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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, 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&amp;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=600&amp;amp;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=600&amp;amp;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=600&amp;amp;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=600&amp;amp;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&amp;amp;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>

The Knee Treatment Hiding in Plain Sight

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

<a href="https://youtu.be/0BDCSFl7i-w?si=SUuAlCpkk9Nhcltk" target="_blank" rel="noopener nofollow">Cotino a Storyliving by Disney Community in Rancho Mirage, CA</a>
<a href="https://www.youtube.com/redirect?event=video_description&amp;redir_token=QUM4Zm9rUnBzSkJqOGpYLVp3bElpSEtEYm5wQXxBTl9pYzRmZnlSbFFuWGU5Z0ZleGs1MVFJUTcxaVE3Tll3c1FSaWlUUWhabjBpeUEzRURGWEtJdG9VN0FGb0Jfb1ZIaWZ0UVhtSms5Y2NfWXIxQndvM0Z2eF9pVjR5M2RfRnBa&amp;q=https%3A%2F%2Frmcotino.com%2F&amp;v=0BDCSFl7i-w" target="_blank" rel="noopener nofollow">https://rmcotino.com</a> ----Click for Cotino Listings for Sale
A Disney Themed Housing Development sited on approximately 600 acres with over 1900 single family homes including a 55+ section.<a href="https://youtu.be/0BDCSFl7i-w?si=SUuAlCpkk9Nhcltk" target="_blank" rel="noopener nofollow">Cotino a Storyliving by Disney Community Recent Drone Footage Update</a>
Community with Parks, Pathways, Promenade, 24-acre Lagoon, Beachfront Clubhouse with Pool, Gym, Pickle Ball, Restaurant and a Town Center with Shopping and Entertainment.
Please like the Video and subscribe to the Channel - it really helps!
For 55+ homes for sale at Cotino at Longtable Park: <a href="https://www.youtube.com/redirect?event=video_description&amp;redir_token=QUM4Zm9rUWt0N2VLWUFSYmtna21rQ1J2dExiTXxBTl9pYzRjZ080OGIxZnIyZ21XY0lwcTRwcEFHMXJ3RGxyRnVtSHdXUHZBOEZJWDJ1T2ZsT1drd0gtUUdHZ3dtOWFJbDY1OFppbkdQdXh3SzU4Tm1TenRkQVB4VTlvd0FnYmlP&amp;q=https%3A%2F%2Flongtablepark.com%2F&amp;v=0BDCSFl7i-w" target="_blank" rel="noopener nofollow">https://longtablepark.com</a>
Todd Riley | Equity Union Real Estate | 760.507.1355 | cadre01165252 | <a href="mailto:todd@toddriley.com" rel="noopener nofollow" target="_blank">todd@toddriley.com</a>
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Cotino A Story living by Disney Community including Longtable Park a 55+ Section

Explore Del Webb Rancho Mirage Homes for Sale. A 55+ Community in Rancho Mirage, CA with 1029 Homes in a Gated Community with Extensive Amenities including Clubhouse, Pools, Tennis Courts, Pickleball Courts, Activities Rooms, Ball Room, Gym, Outdoor Living Areas, Putting Green, Golf Simulator, Wine Bar and so much more! <a href="https://youtu.be/5w67YXqmFUw?si=lMS7WVoJ_2uimd_K" target="_blank" rel="noopener nofollow">Recent drone footage click here.</a>
<a href="https://rmdelwebb.com/" target="_blank" rel="noopener nofollow">Del Webb Rancho Mirage CA Homes for Sale - Click Here</a>
Todd Riley | Equity Union Real Estate | 760.507.1355 | <a href="mailto:todd@toddriley.com" target="_blank" rel="noopener nofollow">todd@toddriley.com</a> | CADRE01165252 | <a href="https://rmdelwebb.com/" target="_blank" rel="noopener nofollow">rmdelwebb.com</a>

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September is Peripheral Artery Disease Awareness Month, and board-certified vascular surgeon Dr. Pushpinder Sivia is urging Americans to pay attention to leg and foot symptoms that may be the body&rsquo;s version of a warning light.
Leg pain is easy to brush off. Maybe it is arthritis. Maybe you walked too much. Maybe you are simply getting older.
But pain that repeatedly appears while walking and improves with rest can be a sign of <a href="https://empirevein.com/en/vascular-services/peripheral-artery-disease/?utm_source=Patch_CV_&amp;utm_medium=PR_article&amp;utm_campaign=PAD_EN" rel="noopener nofollow" target="_blank">peripheral artery disease, or PAD</a>, in which narrowed arteries reduce blood flow to the legs.
More than 400 amputations occur every day in the United States as a result of PAD. An estimated 10 to 12 million Americans over age 40 have the disease, and many do not know it.
&ldquo;PAD is easy to miss because the symptoms can seem so ordinary,&rdquo; says <a href="https://empirevein.com/en/our-team/dr-pushpinder-sivia/" rel="noopener nofollow" target="_blank">Dr. Pushpinder Sivia</a>, of Empire Vein &amp; Vascular Specialists. &ldquo;People blame arthritis, age or a muscle problem. But when the same symptoms keep happening with activity and improve with rest, that pattern matters.&rdquo;
The legs can act like the body&rsquo;s check-engine light: the warning may appear there even though the underlying problem involves circulation more broadly.
The Leg Pain That Should Get Your Attention
A classic sign of PAD is pain, cramping, aching, heaviness or fatigue in the calf, thigh or buttock that appears while walking and improves with rest.
When you walk, your muscles need more blood. If an artery is narrowed, blood flow may not keep up. When you stop, demand falls and the discomfort improves.
Other signs include one foot feeling colder, numbness or weakness, skin color changes, reduced hair growth, a slow-healing sore, or foot or leg pain at rest.
PAD Is Not Just About Your Legs
PAD is usually caused by atherosclerosis, the buildup of plaque inside the arteries. That same process can affect arteries supplying the heart and brain, raising the risk of heart attack and stroke.
Who Should Pay Extra Attention?
Risk is higher among people who smoke or used to smoke, have diabetes, high blood pressure, high cholesterol, kidney disease, heart or vascular disease, or are over age 50 with other risk factors.
Black adults have higher PAD rates and amputation risk, while underserved communities may face delays in diagnosis.
Take Off Your Socks
Take off your socks and look at your feet. Is one foot colder? Has the skin changed color? Is there a sore that will not heal? Do your calves hurt when you walk and improve when you stop?
The Test Can Be Surprisingly Simple
Checking for PAD may begin with an ankle-brachial index, or ABI, which compares blood pressure at the ankle with blood pressure in the arm. A significant difference can suggest reduced blood flow.

What Happens If PAD Is Found?
Treatment depends on severity. It may include exercise, smoking cessation, risk-factor control and medication.
Some patients may need angioplasty, stents, plaque-removal devices or intravascular lithotripsy (IVL), which uses sonic pressure waves to open calcium-hardened arteries.<figure class="float-left"><img src="https://patch.com/img/cdn20/users/27251524/20260903/062258/pad-before-after___03182257112.jpg?width=600&amp;width=600" id="PAD before-after.png" data-image="PAD before-after.png" srcset="https://patch.com/img/cdn20/users/27251524/20260903/062258/pad-before-after___03182257112.jpg?width=600&amp;amp;width=320 320w, https://patch.com/img/cdn20/users/27251524/20260903/062258/pad-before-after___03182257112.jpg?width=600&amp;amp;width=375 375w, https://patch.com/img/cdn20/users/27251524/20260903/062258/pad-before-after___03182257112.jpg?width=600&amp;amp;width=420 420w, https://patch.com/img/cdn20/users/27251524/20260903/062258/pad-before-after___03182257112.jpg?width=600&amp;amp;width=720 720w, https://patch.com/img/cdn20/users/27251524/20260903/062258/pad-before-after___03182257112.jpg?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"></figure>
Don&rsquo;t Ignore the Warning Light
&ldquo;Your legs can give you an early warning that there may be a circulation problem,&rdquo; Dr. Sivia says. &ldquo;The important thing is not to keep dismissing the same warning over and over.&rdquo;
During PAD Awareness Month, pay attention to the pattern. Look at your feet. Notice what happens when you walk. And if something keeps feeling wrong, get it checked.
We would never keep driving for months with the check-engine light on. We should not do it with our bodies, either.
For more information or to schedule a consultation, visit <a href="https://empirevein.com/en/vascular-services/peripheral-artery-disease/?utm_source=Patch_CV_&amp;utm_medium=PR_article&amp;utm_campaign=PAD_EN" rel="noopener nofollow" target="_blank">EmpireVein.com</a> or call&nbsp;1-888-263-7167.
Empire Vein &amp; Vascular Specialists is located in Rancho Mirage, La Quinta, Palm Springs, Riverside, Ontario and Victorville.

That Leg Pain May Not Just Be "Just Getting Older"

September is Peripheral Artery Disease Awareness Month, and board-certified vascular surgeon Dr. Pushpinder Sivia is urging Americans to pay...

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Looking for a meaningful way to give back? Learn how you can transform the life of a Coachella Valley youth in foster care as a <a href="https://about:blank" rel="nofollow noopener" target="_blank">Court Appointed Special Advocate (CASA) volunteer</a>.
CASAs volunteers are trained by <a href="https://about:blank" rel="nofollow noopener" target="_blank">Voices for Children</a> and matched with a child or sibling group in foster care. They get to know the child’s situation, communicate with professionals on the case, and ensure the child’s needs are being met. Right now, 24 local children&nbsp;are&nbsp;waiting for a CASA of their own, so the need is real.
Voices for Children invites you to attend an in-person information session on Thursday, October 1, from 5:30 to 7 p.m. at the Regional Access Project (RAP) Foundation located at 41-550 Eclectic St. in Palm Desert. 
During the session, you will:
●Learn about the role of a CASA, the training and support provided, and the difference you can make in a child’s life.
●Meet the Voices for Children team, hear directly from a CASA volunteer, and discover how your time and compassion can help a local child feel seen, supported, and heard.
●Learn about the application process and the next steps to becoming a CASA volunteer.
Join us to learn how, with only 10 hours a month, you can help a child thrive and put them on a path toward a successful future. 
<a href="https://www.speakupnow.org/volunteer/volunteer-information-session/" rel="nofollow noopener" target="_blank">Register here to reserve your spot!</a>
For more information, please email: <a href="https://rcvolunteer@speakupnow.org" rel="nofollow noopener" target="_blank">rcvolunteer@speakupnow.org</a>

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Celestial Solar &amp; Water Systems, Inc. is a trusted solar energy company serving Temecula and the surrounding Southern California communities. Our skilled team specializes in designing and installing solar heating systems for residential and commercial swimming pools, helping homeowners and businesses extend their swim season while cutting energy costs. With a 4.8-star rating from nearly 600 Google reviews, we've built our reputation on quality workmanship, honest guidance, and dependable service. From your first free estimate through professional installation and ongoing support, our experienced technicians handle every step with care. Whether you're looking to warm your pool naturally, reduce reliance on gas heaters, or make your home more energy efficient, Celestial Solar delivers solutions built to last. Contact us today to schedule your free consultation and discover how solar pool heating can work for you.

Celestial Solar & Water Systems, Inc. is a trusted solar energy company serving Temecula and the surrounding Southern California communities. Our...

Otis Services LLC is a professional HVAC contractor dedicate

Otis Services LLC

Otis Services LLC is a professional HVAC contractor dedicated to providing reliable heating and cooling solutions to residents throughout the Coachella Valley and Hi-Desert communities. Based locally, the company focuses on delivering honest, high-quality workmanship for homeowners, rental properties, and specialized spaces like casitas and garages. Whether you need routine maintenance or a complete system upgrade, they are committed to ensuring your home remains comfortable year-round. The company specializes in central air conditioning installation and replacement, as well as the installation of efficient mini-split systems for home offices, workshops, and additions. They offer a comprehensive annual air conditioning maintenance service for $75, which includes a full system inspection, performance check, electrical safety review, condenser cleaning, and a new air filter. This proactive approach helps prevent unexpected breakdowns and keeps HVAC systems running at peak efficiency during the intense desert heat. Customers can expect transparent, upfront pricing and a commitment to getting the job done right the first time. Otis Services LLC makes it easy to get started by offering free estimates on all new installations and providing convenient communication options via phone or text at 760-668-3311.

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