Genicular Neurotomy or Ablation, as this treatment for a knee pain is called, is a new and innovative option for treating joint pain without surgery. This highly advanced procedure is on the absolute cutting edge of medicine. By selectively applying a sophisticated type of radio wave to the nerves surrounding the knee (the genicular nerves), we can effectively relieve pain in the knee from any number of causes. It involves a minimal numbing shot and placing a small “laser” needle under the skin and near the genicular nerves. It is performed in the OR with “twilight” sedation and it is very safe. We have been doing this type of treatment since 2006. Majority of the patients were able to avoid another knee surgery or total knee replacement .