If you’ve been researching genicular artery embolization (GAE) for knee osteoarthritis, you’ve probably read about what it is, how it compares to knee replacement, and the science behind it. Now the question is personal: Could it work for me?
This self-assessment checklist is designed to help you organize your thoughts before scheduling a consultation. It’s not a diagnostic tool—only a clinical evaluation with imaging can determine true candidacy—but it can help you understand whether your situation fits the profile of patients who benefit most from GAE.
Part 1: Your Knee Condition
Check each statement that applies to you:
- I’ve been diagnosed with knee osteoarthritis by a doctor
- My X-rays or MRI show mild-to-moderate cartilage loss (not “bone-on-bone”)
- My knee pain has been present for more than 3 months
- My knee is often swollen or feels warm
- My pain is worse with activity but also present at rest
- I have morning stiffness that lasts less than 30 minutes (OA pattern, not inflammatory arthritis)
Scoring: If you checked 3 or more, your condition profile aligns with the patients who respond best to GAE in clinical trials.
Part 2: Your Treatment History
- I’ve completed at least one course of physical therapy
- I’ve taken NSAIDs (ibuprofen, naproxen) regularly for my knee pain
- I’ve tried cortisone (steroid) injections, which helped temporarily but wore off
- I’ve tried viscosupplementation (hyaluronic acid injections) without lasting benefit
- I’ve tried PRP or other injectable treatments without adequate relief
- Conservative treatments provided some relief but are no longer sufficient
Scoring: If you checked 2 or more, you’ve typically met the “failed conservative management” threshold used in GAE clinical trials. Most studies enrolled patients who had at least 3 months of conservative treatment without adequate pain control.
Part 3: Your Goals and Preferences
- I want to avoid or delay knee replacement surgery
- I want to preserve my natural joint as long as possible
- I can’t afford a 3–6 month recovery from major surgery right now
- I’d prefer a minimally invasive, same-day outpatient procedure
- I want a treatment that doesn’t prevent future surgery if I eventually need it
- I’m looking for a solution that lets me return to activity within days, not months
Scoring: If you checked 3 or more, your goals align with what GAE is designed to deliver.
Part 4: Factors That May Suggest GAE Is Not the Best Fit
Check any that apply:
- My X-rays show severe bone-on-bone arthritis (KL grade 4) with no joint space remaining
- My knee pain is primarily mechanical (locking, catching, giving way) rather than aching/inflammatory
- I have significant knee deformity (bowing or knock-knee alignment)
- My orthopedic surgeon has recommended knee replacement and I agree the time is right
- I have inflammatory arthritis (rheumatoid arthritis, gout, psoriatic arthritis) rather than osteoarthritis
Scoring: If you checked 1 or more in this section, GAE may not be your best option. These situations typically call for joint replacement or rheumatologic management. However, it is still worth discussing with a GAE specialist because some patients with borderline indications may still benefit.
Interpreting Your Results
Strong candidate (Parts 1–3 score high, Part 4 score zero): Your profile closely matches the patients in GAE clinical trials who experienced 55% pain reduction at 12 months. A consultation is highly recommended.
Possible candidate (mixed scores): You may benefit from GAE, but there are factors that need clinical evaluation. Bring your imaging and treatment history to a consultation so Dr. Chun can assess your specific situation.
Likely not a candidate (Part 4 score high): Your knee condition may be better addressed by knee replacement or other treatments. That said, if you have persistent pain after a previous knee replacement, emerging evidence suggests GAE may still help.
What to Bring to Your GAE Consultation
To make the most of your appointment, bring your most recent knee X-rays or MRI (or the name of the imaging facility so we can request them), a list of all treatments you’ve tried and how long each provided relief, your current medications, a description of how your knee pain affects your daily life, and your questions.
Frequently Asked Questions
The Bottom Line
This checklist is a starting point, not a final answer. Only a clinical evaluation—including a review of your imaging, symptoms, and medical history—can determine whether GAE is right for you. But if your self-assessment suggests you’re in the right category, the next step is straightforward.
Schedule a GAE consultation: Call (240) 427-1630 or visit www.sacmd.com
Disclaimer: This self-assessment is for informational purposes only and does not constitute medical advice. It is not a diagnostic tool.
