s top hospitals
  • The region’s leading vein and vascular specialists – our doctors also work at the area’s top hospitals.
  • A one on one consultation will be preformed by one of our skilled providers and a personalized treatment plan will be created.
  • Convenient and free parking right next to the center in a covered parking garage or parking lot

The highest-quality of care with you at the center.

Learn more about the Fairfax Vascular Center

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Get Relief from your Chronic Joint Pain

Interested in talking to one of our physicians about treatment? We’ll walk you through your treatment options and answer any questions you may have.

Schedule a consultation

Why This Procedure May Be Right for You

If you are not a surgical candidate, you are not ready for surgery, or have persistent pain after surgery, your interventional radiologist may suggest genicular nerve ablation (COOLIEF™)—a minor procedure that involves deactivating the nerves causing the pain.

Our Doctors

Our team of doctors work in the area’s best hospitals. When you are at our Center, you’re the center of our care. You will meet and consult with one of our providers and they will create a personalized treatment plan.

Our board-certified physicians are Vascular and Interventional Specialists for fibroid, prostate, oncology, leg and knee and spinal conditions.

Our physicians are among the most experienced in the Washington, D.C. metropolitan area and are affiliated with the region’s top-ranked hospitals, including Inova Fairfax Medical Campus.

Team members are consistently selected as “Top Doctors”. We utilize Interventional Radiology, for the treatment of vein and vascular conditions, in the comfort of an outpatient setting. Feel great knowing you are receiving the best outpatient vascular care in the D.C. area.

Meet the Doctors

A doctor in a lab coat and stethoscope, talking to a patient
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Schedule A Consultation and Move Forward With  Improving Your Health

Safe. Effective. Convenient. Get your procedure done where you’re the center of our attention.