Vascular surgeon Dr. Pushpinder Sivia of Empire Vein & Vascular Specialists describes the benefits of the GAE treatment for osteoarthritis of the knee compared to injections and pain medications. Click on the image to view the TV news story:

Dr. Sivua of Empire Vein & Vascular Specialists discusses GAE on TV

Genicular Artery Embolization, or GAE is a minimally invasive treatment that is changing the way doctors treat chronic knee pain. GAE is covered by most insurance plans.

For millions of Americans, the first sign is the stairs. Now you are taking the elevator, parking closer, gripping the handrail and going one step at a time, or avoiding stairs altogether because the pain is simply too much.

According to the Centers for Disease Control and Prevention, more than 58 million American adults are living with arthritis. "Osteoarthritis of the knee is one of the most common forms of arthritis, particularly in people over the age of 40," says Dr. Sivia.

"Over time, the cartilage that cushions the knee joint wears away, leading to pain, stiffness, swelling and inflammation that can make everyday activities difficult.”

Knee osteoarthritis often develops gradually, becoming more common with age. Other risk factors include previous knee injuries, excess body weight, repetitive stress on the joints, family history and occupations that require frequent kneeling, squatting, climbing or heavy lifting.

Initial treatment typically includes:

• Weight management and lifestyle modifications

• Physical therapy

• Anti-inflammatory medications

• Corticosteroid injections

• Hyaluronic acid ("gel") injections

"While these treatments provide relief for many patients, the effects are often temporary and tend to become less effective over time," says Dr. Sivia. "For patients with more advanced osteoarthritis, knee replacement surgery may be recommended. Although highly effective for many people, surgery requires a longer recovery period and carries the risks of a major operation."

A Game Changer: Genicular Artery Embolization (GAE)

Genicular Artery Embolization is a minimally invasive procedure that targets one of the root drivers of arthritis pain: inflammation. "GAE targets the small blood vessels that contribute to inflammation in the knee joint," explains Dr. Sivia. "By decreasing inflammation, many patients experience meaningful improvements in pain and function. GAE has become one of the fastest-growing nonsurgical alternatives to knee replacement in the country.”

Dr. Sivia is among the most experienced GAE specialists in California, having personally performed more than 700 of these procedures. Unlike injections, whose effects typically fade within weeks or months, published studies show that GAE can deliver relief that lasts for years.

GAE is an outpatient treatment that takes about 30 minutes — no hospital stay, no general anesthesia.

During the procedure:

1. A tiny pinhole-sized opening is made, usually near the upper thigh.

2. A thin catheter is guided through the blood vessels using advanced imaging technology.

3. The catheter is positioned in the small arteries supplying the inflamed lining of the knee.

4. Tiny particles are delivered to reduce excess blood flow to the inflamed tissue.

Patients walk out the same day, and most are back to their normal daily activities almost immediately — often within a day or two. There is no lengthy rehabilitation and no time away from work or family.

Those who are suffering from knee arthritis pain, going through current treatments that aren't working, and wish to avoid knee replacement surgery may be a candidate for GAE.

The first step is simple: come in and get evaluated by a specialist. The team at Empire Vein & Vascular Specialists will review your history, assess your knee and verify your insurance coverage.

To find out whether GAE may be right for you — and to verify your insurance coverage — call 1-800-KNEECARE or visit EmpireVein.com. English and Spanish consultations are available.

Empire Vein & Vascular Specialists serves patients throughout Southern California, with locations in Palm Springs, Rancho Mirage, La Quinta, Ontario, Riverside and Victorville.

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