Knee

Knee pain, without going straight to replacement.

Osteoarthritis, meniscus problems and tendon pain each need different handling — including genicular artery embolization for arthritic knees that injections have stopped helping.

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The gap this fills

There is a long stretch between "take an anti-inflammatory and lose some weight" and "you need a knee replacement". Many people spend years in it. That stretch is where interventional and regenerative options belong.

Knee osteoarthritis is the most common reason people come to us for a knee, but it is not the only one. Meniscus tears, patellar and quadriceps tendinopathy, bursitis and referred pain from the hip or lower back all present as knee pain, and a knee X-ray showing arthritis does not rule any of them out.

What we see

What we treat in the knee

  • Osteoarthritis — stiffness in the morning, pain on stairs and after sitting
  • Knee pain that injections used to help and no longer do
  • Meniscus tears, including degenerative tears in older knees
  • Patellar and quadriceps tendinopathy
  • Pes anserine and prepatellar bursitis
  • Knees that still hurt after arthroscopic surgery
  • People who want to delay or avoid a knee replacement

How it works

How the knee gets assessed here

  1. 01

    Dynamic ultrasound

    We watch the knee under load rather than judging it from a still image. Tendon and bursal problems in particular show themselves this way and are invisible on a standard X-ray.

  2. 02

    Rule out referred pain

    Hip arthritis and lumbar nerve root irritation both refer pain into the knee. Treating the knee for either is a wasted procedure.

  3. 03

    Match the treatment to the tissue

    Steroid, hyaluronic acid, PRP, shockwave and embolization each suit different problems. The diagnosis decides which.

  4. 04

    Reassess honestly

    If a treatment does not do what we expected, that is information about the diagnosis. We revisit it rather than repeating the same procedure.

Treatment options for the knee

Genicular artery embolization (GAE)

A minimally invasive procedure targeting the abnormal blood vessels that feed inflammation in an arthritic knee. An option for knee osteoarthritis that has stopped responding to injections, in patients not ready for replacement.

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Ultrasound-guided knee injection

Steroid or hyaluronic acid placed accurately in the joint — guidance matters more in the knee than most people assume.

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Genicular nerve block & radiofrequency ablation

Quiets the nerves carrying pain from the knee joint. An option when the joint itself cannot be changed but the signal can.

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Platelet-rich plasma

For earlier-stage arthritis and tendon problems around the knee.

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SoftWave therapy

Non-invasive option for chronic patellar and quadriceps tendon pain.

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In their words

Patients treated for this

5.0 from 217 Google reviews
★★★★★
Dr Loch studied the recent MRI of my knee and was able to give me details on the damage to my knee. He also had a plan to help me get some use without all the pain. So far so good.
Jim Bechtel
★★★★★
From the initial call to make the appointment to speaking with Dr. Loch. We had a great conversation and am waiting for the order to get an MRI on my knee. It was a great first step to getting treatment on my knee.
Scott Stewart
★★★★★
Over a year ago, I received a PRP injection in my knee and the results have been outstanding. Dr. Loch and his team are exceptional—I couldn’t recommend them more highly. Thanks to their care, I’ve been able to return to all of my favorite sports and activities without limitation.
BJ Fletcher
Read all reviews on Google → Synced from Google on 24 July 2026

Questions we get asked

What is genicular artery embolization?
In an arthritic knee, abnormal new blood vessels grow into the inflamed lining of the joint and contribute to pain. GAE reduces that blood supply through a catheter placed via a small puncture, without opening the knee. It is aimed at people with knee osteoarthritis whose pain is no longer controlled by injections and who are not ready for or not suitable for replacement.
Will this let me avoid a knee replacement?
It may delay it, and for some people it is enough. It does not reverse arthritis, and we will not tell you it does. What it can do is change the pain enough to keep you active, which is worth a great deal on its own.
Is PRP better than a cortisone shot?
They do different things. Cortisone reduces inflammation quickly and its effect fades; repeated use has downsides for joint tissue. PRP aims at the tissue itself and works more slowly. Which is right depends on your knee, your stage of arthritis and your timeline. PRP is generally not covered by insurance.
My knee X-ray shows bone on bone. Is there anything left to try?
Often yes, in terms of pain. Genicular nerve ablation and embolization both target the pain signal rather than the cartilage, which is why they remain options in advanced arthritis.

Eliminate pain and reclaim your life.

Request an appointment with Dr. Loch, or call the office at (904) 750-3787. Most patients are seen within a week.

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