No, GAE is not painful at all. While general anesthesia isn’t necessary, we will use local anesthesia with light sedation to ensure you’re completely comfortable and pain-free throughout the procedure.

1. How would you explain the hemorrhoid embolization procedure?

This modern procedure is a minor surgery performed under local anesthesia. Small particles are inserted through a catheter to block the artery that supplies blood to the hemorrhoid. The hemorrhoid then shrinks, and the recovery starts. The recovery is less painful compared to traditional surgery.

2. Will I be in pain if I choose hemorrhoid artery embolization?

No. The entire journey of having a hemorrhoid artery embolization is usually not painful. Patients often experience mild discomfort during the procedure. The minor discomfort the patient may experience can be alleviated with over-the-counter medications.

3. Should I go for hemorrhoid embolization if my case is severe?

Hemorrhoid embolization is usually effective for most patients. But, it may not be the best decision if your hemorrhoids are larger or the case is complicated. In such cases, specialists generally recommend going with a traditional surgery.

4. How do I know if hemorrhoid embolization is risky or not?

Here’s a fact you must know: the hemorrhoid embolization technique is known to be the safest. It is a minor surgery where slight discomfort is only felt during the procedure. The pain in the recovery phase is bearable. It all depends on the hygiene and care the patients take to avoid getting the catheter insertion area infected.

5. Will I have to take a long leave from work after hemorrhoid embolization?

No, not at all. It will only take a day or two to get back on your feet. At most, a patient may take a week’s rest. With the flow of blood reduced, the hemorrhoids begin to shrink. The pain being bearable is not a point of concern when it comes to rejoining an active life.

Genicular Artery Embolization South Florida

A State-of-the-Art Treatment for Knee Pain

GAE represents the latest advancement in interventional radiology—a highly targeted approach that blocks the tiny arteries fueling inflammation in the knee joint. Unlike joint replacement surgery or other aggressive procedures, GAE requires no hospital stay, no stitches, and minimal downtime. At South Florida Vascular Associates, our board-certified interventional radiologists perform this advanced treatment in a calm, comfortable outpatient setting.

Understanding Knee Pain

Osteoarthritis is the most common cause of chronic knee pain, especially in adults over 50. This degenerative joint disease breaks down the cartilage that cushions the knee, leading to pain, swelling, stiffness, and reduced mobility. Over time, the inflammation increases as the body sends more blood to the affected area through the genicular arteries, but GAE works by reducing this abnormal blood flow to target the problem at its source.

Book Your GAE Appointment

BOOK APPOINTMENT

Causes and Risk Factors of Osteoarthritis

Osteoarthritis (OA) develops gradually over time and is influenced by a combination of mechanical, biological, and lifestyle factors. While wear and tear of the joint cartilage is a key contributor, several other elements can increase your risk of developing osteoarthritis related knee pain. These include:

Age: The risk of osteoarthritis increases significantly in individuals over the age of 50, as cartilage naturally breaks down with age.
Joint Injury or Trauma: Previous injuries to the knee, whether from sports, accidents, or surgery, can accelerate cartilage degeneration.
Repetitive Stress: Occupations that place repeated stress on the knees, such as heavy lifting, kneeling, or high-impact sports, contribute to joint damage over time.
Obesity: Excess body weight places additional strain on weight-bearing joints, particularly the knees.
Family History: Those with a family history of osteoarthritis may be more prone to developing the condition themselves.
Sedentary Lifestyle: Lack of physical activity can weaken the muscles that support the joints, reducing joint stability and accelerating cartilage breakdown.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– James R.

“Staff is awesome! Extremely knowledgeable & professional. They explained every step to me and spent plenty of time to answer my questions.”

– Anthony P.

“I was referred to Dr. W. Julian by my PCP and very happy that I was. Dr. Julian found a clogged artery that could have been life threatening if left untreated. My experience from consult to discharge was met courtesy, warmth and professionalism which helped me through my procedure. Sean greeted me and my son who explained the whole process and what to expect. I was also looked after by Josh, Jackie and Reuben who could not have been more supportive or communicative through this adventure.”

– Lorette K.

“The whole staff were very professional and very helpful in navigating me through every procedure, treatments and follow ups. I would certainly recommend South Florida Vascular Associates.”

– Don S.

“I have been very impressed by the way this office functions. Each and every person I’ve encountered has been very personable and professional. I’ve had minimal wait times before being seen. The tests I’ve had were done efficiently and results explained to me quickly. I would highly recommend this office.”

– Robert G.

“All of the staff were friendly, courteous, and professional. Examination and consultation were thorough and expedited in a timely manner. I felt relaxed throughout the visit and all my medical questions and concerns were met and answered to my satisfaction. Would recommend this office to anyone seeking vascular care.”

– Felix G.

“I highly recommend this office for any vascular procedure you may need. The staff are awesome. They were very considerate and professional. My procedures were all a success and I am very happy with the end result. Top marks on everything.”

– Todd H.

“I'd like to express my gratitude for taking care of me this past Monday for the venous procedure on my legs. Please extend my gratitude to the staff who took care of me, like Anissa Rodriguez, Josh Rush, Kerx, Maruli, Rosaline, and Daniela. You were all so very professional and kind.”

– Luis M.

Symptoms of Osteoarthritis

Osteoarthritis (OA) of the knee occurs when the protective cartilage within the joint gradually wears down, leading to inflammation, reduced mobility, and pain. As the condition progresses, the bones may begin to rub against each other, further increasing discomfort and joint damage. You may be a candidate for Genicular Artery Embolization (GAE) if knee osteoarthritis is causing persistent and disruptive symptoms such as:

Ongoing or worsening knee pain
Stiffness or swelling, particularly after rest or in the morning
Difficulty walking, bending, or climbing stairs
A grinding or crunching sensation within the joint
Pain that intensifies following physical activity
Reduced range of motion in the knee

The Genicular Artery Embolization Procedure

GAE is performed in the office under local anesthesia with light sedation, making it a comfortable and low-risk experience for most patients. During the procedure, a small catheter is inserted through a tiny puncture in either the groin or foot. Using advanced imaging technology, the physician carefully guides the catheter to the genicular arteries that supply blood to the inflamed areas of the knee. Once in position, tiny particles are injected to block these abnormal blood vessels, effectively reducing blood flow to the inflamed tissue. This process helps to alleviate pain and improve joint function over time. The entire procedure typically takes just 60 to 90 minutes, and patients return home the same day.

Genicular Artery Embolization Aftercare

After the procedure, patients resume their normal activities within just a few days. Some mild discomfort or bruising may occur at the catheter insertion site, but this typically resolves within a few weeks.

Receive Expert Care No Matter Where You Are

Traveling to South Florida for vascular treatments like Prostate Artery Embolization, Uterine Fibroid Embolization, Hemorrhoidal Artery Embolization, and Genicular Artery Embolization allows you to access expert care from our renowned vascular specialists, regardless of your location. We offer same-day consultations, and most procedures can be scheduled within a week—making it easier than ever to receive timely, effective care. Our team is dedicated to helping you plan a seamless and comfortable visit to our state-of-the-art facilities in South Florida, ensuring that your medical journey is complemented by a relaxing stay. Whether you’re seeking relief from BPH symptoms or fibroid-related discomfort, we invite you to explore our travel resources to make your visit to South Florida both therapeutic and enjoyable.

LEARN MORE

Benefits Over Other Knee Pain Relief Options

Genicular Artery Embolization (GAE) is a highly effective, minimally invasive solution for managing severe knee pain caused by osteoarthritis. Unlike traditional surgical options, GAE requires only a tiny catheter insertion and is performed under local anesthesia with light sedation. There are no large incisions, no general anesthesia, and no prolonged hospital stays, making it an ideal option for patients seeking a faster, safer path to relief. GAE is often a more appealing choice compared to more invasive procedures such as:

Knee Replacement Surgery
Knee Arthroscopy
Radiofrequency Ablation
Intra-articular Steroid Injections
Hyaluronic Acid Knee Injections

Many surgical treatments involve significant recovery time, higher complication risks, and the potential for permanent joint changes. In contrast, GAE preserves the natural knee structure and offers a quicker return to normal activity. It’s a safe, outpatient alternative that can significantly improve quality of life without compromising joint integrity.

Frequently Asked Questions

Is GAE painful?

Is there any downtime after GAE?

Are there any risks with GAE?

What is the most common cause of knee pain?

Is GAE an outpatient procedure?

When can I get back to working out after GAE?

Schedule a Consultation

Don’t let debilitating knee pain limit your lifestyle. Whether you’ve tried everything or are just beginning your search for answers, Genicular Artery Embolization may be the solution you need. Contact South Florida Vascular Associates today to schedule your consultation and take the first step toward lasting pain relief.

Providers

William Julien, MD

Board-Certified Vascular Interventional Physician

MEET THE PROVIDER

Mana Khatkar, PA-C

Certified Physician Assistant

MEET THE PROVIDER

Anissa Rodriguez, NP-C

Certified Nurse Practitioner

MEET THE PROVIDER

Gina Lowy, PA-C

Certified Physician Assistant

MEET THE PROVIDER

Genicular Artery Embolization (GAE)

Quick Links

A State-of-the-Art Treatment for Knee Pain

Understanding Knee Pain

Book Your GAE Appointment