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Tennis elbow treatment. Relief without surgery

Transarterial Elbow Embolization (TAE) is a minimally invasive, image-guided procedure for chronic tennis elbow that has not responded to rest, bracing, therapy, or injections. It reduces the abnormal blood flow feeding pain in the tendon on the outside of the elbow. Board-certified interventional radiologists perform it as an outpatient procedure with no surgery and no general anesthesia, with relief that builds over the following weeks.
  • No surgery, no general anesthesia
  • Covered by most insurance

Same-day, outpatient

with local anesthesia
and light sedation

Non-surgical
treatment

image-guided procedure,
no elbow surgery required

Back to light
activity

Typically the next day,
with gradual return to sports

Board-certified / Fellowship-trained

Interventional radiologists across Houston & DFW

About tennis Elbow

What is tennis elbow (lateral epicondylitis)?

Tennis elbow, or lateral epicondylitis, is pain and tenderness on the outside of the elbow. It develops when the tendons that connect your forearm muscles to the bony bump on the outer elbow are strained by repetitive gripping and wrist extension, causing pain that can radiate down the forearm.

Tennis elbow is one of the most common causes of elbow pain and typically affects adults between 30 and 50. Despite the name, most people who develop it do not play tennis. As the strain becomes chronic, the tendon degenerates and grows clusters of tiny abnormal blood vessels that keep feeding the pain long after the original injury. This is the cycle TAE is designed to break.
SYMPTOMS

What are the symptoms 
of tennis elbow?

Tennis elbow usually announces itself as pain and tenderness on the outside of the elbow that worsens with gripping, lifting, or twisting, and can radiate into the forearm.
Do I have tennis elbow? Take the quiz!
  • Pain and tenderness
    on the outer elbow
  • Weak or painful grip
  • Stiffness, often worse
    in the morning
  • Pain when gripping,
    lifting or twisting
  • Pain shaking hands or
    turning a doorknob
  • Symptoms lasting
    several months
Progression & Timing

Why treat tennis elbow early?

Tennis elbow often responds to conservative care in its early stages. The longer it lasts, the more likely abnormal vessels keep the pain going, which is where TAE becomes an option.

1. Acute

Recent pain that usually responds to rest, ice, bracing, and activity changes, often within weeks.

2. Persistent

Pain that lingers for months and returns whenever you use the arm, despite conservative care.

3. Chronic (tendinosis)

pain lasting six months+, with abnormal vessels feeding the inflammation. This is the point where TAE is most valuable.

Causes & Risk Factors

What causes tennis elbow
and who is at risk?

According to Cleveland Clinic, tennis elbow, also known as lateral epicondylitis, occurs when repetitive wrist and arm movements place stress on the tendons that connect the forearm muscles to the outside of the elbow, leading to pain, tenderness, and weakness that can affect daily activities.

Racquet and paddle sports

Tennis, pickleball, squash, and racquetball, often with poor technique or the wrong equipment.

Repetitive gripping & lifting at work

Painting, plumbing, carpentry, auto work, and food preparation.

Tool and keyboard use

Repeated wrist extension from hand tools, typing, and mouse use.

Poor technique or equipment

An ill-fitting grip or a racquet that is too heavy can place added strain on the elbow.

Age and other factors

Most common in mid-life adults, typically affecting people between the ages of 30 and 50.

Chronic tendon degeneration

Abnormal vessels that build over time and keep the tendon painful.

your options

How is tennis elbow treated?

Treatment starts by resting the tendon and taking strain off the outer elbow. Most people improve with conservative care. TAE offers a minimally invasive option when those measures fall short, before surgery.

Rest, ice & bracing

Activity changes and a brace to reduce strain on the tendon.

Physical therapy & eccentric exercise

Stretching and strengthening to restore mobility and promote healing.

NSAIDs & steroid injections

Short-term pain and inflammation relief.

PRP injections

Platelet-rich plasma aimed at supporting tendon healing.

Tendon release surgery

An open procedure reserved for severe cases when other treatments fail.

WHAT WE DO

Transarterial Elbow Embolization (TAE)

A minimally invasive, image-guided option for chronic tennis elbow that has not responded to conservative care. Reduces the abnormal blood flow driving pain, without surgery.

See if you're a candidate!

MEET YOUR DOCTORS

Transarterial Elbow Embolization doctors in Houston & Dallas

Together, our doctors have performed tens of thousands of minimally invasive vascular and joint procedures across both metros.
Portrait of Eric Hardee

Dr. Eric Hardee

Co-Founder · Interventional Radiologist
Co-founder of Texas Endovascular and a board-certified interventional radiologist serving the Houston and Katy areas. Specializes in UFE, PAD, and vein disease.
Portrait of Dr Fox

Dr. William Fox

Co-Founder · Interventional Radiologist
Board-certified interventional radiologist and co-founder of Texas Endovascular, serving Central Houston. Specializes in fibroid embolization, vein disease, and PAD.
Dr. Jay Patel, M.D.

Dr. Jay Patel

Dallas-Fort Worth Interventional Radiologist
Board-certified interventional radiologist leading fibroid care at the Dallas and Plano clinics, offering UFE for women throughout the DFW metroplex.
Ryan Armstrong

Dr. Ryan Armstrong

Interventional Radiologist
Board-certified interventional radiologist providing advanced, minimally invasive care across Greater Houston — uterine fibroids, vein disease, PAD, and joint conditions.

Dr. AJ Valenson

Interventional Radiologist · Bilingual (EN/ES)
Board-certified interventional radiologist and lead provider at the Clear Lake (Webster) clinic. Fluent in English and Spanish, serving the Houston Bay Area.
the TAE procedure

How does Transarterial Elbow Embolization (TAE) work?

Rather than operating on the elbow, TAE targets the abnormal blood vessels that fuel chronic tendon inflammation. Reducing that blood flow calms the inflammation and eases inner-elbow pain, with no incision on the elbow, no general anesthesia, and minimal downtime.
The procedure, step by step
  1. A tiny catheter is guided to the arteries supplying your elbow through a pinhole in the wrist or groin — with local numbing and light sedation.
  2. Microscopic particles reduce blood supply to the abnormal vessels (neovascularization) feeding inflammation around the medial epicondyle — healthy circulation is untouched.
  3. The "fire" of inflammation is gradually dampened over the following weeks — elbow pain eases and most patients return to their normal activity with a short course of therapy.
The procedure typically takes under an hour, and you go home the same day with a small bandage. Most patients resume light activity right away, and pain relief builds over the first weeks to months as inflammation resolves.

Outpatient, same-day

No hospital stay. You go home within an hour or two.

No surgery on the elbow

A single pinhole — no scalpel, no general anesthesia, lower risk of infection or nerve injury than surgery.

Minimal downtime

Most patients resume light activity right away and return to routine within a day or two — no cast, no sling.

Covered by most insurance

We verify your benefits in advance and explain costs clearly.

Are you a candidate for TAE?
Take our 60-second quiz to find out whether this non-surgical option may be right for your elbow pain.
Compare your options

TAE vs. steroid injections vs. surgery

Tennis elbow embolization offers a modern alternative when conservative treatments haven't worked — here's how it compares, at a glance.
TreatmentInvasivenessAnesthesiaRecovery/RehabDurability of relief
Transarterial Elbow Embolization (TAE)  WHAT WE DOMinimally invasive (pinhole)Local + light sedationMinimal; light activity same dayDurable (treats the source)
Steroid injectionsNon-surgical (injection)LocalSame dayWeeks–months (masks symptoms)
Bracing, therapy + NSAIDsNon-invasiveNoneOngoing (months)Helpful; slow while inflammation persists
PRP injectionsNon-surgical (injection)LocalDays to weeksVariable; inconsistent response
Tendon release surgerySurgicalGeneral/regionalWeeks of rehabilitationHigh (higher risk of infection / nerve injury)
WHY TEXAS ENDOVASCULAR

Why choose Texas Endovascular for TAE

Personalized, patient-focused care for chronic outer-elbow pain, focused on relief, restored grip, and getting you back to your activities.

Specialists for elbow embolization

Board-certified interventional radiologists trained in TAE.

Advanced precision guidance

Image-guided targeting of the abnormal vessels, not the healthy tendon.

Convenient locations across Texas

Clinics throughout Greater Houston and Dallas-Fort Worth.

Real patient stories

What patients say about 
joint care at Texas Endovascular

Rated 5 stars by hundreds of Houston and Dallas patients
"I couldn't take my first steps in the morning without wincing. A few weeks after the procedure, that stabbing heel pain was gone."
Denise R.
"My podiatrist said surgery was next. Embolization got me back on my feet — no incision, no long recovery on crutches."
Marcus T.
"Steroid shots only helped for a few weeks at a time. This finally treated the cause — I'm back to my morning runs."
Lourdes G.
"In and out the same day with a small bandage. I wish I'd known about this option before living with heel pain for two years."
Sandra K.
Convenient to you

Where can I get TAE in Houston & Dallas?

TAE is an innovative procedure offered at select Texas Endovascular clinics across Greater Houston and Dallas-Fort Worth, delivered by board-certified interventional radiologists.

Houston

4747 Bellaire Blvd,
Suite 550
Bellaire, TX 77401
Schedule here

Katy

1331 West Grand Parkway
N, Suite 210
Katy, TX 77493

Schedule here

Sugar Land

7619 Branford Place
Suite 230
Sugar Land, TX 77479
Schedule here

The Woodlands

8850 Six Pines Drive,
Suite 280
The Woodlands, TX 77380
Schedule here

Clear Lake

390 East Medical Center Blvd
Webster, TX 77598
Schedule here

Dallas

3920 W Wheatland Rd
Suite 108
Dallas, TX 75237

Schedule here

Plano

5425 W. Spring Creek Parkway
Suite 100
Plano, TX 75024

Schedule here

Fort Worth

6620 Bryant Irvin Road
Suite 100
Fort Worth, TX 76132

Schedule here
Questions

Tennis elbow embolization FAQs

Still unsure? Our Houston and Dallas teams are happy to answer your questions over the phone.
Am I a Candidate? Take the quiz281.690.5082469.343.0265

What is Transarterial Elbow Embolization (TAE)?

TAE is a minimally invasive, image-guided procedure that reduces the abnormal blood flow around an inflamed elbow tendon. An interventional radiologist threads a tiny catheter to the arteries near the elbow and places microscopic particles that calm the source of chronic tennis elbow pain.

Does embolization work for tennis elbow?

Studies of TAE for chronic tennis elbow that failed conservative care report meaningful pain relief and improved function, with results sustained in follow-up out to two years and a low rate of complications. The procedure is still emerging, so your interventional radiologist will confirm whether you are a good candidate.

Who is a good candidate for TAE?

You may be a candidate if you have had outer-elbow pain for six months or more and rest, bracing, therapy, and injections have not worked. TAE is designed for chronic tennis elbow driven by abnormal vessels, which imaging can confirm.

How is TAE different from tennis elbow surgery?

TAE requires no incision on the elbow and no open tendon repair. It is done through a pinhole in the wrist or groin as a same-day outpatient procedure, with a faster return to activity than open surgery.

Is TAE painful, and what is recovery like?

Most patients go home the same day and return to light activity the next day. Strenuous activity and sports are usually possible around two weeks. Pain tends to ease over the first few weeks, with function improving over the following months.

How long does the TAE procedure take?

TAE is an outpatient procedure. Confirm the typical duration with your care team, since it varies by case.

Does insurance cover TAE for tennis elbow?

Insurance can vary. Our team reviews your benefits and explains any costs before anything is scheduled.

Is tennis elbow the same as golfer's elbow?

No. Tennis elbow affects the tendons on the outside of the elbow, while golfer's elbow affects the tendons on the inside.

When should I see a doctor for elbow pain?

See a provider if the pain worsens despite rest and self-care, interferes with daily activities, or keeps you from your usual sports or hobbies.

FROM OUR DOCTORS

Learn about joint care from the specialists who treat it

Our physicians break down the questions patients ask most, in plain language, without the medical jargon.