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281-690-5082 HOUSTON

The Woodlands, texas

Knee pain treatment in The Woodlands, TX

Knee osteoarthritis pain that hasn't improved with injections, medication, or physical therapy doesn't always mean knee replacement is the next step. At Texas Endovascular in The Woodlands, our board-certified interventional radiologists offer genicular artery embolization (GAE), an outpatient procedure that calms the inflammation behind arthritis pain, with no incision on the knee and no general anesthesia.
Texas Endovascular - The Woodlands exterior shot

8850 Six Pines Dr Ste 280, The Woodlands, TX 77380
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Contact us: 
Phone:
(713) 489-6857
Fax: (713) 575-3688

Office Hours
Monday – Friday: 8am – 5pm
Saturday – Sunday: Closed

About The woodlands clinic

Knee pain care close to home in The Woodlands

at a glance

Texas Endovascular, and its sister brand Texas Knee Institute, treats knee pain at our clinic in The Woodlands, an outpatient interventional radiology clinic at 8850 Six Pines Drive, Suite 280, The Woodlands, TX 77380, less than half a mile from Memorial Hermann The Woodlands Medical Center.

Dr. Ryan Armstrong, a board-certified interventional radiologist, treats knee osteoarthritis pain here with genicular artery embolization (GAE), a minimally invasive option for patients who want to avoid or delay knee replacement.

Why patients choose our Woodlands clinic for knee OA treatment

  • Care led by a board-certified interventional radiologist
  • A review of your X-rays or MRI and a clear plan before any procedure
  • Outpatient GAE with no incision on the knee
  • Insurance benefits verified and costs explained before your procedure is scheduled
  • Spanish-speaking team members available
Board-certified interventional radiologist

Meet Dr. Ryan Armstrong

Board-certified in interventional and diagnostic radiology, treating knee pain north of Houston.
For patients in The Woodlands who have been told knee replacement is the next step, Dr. Armstrong reviews whether GAE could ease the pain first and what recovery would look like. Our physicians rotate between clinics, so ask when you call if you would like to see a specific doctor.
Knee pain treatment in the woodlands

What is genicular artery embolization??

Knee osteoarthritis is the gradual wear of the cartilage that cushions your knee. As it progresses, the joint lining (synovium) becomes inflamed and grows abnormal blood vessels that keep the pain going. 

Genicular artery embolization (GAE) is an outpatient, image-guided procedure that reduces blood flow to those abnormal vessels, calming the inflammation and easing pain. It doesn't cut into or replace any part of the knee, and it doesn't rebuild cartilage. Learn more about knee osteoarthritis →

ABOUT KNEE OSTEOARTHRITIS

Knee OA symptoms

Knee arthritis usually builds slowly. Common symptoms include:
  • Pain that gets worse with walking, stairs, or standing
  • Stiffness in the morning or after sitting
  • Swelling around the knee
  • Grinding, clicking, or creaking when you bend the knee
  • Range of motion loss
  • Pain that disrupts your sleep

Is GAE right for you?

GAE is usually considered when you have:

  • Knee osteoarthritis confirmed by an exam and X-ray or MRI
  • Moderate to severe knee pain that hasn't improved with medication, injections, or physical therapy
  • Mild to moderate arthritis, rather than near-total cartilage loss
  • A wish to avoid or delay knee replacement, or you are not a candidate for surgery

Sudden, severe knee swelling, redness, warmth, or fever, or being unable to put weight on your leg, can signal an infection or injury rather than arthritis and needs prompt medical care.

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gae treatment

GAE treatment in The Woodlands, Texas

  1. Map the knee arteries. Contrast dye and live X-ray imaging show the small arteries feeding the inflamed knee lining.
  2. Enter through a pinhole. After local numbing, a thin catheter is placed in an artery in the groin or ankle and guided to the knee.
  3. Reduce abnormal blood flow. Microscopic particles are released into the abnormal vessels, while healthy circulation to the knee is preserved.
  4. Walk out the same day. The procedure usually takes one to two hours. Most patients walk within a few hours, go home the same day, and return to typical activities the next day.
Pain relief typically begins within four to six weeks and keeps improving over several months. Learn more about GAE →
Dr. Ryan Armstrong and the team

Benefits of GAE

Outpatient, home the same day


No incision on the knee and no general anesthesia


Typical activities the next day, with no physical therapy required


Can be repeated if pain returns

How GAE compares with other treatments

  • Physical therapy and medication: often tried first, and helpful for managing symptoms.
  • Steroid injections: quick, but relief usually lasts weeks to months.
  • Knee replacement: a long-term option for advanced arthritis, but it is major surgery with general anesthesia and weeks to months of recovery.
  • Genicular artery embolization (GAE): outpatient, with local numbing and typical activities the next day. Best suited to mild to moderate arthritis.

In a 2024 study presented at the Radiological Society of North America (RSNA) annual meeting, patients' pain scores improved by 71% and quality-of-life scores by 87% one year after GAE.

Real patient stories

What patients say about Texas Endovascular

Rated 5 stars by hundreds of patients from The Woodlands
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Visiting The Woodlands clinic

The Woodlands clinic is at 8850 Six Pines Drive, Suite 280, close to Memorial Hermann The Woodlands Medical Center and about a mile north of The Woodlands Mall. Patients from Spring, Conroe, Shenandoah, and Oak Ridge North can get knee care without the drive into Houston.

Dr. Armstrong also offers GAE in Sugar Land, and our Houston clinic in Bellaire is another option.
Texas Endovascular - The Woodlands FAQs

Questions about GAE in The Woodlands

Who performs GAE at The Woodlands clinic?

Dr. Ryan Armstrong, a board-certified interventional radiologist, treats knee pain patients in Sugar Land. Our physicians rotate between clinics, so ask when you call if you would like to see a specific doctor.

Is GAE available at The Woodlands clinic?

Yes. The Woodlands clinic evaluates knee osteoarthritis pain and offers GAE. Your physician reviews your X-rays or MRI and the treatments you've already tried before recommending it.

What is genicular artery embolization (GAE)?

GAE is an outpatient, image-guided procedure for knee osteoarthritis pain. A thin catheter is used to place microscopic particles in the small arteries feeding the inflamed knee lining, which reduces abnormal blood flow and calms the inflammation behind the pain. It does not cut into the knee or rebuild cartilage.

Who is a good candidate for GAE?

Good candidates have knee osteoarthritis confirmed by exam and X-ray or MRI, moderate to severe pain that hasn't improved with medication, injections, or physical therapy, and mild to moderate arthritis rather than near-total cartilage loss. Many want to avoid or delay knee replacement, or are not surgical candidates. Not sure if you're a candidate? Take our short quiz to find out. 

How is GAE different from a knee replacement?

Knee replacement is surgery that removes and replaces damaged parts of the joint, with general anesthesia and weeks to months of recovery. GAE is done through a small puncture with local numbing, with no incision on the knee, and most patients go home the same day. GAE treats pain from inflammation; it does not repair the joint itself.

What happens during GAE?

You stay awake with local numbing. Through a small puncture in the groin or ankle, your physician guides a thin catheter to the arteries around the knee using live X-ray imaging, then releases microscopic particles to reduce blood flow to the inflamed lining. The procedure usually takes one to two hours.

What is recovery like after GAE?

Most patients walk within a few hours, go home the same day, and return to typical activities the next day. Physical therapy is not required. Mild bruising or soreness near the puncture site or knee usually fades within a few weeks.

When will I feel results, and how long do they last?

Pain relief typically begins within four to six weeks and keeps improving over several months. In published studies, many patients report relief lasting two years or longer, and GAE can be repeated if pain returns.

Does insurance cover GAE?

Medicare and most major insurance plans cover GAE when it is medically necessary. Our team verifies your benefits, handles prior authorization, and explains what you can expect to pay before your procedure is scheduled.

Do I need a referral?

No. You can schedule a consultation at The Woodlands clinic without a physician referral. Call (713) 489-6857 or request an appointment online, and our team will verify your insurance benefits before your visit.

Where is The Woodlands clinic?

Additional CONDITIONS WE TREAT

Conditions we treat at The Woodlands clinic

Every condition below is treated the same way, with a catheter guided through a pinhole in the wrist or groin. Not a different specialist for each one. 
One specialty, no large incisions, no hospital stay, and most patients return to normal activity within days.
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