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Knee Pain Treatment

Expert Pain Medicine & Medical-Legal Evaluation

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Knee Pain Conditions We Treat

Knee pain can come from arthritis within the joint, chronic inflammation, irritation of the genicular nerves, or persistent pain after knee replacement. Because different structures can produce similar symptoms, the right treatment begins with a careful evaluation.

We commonly help patients experiencing:

Knee arthritis

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Persistent pain after knee replacement

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Genicular nerve pain

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Knee Joint Pain

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Chronic knee pain

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Nerve-related pain around the knee

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Find Comfort From Chronic Knee Pain, Arthritis, And Ongoing Nerve Pain

Knee pain can make it difficult to walk, climb stairs, exercise, sleep, or complete everyday activities comfortably. Some patients experience aching, stiffness, or swelling within the joint, while others continue to have pain after knee replacement or develop symptoms involving the nerves around the knee.
Our pain management team helps identify the likely source of your symptoms and recommend treatment options based on your condition, medical history, and goals.
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Knee Arthritis And Chronic Knee Pain

Knee arthritis develops when the joint surfaces become irritated or worn over time. This may lead to pain, stiffness, swelling, reduced mobility, and difficulty with weight-bearing activities. Patients may experience aching within the knee, pain when standing from a seated position, discomfort while walking, or symptoms that worsen when climbing stairs. Some patients also notice grinding, reduced range of motion, or increased pain after activity.

Treatment options may include:

  • Knee joint steroid injections
  • Knee PRP injections
  • Genicular nerve blocks
  • Genicular radiofrequency ablation

A knee joint steroid injection may be used when inflammation within the joint is contributing to pain. PRP may be considered when appropriate based on the patient’s condition, prior treatment, and goals.

When pain signals from the genicular nerves appear to be contributing to chronic knee symptoms, a genicular nerve block may help determine whether a nerve-targeted treatment approach is appropriate.

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Persistent Pain After Knee Replacement Treatment

Some patients continue to experience pain after total or partial knee replacement. Symptoms may remain after the surgical area has healed and can interfere with walking, sleep, exercise, and daily activities.
Persistent pain after knee replacement may involve the nerves around the knee or another ongoing pain source. Patients may experience aching, burning, sensitivity, stiffness, or pain during weight-bearing activity.

Treatment options may include:

  • Genicular nerve blocks
  • Genicular radiofrequency ablation
  • Peripheral nerve stimulation
  • Spinal cord stimulation evaluation in selected cases
  • Dorsal root ganglion stimulation evaluation in selected cases

A genicular nerve block may be used to evaluate whether the nerves surrounding the knee are contributing to the ongoing pain. When the response is meaningful, genicular radiofrequency ablation may be considered.

Peripheral nerve stimulation may also be evaluated for patients with persistent pain that has not improved adequately with other treatments. In selected cases, spinal cord stimulation or dorsal root ganglion stimulation may be considered as part of a more advanced pain treatment plan.

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Genicular Nerve Pain Treatment

Genicular nerve pain may cause persistent discomfort around the knee even when the primary source is not active inflammation inside the joint. Patients may describe the pain as aching, burning, sharp, or sensitive.
Symptoms may become more noticeable during walking, standing, climbing stairs, or other activities that place stress on the knee. Genicular nerve pain may occur with chronic arthritis or remain after knee surgery.
Treatment options may include:
  • Genicular nerve blocks
  • Genicular radiofrequency ablation
  • Genicular peripheral nerve stimulation
Treatment begins by identifying whether the genicular nerves appear to be contributing to the pain. A diagnostic nerve block may provide useful information before a longer-lasting procedure is considered.
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Knee Joint Pain

Knee pain may come from inflammation within the joint, changes related to arthritis, or pain signals carried by nearby nerves. Selecting the appropriate injection depends on the suspected source of symptoms.
Treatment may include:
  • Knee joint steroid injections
  • Knee PRP injections
  • Diagnostic genicular nerve blocks
  • Therapeutic genicular nerve procedures
Joint injections target structures within the knee, while genicular nerve procedures focus on the nerves carrying pain signals from the area. A focused evaluation can help determine which approach may be most appropriate for the patient’s symptoms and treatment goals.
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Chronic Knee Pain

Peripheral nerve stimulation may be considered in selected cases of persistent knee pain, genicular nerve pain, or ongoing symptoms after knee replacement.
This treatment uses a small electrical signal to influence pain transmission along a targeted peripheral nerve. It may be evaluated when more conservative care, injections, or nerve ablation have not provided adequate relief.
Potential candidates may include patients with:
  • Chronic genicular nerve pain
  • Persistent pain after knee replacement
  • Ongoing pain despite prior injections or procedures
  • Symptoms that significantly affect mobility and daily life
Whether peripheral nerve stimulation is appropriate depends on the patient’s diagnosis, prior treatment response, medical history, and overall pain pattern.
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What To Expect At Your Visit

Your evaluation may include a physical exam, a review of your symptoms and medical history, and a discussion of whether imaging, prior records, or additional diagnostic steps are needed to better understand your condition and recommend appropriate next steps.
We may ask about:
  • Where your knee pain begins and whether it travels
  • Whether symptoms are aching, burning, sharp, or sensitive
  • Which activities make the pain worse
  • Whether walking, standing, or climbing stairs increases symptoms
  • Whether the knee feels stiff or swollen
  • Whether pain interferes with sleep
  • Whether you have undergone knee replacement
  • Prior medications, injections, imaging, therapy, or surgery
  • How symptoms affect work, exercise, mobility, and daily activities
  • Whether previous nerve blocks provided temporary relief
Your provider may also evaluate knee movement, areas of tenderness, strength, walking mechanics, and whether the symptoms appear to involve the joint, surrounding tissues, or genicular nerves.
From there, we can discuss which treatment options may be appropriate for your specific diagnosis and goals.
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A More Targeted Approach To Knee Pain

Not all knee pain comes from the same source. Arthritis inside the joint, genicular nerve pain, or persistent symptoms after knee replacement may require different treatment strategies.
Our approach focuses on:
  • Identifying the likely source of your pain
  • Distinguishing joint-related pain from nerve-related symptoms
  • Reducing unnecessary trial-and-error treatment
  • Using diagnostic genicular nerve blocks when appropriate
  • Providing targeted knee joint injections
  • Considering PRP when clinically appropriate
  • Performing genicular radiofrequency ablation in appropriate cases
  • Evaluating peripheral nerve stimulation for selected patients
  • Considering spinal cord or DRG stimulation in selected cases
  • Helping you understand your treatment options clearly
You do not have to keep guessing whether your pain is coming from arthritis, the knee joint, nearby nerves, or changes following knee replacement. A focused evaluation can help clarify the cause and guide your next step.

Schedule A Knee Pain Consultation

If knee pain, stiffness, nerve symptoms, or persistent discomfort after knee replacement is interfering with your walking, sleep, exercise, or daily activities, our team can evaluate your condition and discuss available treatment options.
Schedule Appointment

Patient Stories

What To Expect At Your Visit

Your evaluation may include a physical exam, a review of your symptoms and medical history, and a discussion of whether imaging, prior records, or additional diagnostic steps are needed to better understand your condition and recommend appropriate next steps.

We may ask about:

  • Where your neck pain begins and where it travels
  • Whether you experience numbness, tingling, or weakness
  • Which movements or positions make symptoms worse
  • Whether your pain began after an accident or injury
  • How long your symptoms have been present
  • Whether you experience headaches, shoulder pain, or arm pain
  • Prior medications, injections, imaging, therapy, or specialist visits
  • How your symptoms affect sleep, work, mobility, and daily activities

Your provider may also evaluate your range of motion, muscle tenderness, strength, reflexes, sensation, and signs of nerve irritation.

From there, we can discuss which treatment options may be appropriate for your specific diagnosis and goals.

A More Targeted Approach To Knee Pain

Not all knee pain comes from the same source. Arthritis inside the joint, genicular nerve pain, or persistent symptoms after knee replacement may require different treatment strategies.

Our approach focuses on:

  • Identifying the likely source of your pain
  • Distinguishing joint-related pain from nerve-related symptoms
  • Reducing unnecessary trial-and-error treatment
  • Using diagnostic genicular nerve blocks when appropriate
  • Providing targeted knee joint injections
  • Considering PRP when clinically appropriate
  • Performing genicular radiofrequency ablation in appropriate cases
  • Evaluating peripheral nerve stimulation for selected patients
  • Considering spinal cord or DRG stimulation in selected cases
  • Helping you understand your treatment options clearly

You do not have to keep guessing whether your pain is coming from arthritis, the knee joint, nearby nerves, or changes following knee replacement. A focused evaluation can help clarify the cause and guide your next step.

Schedule A Knee Pain Consultation

If knee pain, stiffness, nerve symptoms, or persistent discomfort after knee replacement is interfering with your walking, sleep, exercise, or daily activities, our team can evaluate your condition and discuss available treatment options.

Schedule Appointment

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