Genicular Artery Embolization (GAE) in Spokane

Treatment for Chronic Knee Pain in Spokane

Chronic knee pain can make even simple activities like walking, climbing stairs, or exercising feel difficult. For many patients, the cause is osteoarthritis, a condition that leads to inflammation, stiffness, and limited mobility.

At Peak IR, our interventional radiologists offer genicular artery embolization (GAE) as a safe and effective, minimally invasive procedure to relieve pain and improve function for patients with knee osteoarthritis. Using advanced imaging, GAE targets the tiny arteries that cause inflammation in the knee, providing lasting relief without surgery or long recovery times.

Understanding Knee Osteoarthritis

Osteoarthritis is the most common cause of chronic knee pain. It occurs when the cartilage that cushions the bones wears down over time, causing friction, swelling, and inflammation.

Common symptoms include:

  • Pain or stiffness, especially after activity or rest
  • Swelling or tenderness in the knee joint
  • Difficulty walking, bending, or climbing stairs
  • A grinding or catching sensation in the joint


While medications, physical therapy, or injections can help manage symptoms, many patients continue to experience pain. Genicular artery embolization offers a proven, minimally invasive alternative.

Advanced, Image-Guided Precision

GAE is performed under real-time imaging, allowing our interventional radiologists to precisely target the small vessels that supply the joint capsule of the knee. This focused approach reduces inflammation and pain while preserving healthy tissue.

Why Choose GAE

For Patients Who Want to Avoid Surgery

GAE is an excellent option for individuals who are not candidates for knee replacement or who prefer a less invasive approach. It can also help reduce pain for those awaiting orthopedic surgery.

Minimally Invasive and Non-Surgical

The procedure is performed through a small puncture in the wrist or groin. It does not require any incisions or general anesthesia. Patients return home the same day and resume normal activity within a few days.

Experienced, Specialized Care

At Peak IR, our physicians combine advanced imaging technology with years of interventional experience. Every treatment is personalized to deliver safe, lasting results that improve comfort and mobility.

How Genicular Artery Embolization Works

Accessing the Arteries

The procedure begins with a small puncture in the artery in the wrist or groin. Using advanced imaging, the interventional radiologist guides a thin catheter into the arteries that supply the inflamed areas of the knee.

Targeted Embolization

Tiny, medical-grade particles are released into these arteries to block the abnormal blood flow, causing inflammation. This reduces pain signals and helps decrease inflammation in the knee joint over time.

Recovery and Results

Most patients experience a noticeable decrease in knee pain within the first month after GAE, with results continuing to improve over time. Most patients are back to normal activities within days.

Comparing Your Treatment Options

Feature
Genicular Artery Embolization (GAE)
Knee Replacement SurgerySteroid InjectionsPhysical Therapy
Approach
Image-guided, minimally invasive
Open surgical procedureMedication injected into jointStrengthening and mobility exercises
Hospital Stay
Outpatient
1–3 daysOutpatientOutpatient
Recovery Time
2–5 days
6–12 weeksShort-term reliefOngoing commitment
Effectiveness
Long-lasting pain relief
Highly effectiveTemporary improvementHelps manage symptoms
Anesthesia
Local with sedation
General or spinalLocalNone
Ideal Candidates
Moderate to severe knee pain from arthritis
Severe joint damageMild to moderate arthritisEarly-stage or post-treatment care

What to Know About Genicular Artery Embolization

GAE is best suited for patients with moderate to knee pain from osteoarthritis who have not found adequate relief from medications, injections, or physical therapy and who wish to avoid surgery.

Yes. GAE is a safe, FDA-recognized procedure performed under image guidance by trained interventional radiologists. Complications are rare and typically mild.

The procedure usually takes one to two hours. Patients are monitored briefly afterward and can go home the same day.

Most patients experience gradual pain relief beginning within two to four weeks after the procedure, with continued improvement over several months.

Genicular artery embolization is covered by many insurance providers when medically indicated. Our team will confirm coverage and assist with all pre-authorizations.

Peak IR, Spokane Washington – Minimally Invasive Vascular Treatments for Knee Pain

Our Team

At the heart of Peak IR is a team of physicians who combine national expertise with a local commitment to care.

Peak IR, Spokane Washington – Minimally Invasive Vascular Treatments

Dr. Jacob Underwood

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Peak IR, Spokane Washington – Minimally Invasive Vascular Treatments

Dr. Andrew Perez

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Peak IR, Spokane Washington – Minimally Invasive Vascular Treatments

Dr. Mark Wilson

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Peak IR, Spokane Washington – Minimally Invasive Vascular Treatments

Dr. Justin Smith

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Take the First Step Toward Relief

At Peak IR, we believe patients deserve lasting relief without invasive surgery or prolonged recovery. Our specialists use image-guided procedures like genicular artery embolization to help restore comfort, mobility, and confidence—so you can get back to the life you love.