Knee arthritis pain can slowly shrink your world. Stairs become something to avoid. A trip through the airport feels daunting. Golf, pickleball, walking the dog or simply getting out of a chair can become calculated decisions based on how much your knee is going to hurt.
For many seniors suffering from osteoarthritis, the treatment path is familiar. Pain medications. Physical therapy. Steroid injections. Then, eventually, a conversation about knee replacement.
But there is another option that most patients have still never heard of.
<a href="https://healthyveins.empirevein.com/gae/?utm_source=Patch_CV_&amp;utm_medium=PR_article&amp;utm_campaign=GAE_EN%20https://healthyveins.empirevein.com/es/gae/?utm_source=Patch_CV_&amp;utm_medium=Pr_article&amp;utm_campaign=GAE_span" rel="noopener nofollow" target="_blank">Genicular artery embolization, or GAE</a>, is a minimally invasive treatment for knee osteoarthritis designed for patients who want to reduce their pain and preserve their natural knee.
Arthritis is more than worn cartilage. An arthritic knee develops inflammation, and that inflammation can stimulate the growth of abnormal tiny blood vessels around the joint. Those vessels can help perpetuate inflammation and pain.
GAE targets those abnormal blood vessels.
Using X ray guidance, a physician guides a tiny catheter through an artery to the blood vessels surrounding the knee. Microscopic particles are then delivered to reduce blood flow to the abnormal vessels driving inflammation. There is no incision in the knee, nothing is implanted and there is no hospital stay. The procedure takes about an hour and patients go home the same day.<figure class="float-right"><a href="https://healthyveins.empirevein.com/gae/?utm_source=Patch_CV_&amp;utm_medium=PR_article&amp;utm_campaign=GAE_EN" target="_blank" rel="noopener nofollow"><img src="https://patch.com/img/cdn20/users/27251524/20260916/054620/oa-of-the-knee-cathers-in-leg-releaseing-tiny-particles___16174619576.jpg?width=600" id="OA of the knee, cathers in leg, releaseing tiny particles.png" data-image="OA of the knee, cathers in leg, releaseing tiny particles.png" alt="osteoarthritis of the knee and GAE treatment" srcset="https://patch.com/img/cdn20/users/27251524/20260916/054620/oa-of-the-knee-cathers-in-leg-releaseing-tiny-particles___16174619576.jpg?width=320 320w, https://patch.com/img/cdn20/users/27251524/20260916/054620/oa-of-the-knee-cathers-in-leg-releaseing-tiny-particles___16174619576.jpg?width=375 375w, https://patch.com/img/cdn20/users/27251524/20260916/054620/oa-of-the-knee-cathers-in-leg-releaseing-tiny-particles___16174619576.jpg?width=420 420w, https://patch.com/img/cdn20/users/27251524/20260916/054620/oa-of-the-knee-cathers-in-leg-releaseing-tiny-particles___16174619576.jpg?width=720 720w, https://patch.com/img/cdn20/users/27251524/20260916/054620/oa-of-the-knee-cathers-in-leg-releaseing-tiny-particles___16174619576.jpg?width=600 600w" sizes="(max-width: 325px) 320px, (max-width: 375px) 375px, (max-width: 420px) 420px, (max-width: 768px) 720px, 600px"></a><figcaption>GAE relieves knee pain caused by osteoarthritis.</figcaption></figure>
<a href="https://empirevein.com/en/our-team/dr-pushpinder-sivia/" rel="noopener nofollow" target="_blank">Dr. Pushpinder Sivia</a>, a board certified vascular surgeon at Empire Vein and Vascular Specialists in the Coachella Valley, has performed more than 1,000 GAE procedures.
&ldquo;I tell patients to think of arthritis like a fire inside the knee,&rdquo; says Dr. Sivia. &ldquo;Pain medication can turn down the smoke alarm. A steroid injection can temporarily quiet the fire. GAE is different because we are targeting one of the things helping feed that fire. We are treating a driver of the pain without removing or replacing the knee.&rdquo;
That distinction is important. Steroid injections can provide temporary relief, but repeated injections are not benign. A randomized study published in JAMA found that patients receiving steroid injections every three months for two years experienced greater cartilage loss than patients receiving saline injections, without better long term pain relief.
GAE has now been studied for more than a decade. The first clinical study for knee osteoarthritis was published in 2015. A 2026 meta analysis reviewed 45 studies involving more than 2,200 patients. Published research has shown substantial improvements in pain and function. In one of the foundational studies, more than 80 percent of patients achieved at least a 50 percent reduction in knee pain at six months.
The treatment has also moved well beyond the experimental fringe. In 2026, the Society of Interventional Radiology stated that GAE should be offered to appropriately selected patients who have failed conservative treatment and want to delay or avoid knee replacement.
For many patients, GAE is covered through Medicare and other insurance plans.
For Sarah G., the benefit was not measured in medical terminology. It was measured in her life. &ldquo;I no longer dread stairs. I can travel again. What I still cannot believe is that neither I nor my doctor had heard of GAE.&rdquo;
The biggest challenge surrounding GAE today is awareness. Many patients do not know the treatment exists. Many physicians still do not discuss it. As a result, some patients reach the point of considering knee replacement without ever hearing about a less invasive option that might allow them to keep their natural knee.
GAE is not right for everyone, and knee replacement remains an excellent operation for the right patient. But replacing a joint is an irreversible decision. Knowing every reasonable option before making that decision matters.
&ldquo;Too many patients believe they have only two choices: live with the pain or replace the knee,&rdquo; says Dr. Sivia. &ldquo;That is no longer true.&rdquo;
If knee arthritis pain is pushing you toward knee replacement, there is one question worth asking before you schedule surgery:
Have I really run out of options, or have I simply not heard about all of them yet? 
Empire Vein &amp; Vascular Specialists serves patients throughout Southern California with locations in La Quinta, Rancho Mirage, Palm Springs, Riverside, Ontario and Victorville. 
The practice specializes in minimally invasive treatments for knee pain, varicose veins, and circulation-related conditions, offering personalized care focused on long-term mobility and quality of life.
For more information or to schedule a consultation, visit <a href="https://healthyveins.empirevein.com/gae/?utm_source=Patch_CV_&amp;utm_medium=PR_article&amp;utm_campaign=GAE_EN%20https://healthyveins.empirevein.com/es/gae/?utm_source=Patch_CV_&amp;utm_medium=Pr_article&amp;utm_campaign=GAE_span" rel="noopener nofollow" target="_blank">EmpireVein.com</a> or call 1-800-KNEE-CARE.
<a href="https://healthyveins.empirevein.com/es/gae/?utm_source=Patch_CV_&amp;utm_medium=Pr_article&amp;utm_campaign=GAE_spanish" rel="noopener nofollow" target="_blank">Se habla espa&ntilde;ol.</a>

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Knee arthritis pain can slowly shrink your world. Stairs become something to avoid. A trip through the airport feels daunting. Golf, pickleball,...

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Vascular surgeon Dr. Pushpinder Sivia of <a href="https://healthyveins.empirevein.com/gae/?utm_source=Patch_CV" rel="noopener nofollow" target="_blank">Empire Vein &amp; Vascular Specialists</a>&nbsp;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:
<figure><a href="https://youtu.be/XbFrLEY_seY?si=8yHvkmyU2rbiAPkX" rel="noopener nofollow" target="_blank"><img src="https://patch.com/img/cdn20/users/27251524/20260818/091113/dr-sivia-kmir-screenshot___18211112216.jpg?width=600&amp;width=600&amp;width=600&amp;width=600" id="Dr. Sivia KMIR screenshot.png" data-image="Dr. Sivia KMIR screenshot.png" alt="Dr. Sivua of Empire Vein &amp; Vascular Specialists discusses GAE on TV" srcset="https://patch.com/img/cdn20/users/27251524/20260818/091113/dr-sivia-kmir-screenshot___18211112216.jpg?width=600&amp;amp;width=600&amp;amp;width=600&amp;amp;width=320 320w, https://patch.com/img/cdn20/users/27251524/20260818/091113/dr-sivia-kmir-screenshot___18211112216.jpg?width=600&amp;amp;width=600&amp;amp;width=600&amp;amp;width=375 375w, https://patch.com/img/cdn20/users/27251524/20260818/091113/dr-sivia-kmir-screenshot___18211112216.jpg?width=600&amp;amp;width=600&amp;amp;width=600&amp;amp;width=420 420w, https://patch.com/img/cdn20/users/27251524/20260818/091113/dr-sivia-kmir-screenshot___18211112216.jpg?width=600&amp;amp;width=600&amp;amp;width=600&amp;amp;width=720 720w, https://patch.com/img/cdn20/users/27251524/20260818/091113/dr-sivia-kmir-screenshot___18211112216.jpg?width=600&amp;amp;width=600&amp;amp;width=600&amp;amp;width=600 600w" sizes="(max-width: 325px) 320px, (max-width: 375px) 375px, (max-width: 420px) 420px, (max-width: 768px) 720px, 600px"></a></figure>
<a href="https://healthyveins.empirevein.com/gae/?utm_source=Patch_CV" rel="noopener nofollow" target="_blank">Genicular Artery Embolization, or &nbsp;GAE</a> 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 <a href="https://empirevein.com/en/our-team/dr-pushpinder-sivia/" rel="noopener nofollow" target="_blank">Dr. Sivia.</a>
"Over time, the cartilage that cushions the knee joint wears away, leading to pain, stiffness, swelling and inflammation that can make everyday activities difficult.&rdquo;
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:
&bull; Weight management and lifestyle modifications
&bull; Physical therapy
&bull; Anti-inflammatory medications
&bull; Corticosteroid injections
&bull; 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.&rdquo;
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 &mdash; 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 &mdash; 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 &amp; Vascular Specialists will review your history, assess your knee and verify your insurance coverage.
To find out whether GAE may be right for you &mdash; and to verify your insurance coverage &mdash; call 1-800-KNEECARE or visit <a href="https://healthyveins.empirevein.com/gae/?utm_source=Patch_CV" rel="noopener nofollow" target="_blank">EmpireVein.com</a>.&nbsp; English and Spanish consultations are available.
Empire Vein &amp; Vascular Specialists serves patients throughout Southern California, with locations in Palm Springs, Rancho Mirage, La Quinta, Ontario, Riverside and Victorville.


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Non-Surgical Treatment for Knee Pain Explained...

Vascular surgeon Dr. Pushpinder Sivia of Empire Vein & Vascular Specialists describes the benefits of the GAE treatment for osteoarthritis of the...

Non-Surgical Treatment for Knee Pain Explained By Dr. Pushpinder Sivia On TV News

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