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For people in San Antonio who’ve been told surgery is the only option left

Surgery is not your only option.
It’s just the only one anyone told you about.

ARV Centers offers non-surgical alternatives to major surgery. Our doctors treat the cause of joint pain, uterine fibroids, hemorrhoids, adenomyosis, and a number of other conditions — without an operating room, without a hospital stay, and usually with recovery measured in days, not months.

Call (210) 405-1335 Book online

Covered by most insurance No referral needed for your initial consultation

Dr. Lisa Persyn performing an image-guided knee injection while the patient watches the live screen at ARV Centers
Lisa D. Persyn, MD · ARV Centers, San Antonio Board Certified Physical Medicine & Rehabilitation — performing an image-guided knee injection in our clinic.

Does this sound familiar?

Maybe your cortisone shots worked for three months. Then three weeks. Then not at all.

Maybe your doctor said the bleeding was “normal” — and the only real fix was a hysterectomy.

Maybe there’s something you’ve just decided to live with, because the treatment you’ve heard about scared you more than the symptom.

Maybe you’ve been told to wait. To lose weight first. To come back when it’s worse.

You’re not out of options. You were given half the list.

What we treat

Start with what’s hurting.

Conditions we treat every week — without an operating room.

Knee arthritis pain

Bone on bone? Injections stopped working?

Told you’re too young for a replacement — or too old, or to lose weight first, or to wait until it’s unbearable? Still hurting after a replacement? We treat knee arthritis across the whole non-surgical range: precision injections guided by live imaging, so they go exactly where they should — and for knees past the point of injections, genicular artery embolization, which treats the inflamed lining of the knee itself and doesn’t close the door on a replacement later.

Learn about non-surgical knee relief

Uterine fibroids

Keep your uterus. Lose the flooding.

Flooding through pads. Clots. Exhaustion. Planning your life around your period — and being offered a hysterectomy as the answer. Uterine fibroid embolization shrinks fibroids by blocking their blood supply. You keep your uterus. Recovery is days to weeks, not the 6–8 weeks of major surgery.

Learn about the alternative to hysterectomy

Hemorrhoids

No cutting. No packing. No dreaded recovery.

If you’ve read the surgery stories, you know why you’ve waited. Hemorrhoid artery embolization shrinks hemorrhoids from the inside — no cutting, no packing, no dreaded recovery. If you’ve been putting this off for years, you’re exactly who this was developed for.

Learn about no-cut hemorrhoid treatment

Adenomyosis

A real alternative to “the only cure is a hysterectomy.”

Labor-like pain every month, and a diagnosis most people have never heard of — often followed by “the only cure is a hysterectomy.” Uterine artery embolization offers a uterus-sparing alternative that treats the tissue causing the pain and bleeding.

Learn about non-surgical adenomyosis treatment

Viscosupplementation for Knee Arthritis and Precision Joint Injections

Injections done right — guided by live imaging.

Gel shots and joint injections placed with fluoroscopic guidance, so they land exactly where they should — without the guesswork of blind injections. For many knees, hips, and shoulders, this is the first rung, and it works.

Learn about image-guided injections

We also treat

How it works

Most chronic pain and bleeding has a fuel line.

Abnormal blood vessels feed the problem. Inflamed knees grow them. Fibroids live on them. Hemorrhoids swell from them.

We thread a tube thinner than a phone charger cable through an artery, find those vessels on a live X-ray, and block the blood supply that keeps the problem alive. The tissue it feeds shrinks and calms down. Nothing is cut. Nothing is removed. You go home the same day.

A physician examining a patient's knee at ARV Centers
The exam comes first Hands-on evaluation before any procedure is discussed.

What does that mean? If a doctor has ever looked at your X-ray and told you that you needed a knee replacement because you were “bone on bone,” you know how final that sounds. Here’s the reality: many people who are bone on bone have no knee pain at all. An X-ray can show what a knee looks like. It can’t show how a knee feels. That’s why we start with the person, not the picture.

Why you never heard about this

Nobody hid anything from you.

Our treatments are done by interventional radiologists — doctors who fix problems from the inside, through a pinhole in the skin, guided by live imaging. That’s a different specialty from the surgeon or OB/GYN you’ve been seeing. Different specialty, different referral network, different conversation. Nobody hid anything from you. But nobody handed you the whole menu, either. That’s the gap we exist to close.

Patient stories

In their own words.

4.8 stars across 138+ Google reviews 5.0 on Tebra across 700+ reviews

“I was so afraid that my next step would be surgery — but this worked so well that I’m no longer considering it.”

— ARVC patient

“I’m 85 years old playing singles tennis.”
— ARVC patient
“They remember me by name… not just another patient, but family.”
— ARVC patient

Every patient’s story is their own. Results vary. Testimonials shared with patient consent.

Knee · GAE “The procedure that’s replacing knee replacements” Watch on YouTube → Fibroids · UFE Lindsey’s life-changing non-surgical fibroid treatment Watch on YouTube → Knee · Viscosupplementation An 83-year-old walks easily again — without surgery Watch on YouTube →

After your procedure

You go home with the doctor’s cell number.

When you go home, you take the on-call doctor’s cell phone number with you. Not an answering service — the doctor.

And you don’t have to wonder whether to bother us: we call you the next day to check in. Every patient, every procedure.

Straight answers

The questions you’re already asking.

Is this right for everyone? No. Some knees, fibroids, and hemorrhoids are better served by surgery — and we’ll tell you so. We turn patients away all the time when they’re not candidates for what we do.

“Is this covered by insurance?”

Yes — these procedures are covered by most major insurance plans, including Medicare and Medicaid, and we’re in-network. We do a complimentary benefits check before any procedure. No surprises.

“Do I need a referral?”

Not for your initial consultation — you can call us directly. If your insurance plan requires a referral or prior authorization for treatment itself, we’ll identify that during the complimentary benefits check and help you get it.

“What actually happens at a consultation?”

A doctor reviews your imaging and history, examines you, and tells you plainly whether one of our procedures can help — or whether it can’t. No sales pitch and no same-day pressure — and any out-of-pocket cost is discussed with you before any procedure is performed.

“What if surgery really is my best option?”

Then we’ll say so. Nothing here says you must avoid surgery — it says you deserve to know every option before you choose it.

Free patient guide

Not ready to call? Take the guide instead.

Our free patient guides explain your condition, every treatment option — surgical and non-surgical — and the questions worth asking any doctor. Written by our physicians. No appointment required, and no follow-up phone call unless you ask for one.

Looking for a different condition? Browse all of our patient guides. We’ll email your guide plus occasional patient education. Unsubscribe anytime. Privacy policy.

Tell us what’s hurting. We’ll tell you if we can help.

Call us directly, or send this form and we’ll call you to schedule. We do a complimentary benefits check before any procedure. No surprises.

210-405-1335

Consultation hours

  • Monday–Thursday8:00–5:00
  • Morning · last consult11:30 AM
  • Afternoon · last consult4:30 PM
  • FridayProcedures only

Closed on major holidays.

3212 Napier Park, San Antonio, TX 78231

Get directions

Stand-in image (Map © OpenStreetMap) — the live site embeds the interactive Google map here

Schedule an appointment

No referral needed for your initial consultation.

Rather book by phone? Call (210) 405-1335.