855-980-6981 Are you experiencing chronic joint pain in your lower extremities, such as knee pain after surgery or persistent ankle pain? Our innovative nerve surgery can help. We offer solutions for patients who have attempted other treatments that were unsuccessful or are seeking a long-term solution for chronic joint pain without the need for daily pain medications.
UNDERSTANDING & DIAGNOSING CHRONIC JOINT PAIN
Chronic joint pain most often affects knees and ankles, as constant use exacerbates pain in these weight-bearing joints. Patients may also experience pain in wrists, shoulders, and elbows. If you have seen an orthopedic surgeon and continue to have unexplained joint pain, you may be a candidate for joint denervation surgery.
The first way we look at joint pain is structural; you go to an orthopedic surgeon, for example, and they will see if there’s anything that can be done. They may check for a bone spur or a broken bone history that wasn’t addressed properly, assess arthritis, or even suggest a joint replacement for areas such as knees. Once the orthopedist has done all they can do and exhausted all possible orthopedic solutions, it might be time to consider joint denervation surgery.
Our Mission Is To Improve The Quality Of Our Patients’ Lives
Our cutting-edge procedures have helped transform the lives of thousands of patients. Hear their stories and more about the procedure here:
29 CONVENIENTLY LOCATED OFFICES ACROSS NEW YORK, NEW JERSEY, AND PENNSYLVANIA
Flemington
194 NJ-31
Pavilion 2, Suite 102
Flemington, New Jersey 08822
Pavilion 2, Suite 102
Flemington, New Jersey 08822
Phone:
855-980-6981
Montclair
Mountainside Medical Center (Inside Harries Pavilion) 1 Bay Avenue
Suite 4
Glen Ridge, New Jersey 07028
Suite 4
Glen Ridge, New Jersey 07028
Phone:
855-980-6981
Phoenixville
826 Main Street
Suite 203
Phoenixville, Pennsylvania 19460
Suite 203
Phoenixville, Pennsylvania 19460
Phone:
855-980-6981
Brick
74 Brick Boulevard
Building 4, Suite 205
Brick, New Jersey 08723
Building 4, Suite 205
Brick, New Jersey 08723
Phone:
855-980-6981
East Brunswick
192 Summer Hill Rd
Suite 201
East Brunswick, New Jersey 08816
Suite 201
East Brunswick, New Jersey 08816
Phone:
855-980-6981
Florham Park
83 Hanover Road
Suite 260
Florham Park, New Jersey 07932
Suite 260
Florham Park, New Jersey 07932
Phone:
855-980-6981
Hopewell
1 Capital Way
Suite 390, 3rd Floor
Pennington, New Jersey 08534
Suite 390, 3rd Floor
Pennington, New Jersey 08534
Phone:
855-980-6981
New York City
635 Madison Ave
14th Floor
New York City , New York 10022
14th Floor
New York City , New York 10022
Phone:
855-980-6981
Bridgewater-Greymark
1200 US Route 22 East
Suite 19
Bridgewater, New Jersey 08807
Suite 19
Bridgewater, New Jersey 08807
Phone:
855-980-6981
Freehold
3499 Route 9 North, Building 2
Suite 2C-2
Freehold, New Jersey 07728
Suite 2C-2
Freehold, New Jersey 07728
Phone:
855-980-6981
Egg Harbor Township
4096 English Creek Ave
Egg Harbor Township, New Jersey 08234
Egg Harbor Township, New Jersey 08234
Phone:
855-980-6981
Hackensack
20 Prospect Ave
Suite 903, 9th Floor
Hackensack, New Jersey 07601
Suite 903, 9th Floor
Hackensack, New Jersey 07601
Phone:
855-980-6981
Jersey City
377 Jersey Avenue
Suite 220
Jersey City, New Jersey 07302
Suite 220
Jersey City, New Jersey 07302
Phone:
855-980-6981
Montgomery
700 W Germantown Pike
Suite 200
East Norriton, Pennsylvania 19403
Suite 200
East Norriton, Pennsylvania 19403
Phone:
855-980-6981
San Francisco
45 Castro Street
Suite 121
San Francisco, California 94114
Suite 121
San Francisco, California 94114
Phone:
415-565-6136
New Orleans
1717 St. Charles Avenue
Rear Entrance
New Orleans , Louisiana 70130
Rear Entrance
New Orleans , Louisiana 70130
Phone:
504.608.7499
Ridgewood
1124 East Ridgewood Ave
Suite 201
Ridgewood, New Jersey 07450
Suite 201
Ridgewood, New Jersey 07450
Phone:
201-289-5551
Jersey Shore University Medical Center
19 Davis Avenue
7th Floor
Neptune City, New Jersey 07753
7th Floor
Neptune City, New Jersey 07753
Livingston
22 Old Short Hills Road
Suite 202
Livingston, New Jersey 07039
Suite 202
Livingston, New Jersey 07039
Phone:
609-608-0142set
Manahawkin 517
517 Route 72 West
Suite K
Manahawkin, New Jersey 08050
Suite K
Manahawkin, New Jersey 08050
Phone:
609-363-2944
Cape May Courthouse
106 Court House South Dennis Road
Building 200, Suite 200
Cape May Courthouse, New Jersey 08210
Building 200, Suite 200
Cape May Courthouse, New Jersey 08210
Phone:
609-363-1174
Hammonton
219 N White Horse Pike
Suite 104
Hammonton, New Jersey 08037
Suite 104
Hammonton, New Jersey 08037
Phone:
609-363-2694
North Bergen
7650 River Road
Suite 240
North Bergen, New Jersey 07047
Suite 240
North Bergen, New Jersey 07047
Phone:
201-778-9181
Manahawkin 1100
1100 Route 72 West
Third Floor, Suite 306A
Manahawkin, New Jersey 08050
Third Floor, Suite 306A
Manahawkin, New Jersey 08050
Phone:
855-980-6981
Fort Lauderdale
2320 NE 9th St
Suite 300
Fort Lauderdale, Florida 33304
Suite 300
Fort Lauderdale, Florida 33304
Phone:
954-563-4500
Frequently
Asked
Questions
What are the underlying causes of chronic joint pain?
Dr. Adam Saad: Some of the causes of chronic joint pain could be someone who broke a bone and the joint was injured, or someone who has arthritis and they get a knee replacement but they still have pain caused by the joint not working well. There are other causes like the nerves themselves can be directly injured, by something like a car accident or even just by falling.
Lateral Femoral Nerve and Anterior Femoral Nerve
What can cause nerve-related joint pain?
Dr. Adam Saad: Sometimes the nerves that supply feeling to the joint can become injured directly, and they can either get what is called a neuroma, which is the nerve building scar tissue, or the nerve can get the signals mixed up. The nerve keeps telling the body that there is a problem, but there is not actually a problem. So, in these patients where the nerve is injured, the nerve keeps firing, keeps sending that electrical signal to the brain, and it tells the brain that there is a problem with the joint even if there is no problem (resulting in pain signals to the brain). This can be caused by direct trauma or the nerve being injured from other reasons.
How do you determine if the patient’s pain is nerve-related?
Dr. Andrew Elkwood: As nerve surgeons, we often look for something called a Tinel’s sign. A Tinel’s sign is when you tap on a nerve and you get a little bit of an electric shock, which tells you there is a problem with the nerve at the point where you get that shock. This is a very important component of a nerve exam.
What is joint denervation surgery and how can surgery alleviate chronic joint pain?
Dr. Andrew Elkwood: What we do with joint denervation surgery is find those small nerves, they are not quite microscopic but many of them are about as thin as a wire on a paperclip, we find those nerves and we cut them and hopefully that denervates the joint. By denervating the joint, you don’t really cause numbness to the skin and for the most part your proprioception (knowing where your joint is in space, is it bent, is it twisted, etc.) is not gone either. The goal of joint denervation surgery is just taking the pain away from a painful joint.
Who might be a candidate for joint denervation surgery?
Dr. Michael Rose: The people who are candidates for joint denervation surgery are people who have had chronic pain in a joint that has been addressed by an orthopedic surgeon and they’ve come up with no real answer. The first way we look at joint pain is structural; you go to an orthopedic surgeon for example, and they will see if there’s anything that can be done and check if there’s a bone spur or a broken bone history that wasn’t addressed properly, some arthritis, or even joint replacement if it’s a knee we’re talking about. So there’s a number of things that might be addressed, but once those have been addressed and the orthopedist has done all they can do and can’t offer further solutions, at that point it might be time to consider joint denervation surgery. Because, if you can’t feel the joint then you can’t have the pain and you can go on with your life.
What does recovery look like after surgery?
Dr. Michael Rose: Recovery from joint denervation surgery is actually very simple. You’re generally not doing anything orthopedically, meaning you aren’t doing anything with the joint itself. If you’ve had orthopedic surgery in the past, that recovery is a lot more intensive than joint denervation surgery. Usually we do these surgeries with relatively small incisions, and what we are doing is just finding the nerves that give that pain signal from the joint to your brain, so you have the sensation of pain. By cutting that nerve through a small incision, we can stop the signal, so you aren’t experiencing pain anymore. The recovery is very simple, it is just a few small incisions in a few key places around the joint we are denervating, and you get on with your life pretty quickly. We may immobilize you for a short period of time, but it’s usually not more than a few days and you don’t typically require physical therapy after.
