Chronic knee pain can make even simple daily activities — walking, climbing stairs, or standing for long periods — feel exhausting. For many people, knee osteoarthritis is the underlying cause, leading to inflammation, stiffness, and ongoing discomfort. If medications, injections, or physical therapy have not provided lasting relief, Genicular Artery Embolization (GAE) may offer a minimally invasive solution.
Dr. Nathanael Sabbah provides advanced, image-guided treatments like GAE to help patients reduce pain, improve mobility, and return to a more active life — without major surgery.
Genicular Artery Embolization is a non-surgical, outpatient procedure designed to reduce knee pain caused by osteoarthritis. The pain from osteoarthritis is often linked to chronic inflammation inside the knee joint. Over time, this inflammation leads to the growth of abnormal blood vessels in the knee lining (synovium). These vessels contribute to swelling, irritation, and pain.
GAE targets this problem at its source.
During the procedure:
Importantly, GAE does not affect the healthy structures of the knee or compromise overall circulation. The goal is simply to calm the inflammation driving your discomfort.
GAE has become an increasingly popular option for knee osteoarthritis because it offers several advantages compared to traditional treatments.
Key benefits include:
For patients who are not ready for knee replacement or who are not good surgical candidates, GAE can be a game-changing alternative.
GAE is not for every type of knee pain, but it can be highly effective for the right patients.
You may be a good candidate if you:
GAE is often especially helpful for individuals with moderate to severe osteoarthritis who still want to stay active but are limited by pain.
A consultation with Dr. Nathanael Sabbah includes a full review of your medical history, imaging, and symptoms to determine if GAE is right for you.
One of the biggest advantages of Genicular Artery Embolization is the relatively smooth recovery process.
Immediately After the Procedure
First Few Days
Pain Relief Timeline
GAE does not work instantly like a numbing injection. Instead, relief develops gradually as inflammation decreases.
Activity Level
Living with constant knee pain can affect your work, sleep, exercise, and overall quality of life. If conservative treatments haven’t worked and surgery feels like a big step, Genicular Artery Embolization may be the middle ground you’ve been looking for.
Dr. Nathanael Sabbah specializes in minimally invasive, image-guided procedures designed to treat pain at its source. A personalized evaluation can help determine whether GAE is the right option for your condition and goals.
Schedule a consultation today and take the next step toward lasting knee pain relief and better mobility.
No. GAE is a minimally invasive procedure, not open surgery. It uses a small catheter and imaging guidance instead of large incisions.
Most GAE procedures take about 1–2 hours, and patients go home the same day.
Some patients are able to delay or avoid knee replacement after GAE. Results vary depending on the severity of arthritis and overall joint health.
Patients are typically comfortable during the procedure. Local anesthesia and medication help minimize discomfort.
As with any procedure, there are potential risks, but GAE is generally considered safe when performed by an experienced specialist. Your doctor will review all risks and benefits with you.
Many patients experience long-term pain reduction. Follow-up care and lifestyle factors can help maintain results.
Take the first step toward relief from BPH symptoms. Contact our office to schedule your consultation with Dr. Sabbah.
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Posted on Michael FussTrustindex verifies that the original source of the review is Google. Dr Sabbah and his staff are both friendly and professional, and more to the point, the man made the point of checking with me personally the day after the procedure and made himself available personally over the holiday weekend in case I needed help. So far the procedures results have been great in this first week and a half. I was walking around the same day of the procedure without a catheter and after the first couple of days the swelling started to come down. By the end of the week, my prostate felt normal with no discomfort.... a far cry from what it would have been if I had elected to do a traditional T U R P. So far I have seen that all three major functions of my prostate have been retained which means that 1). I have bladder control 2) I have the ability to have an erection 3) I have an ejaculation all of those things are risk factors with a traditional T U R P. In the next few months my prostate will likely shrink significantly giving me the kind of uninterrupted sleep that I used to enjoy in my 30s let alone having coffee again without without consequences. Lastly and most importantly during the procedure, my left side was more difficult to maneuver to get into and in order to save me the second procedure trip, Dr. Sabbah worked extra hard and took the extra time to make sure that he could take care of that side as well on the same visit. I'm thrilled with the outcome and the doctor and his staff great job I highly recommend him MichaelPosted on Brad KeimachTrustindex verifies that the original source of the review is Google. Here is what I wrote to Dr. Sabbah: "Thank YOU for your wisdom, skills, and the great support team. Valaria was a total wonder. One great concern about medical procedures/hospitalization is being heard, getting responses that are helpful AND timely. Valaria took care of me like I was her father! And so did you, and I appreciate that deeply. I can't say that about the front desk staff, but I had a good feeling after our initial meeting, and I'm glad to say I was right. After the procedure, I said to my friend that I would hope that ANY/EVERY procedure I would ever need would be done by you and Valaria!!!! When my family members were in their last health battles, both in Boston and in Santa Barbara, none of them got care that you gave me. I know this, because I was there as their advocate. So, deep thanks! You are a rare gem!" I admit I was nervous before the surgery, but Dr. Sabbah and Valaria were so professional and positive, that my fears were greatly allayed. I had asked about topical lidocaine so that the entry point(s) would not be painful to me. They both said yes. Consequently, there was no pain during the prodecure. Every time I texted Dr. Sabbah, he responded with a detailed answer to all my questions almost immediately, both after hours and on weekends! I sent him photos of the surgery site and he assured me that it looked perfect and not to worry about a thing. I wish Dr. Sabbah was a general surgeon and family practitioner. I don't know if I will ever get medical care like this again!Posted on harry hashemiTrustindex verifies that the original source of the review is Google. ⭐️⭐️⭐️⭐️⭐️ I had an excellent experience with this clinic. The doctor performed my PAE procedure with exceptional skill and professionalism. The environment was clean, organized, and calming. The staff were not only friendly and welcoming but also highly educated and attentive throughout my visit. I’m truly impressed—five stars all the way!Posted on ZaraTrustindex verifies that the original source of the review is Google. I had A PAE done with Dr. Sabbah he and his staff very professional and proactive. His genuine interest is amazing. I give them 5 starsPosted on Jim ShewbertTrustindex verifies that the original source of the review is Google. I had my PAE on June 23 2025 and a month later my BPH symptoms have improved . I no longer have to get up several times a night to relieve myself. I recommend Dr Sabbah and his team to anyone who suffers from BPH.Posted on Joe MignognaTrustindex verifies that the original source of the review is Google. Dr. Sabbah and the entire staff were knowledgeable, competent, and attentive to making sure I was taken care of. The experience was simple and in a few hours I was able to resume 95% of my normal activities.
Non-surgical treatments focus on symptom relief without removing prostate tissue, offering an alternative for men who wish to avoid surgical procedures.
Many patients notice gradual improvement in urinary symptoms over several weeks following treatment.
Yes. Non-surgical BPH treatments have a strong safety profile when performed by experienced specialists.
Non-surgical approaches are designed to preserve normal prostate and sexual function.
You can contact Socal Interventional to schedule a consultation with Dr. Nathanael Sabbah for expert evaluation and care.
We proudly serve patients throughout Van Nuys and Irvine, CA, extending our specialised care to nearby communities including Reseda, Santa Monica, Pasadena, Beverly Hills, Long Beach, Newport Beach, Laguna Beach, Manhattan Beach, Riverside, Santa Clarita, Calabasas, Simi Valley, Tustin, Lake Forest, Mission Viejo, and Woodland Hills.