VR and Cooled Genicular Nerve Radio Frequency Ablation for Chronic Knee Pain

Inclusion Criteria: * Patients undergoing genicular RFA will be eligible for inclusion in the study * Patients with knee pain, baseline average of \> 4/10 * X-ray evidence of osteoarthritis of the knee * Pain duration of \>6 weeks and no previous knee surgeries * Patients will also only be included who have never undergone a RFA on the affected knee Exclusion Criteria: * Individuals who do not have evidence of osteoarthritis on X-ray, * Secondary gain expected to influence treatment outcomes * Poorly controlled psychiatric condition that could affect outcome (e.g. active substance abuse) or impose a barrier to participation * Chronic opioid use and anticoagulation therapy that cannot be stopped and could warrant a different treatment approach (e.g. phenol ablation) * Severe motion sickness * Seizure disorder * Vision loss * Pregnant * Nursing