Chronic knee pain doesn’t just cause discomfort — it can slowly take away your independence. Simple movements like walking through the grocery store, climbing stairs, exercising, or even getting up from a chair can become daily challenges. If you’ve been told that knee replacement surgery is your next step, it’s important to know that surgery may not be your only option.
At Ally Vascular & Pain Center in San Antonio, we specialize in advanced, minimally invasive knee pain treatments designed to target the source of inflammation — not just mask the symptoms. Our board-certified specialists use state-of-the-art imaging technology to perform precise, outpatient procedures such as Genicular Artery Embolization (GAE), helping patients reduce pain and improve mobility without major surgery.
The most common cause of chronic knee pain in adults over 50 is osteoarthritis, also called degenerative joint disease. In fact, nearly 1 in 2 people will develop symptomatic osteoarthritis during their lifetime, and the knee is the most commonly affected joint.
Osteoarthritis occurs when the protective cartilage in the knee gradually wears down. As the cartilage deteriorates, the joint becomes inflamed, stiff, and painful.
Risk factors include:
While osteoarthritis cannot be reversed, its symptoms can be effectively treated, often without surgery.
Genicular Artery Embolization (GAE) is an advanced, image-guided procedure used to treat knee pain caused by osteoarthritis.
In osteoarthritis, inflammation inside the knee joint contributes significantly to pain and stiffness. GAE works by reducing abnormal blood flow to inflamed areas of the knee, helping decrease inflammation at its source.
The procedure is performed in an outpatient setting through a tiny access point in the wrist or groin. Using real-time imaging, the physician carefully targets only the vessels contributing to inflammation — preserving healthy tissue.
If you’re exploring non-surgical knee pain treatment in San Antonio, Genicular Artery Embolization (GAE) may be an advanced solution designed to directly target inflammation and relieve osteoarthritis pain.
Peripheral Nerve Stimulation (PNS) is a minimally invasive treatment designed to reduce chronic knee pain by interrupting pain signals before they reach the brain.
Small sensory nerves around the knee transmit pain signals to the brain. With PNS, a tiny electrode is placed near these nerves, delivering mild electrical impulses that help block or modulate pain transmission.
Unlike many treatments, PNS offers a temporary trial period before permanent placement. If the trial provides significant relief, a longer-term device can be implanted.
The procedure is performed in an outpatient setting and typically requires minimal recovery time.
If inflammation is not the primary driver of your knee pain, nerve-focused treatments like PNS may be part of your personalized care plan.
We review your symptoms, prior treatments, and imaging.
Advanced imaging helps determine whether inflammation is driving your pain.
We design a treatment strategy tailored specifically to your condition, symptoms, imaging results, and long-term goals.
Not all knee pain treatments — or providers — are the same. The right diagnosis and approach can make the difference between temporary symptom relief and meaningful, lasting improvement.
At Ally Vascular & Pain Center, we specialize in minimally invasive, image-guided treatments that target the underlying causes of chronic knee pain.
Our procedures are performed using real-time imaging technology, allowing us to precisely target inflamed tissue, abnormal blood vessels, or sensory nerves contributing to your pain. This level of accuracy improves safety, effectiveness, and outcomes — while minimizing disruption to healthy structures.
All treatments are performed in a comfortable outpatient setting. That means no hospital stays, no lengthy surgical recovery, and a streamlined experience focused on your safety and convenience.
Rather than immediately jumping to surgery, we offer advanced alternatives designed to reduce pain while preserving your natural joint. Many patients come to us looking to delay or avoid knee replacement.
Living with chronic knee pain can slowly take away the activities you love — walking comfortably, exercising, traveling, even simple daily routines. But you don’t have to accept pain as your “new normal,” and surgery may not be your only option.
At Ally Vascular & Pain Center, we offer advanced, minimally invasive treatments designed to help you move better and feel better, without the long recovery of major surgery.
Call (210) 660-5040 or fill out our online form to schedule your consultation.
The best treatment depends on what is causing your pain. Knee osteoarthritis pain may be driven by inflammation, cartilage degeneration, nerve irritation, or a combination of factors.
At Ally Vascular & Pain Center, we evaluate your symptoms and imaging to determine which treatment will best meet your needs.
Knee replacement is often recommended when pain becomes severe and conservative treatments no longer provide relief. However, many patients are advised to consider surgery before fully exploring minimally invasive options. If you still have functional mobility, want to avoid major surgery, have moderate to severe osteoarthritis, or are concerned about surgical risks, you may be a candidate for non-surgical treatments that can reduce pain and improve your quality of life without replacing the joint.
Persistent knee pain after surgery is more common than many people realize. In some cases, treatments such as PNS or targeted minimally invasive procedures may still provide relief.
A consultation can help determine whether you are a candidate for additional non-surgical options.
It depends on the cause. For osteoarthritis, the joint damage cannot be reversed, so there is no permanent cure. However, treatments like GAE and PNS can significantly reduce pain and inflammation, often providing long-lasting relief and improved mobility. A thorough evaluation can help determine the best option for your situation.
Insurance coverage varies depending on the specific procedure and your individual plan. Some minimally invasive treatments may be covered when deemed medically necessary, while others may require prior authorization or may not be included in all plans. Our team will review your benefits, verify coverage, and discuss any potential out-of-pocket costs before scheduling treatment so you can make an informed decision.
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Last Updated: June 17, 2025