Inclusion Criteria:  Men and women with pain secondary to osteoarthritis of the knee Age of 18 years and up Fits criteria for procedure of genicular nerve block and pulsed radiofrequency neuromodulation  Exclusion Criteria:  Patients who are incapable of judgment and/or to give informed consent Patients who are pregnant Patients who are under 18 years old Patients who have allergies to local anesthetic Patients with platelet dysfunction or bleeding disorders Patients who are currently mentally unstable Patients who have a diagnosis of fibromyalgia