Coolief Radiofrequency Ablation (RFA) is a non-surgical, minimally invasive technique used to manage chronic osteoarthritis (OA) knee pain by targeting the genicular nerves—sensory nerves that transmit pain from the knee joint. 🩺 Indications for Coolief Genicular Neurotomy Coolief RFA is recommended in the following scenarios: 1. Moderate to Severe Knee OA Pain • Especially in Kellgren-Lawrence Grade 2-4 OA. 2. Failed Conservative Management • NSAIDs, physiotherapy, steroid injections, and hyaluronic acid no longer provide relief. 3. Not a Candidate for Surgery • Elderly, medically unfit, or unwilling for total knee replacement (TKR). 4. Persistent Pain Post-Knee Surgery • Post-TKR or arthroscopy pain due to neuroma or central sensitization. 5. Pain Localized to the Knee Joint • Must be confirmed by diagnostic genicular nerve block before ablation. ✅ Advantages of Coolief Genicular Nerve Ablation 🔬 1. Non-Surgical, Minimally Invasive • Performed with specialized cooled RF probes using fluoroscopy or ultrasound. • No incisions or general anesthesia required. 🧠 2. Long-Term Pain Relief • Provides relief for 6–24 months. • Targets the source of pain transmission without affecting motor function. 🕒 3. Rapid Recovery • Outpatient procedure with return to activity in 24–48 hours. • No hospital admission required. 💊 4. Reduces Dependence on Pain Medications • Especially useful in elderly patients or those with renal or gastric complications from NSAIDs. 🏃 5. Improves Knee Function and Quality of Life • Enables increased mobility, improved gait, and participation in physiotherapy. 🧊 6. Cooled RF = Greater Lesion Size + Less Tissue Damage • Coolief technology allows larger lesioning with less risk of damaging adjacent structures. 👨‍⚕️ Summary Coolief RFA for genicular neurotomy is a safe, effective, and durable pain management option for knee osteoarthritis, especially when surgery is not an option or has failed. Dr Om Patil Orthopedist in Mumbai Spine surgeon in Mumbai #cooledRF #Coolief #kneepaintreatment