Minimally Invasive Treatments

COOLIEF is a minimally-invasive, outpatient procedure designed to target only the sensory nerves directly responsible for causing a patient's knee or hip pain. Studies indicate that COOLIEF provides patients suffering with chronic knee or hip pain an average of 12 months of relief. Furthermore, during the 12 months of relief, patients’ dependency on medications decreases and they notice an improvement in their mobility and up to a 50-80% decrease in pain. COOLIEF has been approved by the FDA to treat arthritic pain related to the knee and hip.

Dr. Brandon Boyce performs the COOLIEF procedure using fluoroscopic and ultrasound guidance; as the patient's nerve tissue is heated, water circulates through the COOLIEF device. The nerve thereafter can not conduct the pain sensation from inside the hip or knee joint to the brain. The patient loses no sensation to the skin around the joint. This procedure allows Dr. Hackel to safely target these sensory nerves that are causing the pain.

Traditionally, individuals suffering with chronic pain have relied on prescription medications and/or over-the-counter treatments to ease their pain. Although many of these medications can be effective in relieving some of the pain, they are not able to target the nerves responsible for causing the pain. Furthermore, these medications and treatments frequently have troublesome side effects.

Some of these side effects include:

Constipation; Difficulty breathing; Dependency; Addiction; Fatigue; A slower recovery; Nausea; and/or Vomiting.

With the COOLIEF procedure, Dr. Brandon Boyce can treat chronic hip and knee pain, providing patients around 12 months of relief, consequently improving his or her physical abilities and reducing their dependency on pain medication during this timeframe.

Dr. Boyce provides his patients with discharge instructions following their COOLIEF procedure to ensure the best recovery and pain relief results possible.

Want to learn more?

As an experienced COOLIEF-trained physician, Dr. Brandon Boyce can determine if this procedure is right for you. If it is not, he may recommend another, non-surgical, minimally-invasive procedure available at the Andrews Institute.

COOLIEF offers patients suffering with chronic pain:

A non-surgical, minimally-invasive solution for chronic pain in the hip or knee

Improved mobility

Long-term pain relief (around 12 months);

A quicker recovery period than is seen with surgery; and

An outpatient procedure that does not require a hospital stay.

Platelet Rich Plasma is blood plasma with concentrated platelets. These platelets include bioactive proteins that initiate connective tissue healing such as bone, tendon and ligament regeneration and repair. PRP can be injected in tendons and ligaments all over the body, which can help with sports injuries and more specific injuries including tennis elbow, carpal tunnel syndrome, shin splints and many other damaged ligaments and tendons. Patients see significant improvement immediately, which may eliminate the need for aggressive treatments, such as long term medication or surgery.

Significantly less post-operative pain

Less damage to tissue

Reduced recovery time

Faster return to normal activities

Less scarring

Very small "keyhole" incisions or greatly reduced incision size

Some procedures can be performed on an outpatient basis, requiring no overnight stay in the hospital.

Most arthroscopic procedures can be performed under local or regional anesthesia (blocks), requiring only sedation. This results in fewer side effects and post-operative pain compared to traditional general anesthesia.