Who We Treat

Our Approach to Care

At Vascular Centers of Texas, our approach to care starts with a simple idea:
Most conditions that used to require major surgery can now be treated through small, image-guided procedures that get patients back to their lives faster.

Who We Are and Who We Treat

We’re a team of board-certified vascular and interventional radiologists, caring for patients across Fort Worth, Houston, and Beaumont. We go after the actual source of a condition instead of just managing its symptoms.

We treat people who’ve been living with something like uterine fibroids, knee osteoarthritis, neuropathy, hemorrhoids, plantar fasciitis, or peripheral artery disease, especially once they’ve already tried the usual first steps, medication, physical therapy, injections, without real relief. We believe every patient deserves to understand their minimally invasive options before committing to something as major as a hysterectomy, joint replacement, or open surgery. Because we work on an outpatient basis, we can get you back to your life quickly instead of a long hospital stay or recovery.

We’re honest, too, about when we’re not the right starting point. If you’re in the middle of a medical emergency or need immediate surgery, we’ll tell you that directly so you can get to the right care faster.

Uterine Fibroid Embolization (UFE)

We use uterine fibroid embolization to treat symptomatic uterine fibroids by blocking the blood vessels that feed them, so the fibroids shrink while we preserve your uterus.

We typically recommend UFE for:

  • Heavy or prolonged menstrual bleeding, pelvic pain or pressure, bloating, frequent urination, lower back pain, or pain during intercourse that’s been linked to fibroids through an ultrasound or MRI
  • Anyone hoping to avoid a hysterectomy or myomectomy and preserve their uterus
  • Fibroid symptoms that haven’t improved with medication or other conservative care
  • Not currently pregnant or trying to conceive in the near future
  • Anyone who wants a shorter recovery than traditional fibroid surgery, typically one to two weeks instead of four to eight

We’d usually suggest a different path when:

  • You’re currently pregnant
  • We suspect gynecologic cancer rather than benign fibroids
  • There’s an active pelvic infection
  • Fibroids haven’t yet been confirmed through imaging
  • Fertility is the primary goal, in which case we like to loop in your OB-GYN alongside a UFE consultation

Genicular Artery Embolization (GAE) for Knee Pain

We use genicular artery embolization to treat chronic knee pain, most often from osteoarthritis, by reducing the abnormal blood flow that drives inflammation in the joint.

We typically recommend GAE for:

  • Persistent knee pain, stiffness, swelling, or reduced mobility, typically from mild to moderate osteoarthritis
  • Knee pain that hasn’t responded well to physical therapy, anti-inflammatory medication, or injections
  • Anyone who isn’t ready for knee replacement surgery, or wants to delay or avoid it
  • Anyone who wants to preserve their natural joint
  • Able to have a same-day outpatient procedure without general anesthesia

We’d usually suggest a different path when:

  • Osteoarthritis is severe or end-stage and the joint itself is significantly damaged, where knee replacement is likely the better option
  • There’s an acute knee injury, fracture, or ligament tear that needs orthopedic surgical repair
  • There’s an active knee infection
  • Knee osteoarthritis hasn’t yet been confirmed through imaging or an orthopedic evaluation

Spinal Cord Stimulation (SCS) for Neuropathy

We use spinal cord stimulation to treat chronic nerve pain by placing a small device that interrupts pain signals before they reach the brain.

We typically recommend SCS for:

  • Persistent burning, tingling, numbness, or nerve pain, often in the feet or legs, lasting several months
  • Neuropathy that hasn’t been adequately controlled with medication, such as gabapentin or duloxetine, or other conservative treatments
  • Neuropathy tied to a diagnosed cause, such as diabetes, chemotherapy, or an unresolved nerve injury
  • Anyone open to a trial period to confirm the therapy helps before committing to a permanent device

We’d usually suggest a different path when:

  • Neuropathy was just diagnosed and standard medical management hasn’t been tried yet
  • There’s an active infection at the planned implant site
  • A bleeding disorder is present, or a blood thinner is being taken that can’t be safely paused
  • The pain pattern points more toward a structural spine issue needing surgical evaluation rather than neuropathy

Hemorrhoid Artery Embolization (HAE)

We use hemorrhoid artery embolization to treat internal hemorrhoids by reducing the blood flow that causes them to swell and bleed.

We typically recommend HAE for:

  • Grade 1 to 3 internal hemorrhoids causing recurring bleeding, discomfort, itching, or a sense that a bowel movement isn’t fully complete
  • Symptoms that haven’t resolved with fiber, topical treatments, or other home remedies
  • Hemorrhoid symptoms that keep coming back, rather than a single, brief flare-up
  • Anyone hoping to avoid a surgical hemorrhoidectomy

We’d usually suggest a different path when:

  • Hemorrhoids are Grade 4 or severely prolapsed, which typically need a surgical or more advanced procedural approach
  • Rectal bleeding hasn’t yet been evaluated, since bleeding can come from causes other than hemorrhoids that need to be ruled out first
  • There’s an external, thrombosed hemorrhoid needing urgent clot removal rather than embolization
  • There’s an active anorectal infection or an inflammatory bowel disease flare

Minimally Invasive Treatment for Plantar Fasciitis (Heel Pain)

We use this treatment to address chronic plantar fasciitis by reducing the abnormal blood flow contributing to inflammation in the plantar fascia, supporting the body’s own healing.

We typically recommend this treatment for:

  • Persistent heel pain, especially pain that’s sharpest during the first steps in the morning or after resting
  • Symptoms that have lasted several months despite rest, stretching, orthotics, or physical therapy
  • Anyone hoping to avoid relying long term on pain medication, braces, or steroid injections
  • Anyone who wants to avoid surgical release of the plantar fascia

We’d usually suggest a different path when:

  • Heel pain is very recent and standard conservative treatment hasn’t been tried yet
  • Heel pain is caused by a stress fracture, nerve entrapment, or another condition unrelated to the plantar fascia
  • There’s an active foot infection or uncontrolled peripheral artery disease in the same leg

Peripheral Artery Disease (PAD) Treatment

We use PAD treatment to restore blood flow in the legs by opening or clearing narrowed and blocked arteries.

We typically recommend PAD treatment for:

  • Leg pain, cramping, or fatigue during walking that eases with rest, known as claudication
  • Risk factors such as smoking, diabetes, high blood pressure, or high cholesterol
  • Coldness, numbness, slow-healing wounds, or skin changes in the lower legs or feet
  • Symptoms that are limiting mobility or independence

We’d usually suggest a different path when:

  • There’s a limb-threatening emergency, such as a sudden, severe loss of blood flow, which needs immediate emergency care
  • There’s an active, uncontrolled infection in the affected leg
  • PAD hasn’t yet been confirmed through a vascular exam or imaging, such as an ankle-brachial index test or ultrasound

Why Choose Vascular Center of Texas

We’re board-certified vascular and interventional radiologists with dedicated experience in image-guided, minimally invasive care. We have three locations across Texas, in Fort Worth, Houston, and Beaumont, and we perform most of our procedures on an outpatient basis, with recovery measured in days rather than weeks. We build every treatment plan around the individual in front of us, not a one-size-fits-all protocol, and when we’re not the right fit for your condition, we’ll say so and help point you toward care that is.

If you’re wondering whether one of these treatments could be right for you, or you’re a physician considering a referral, contact our team to start the conversation.

About us

At Vascular Centers of Texas, our patients are cared for by board-certified vascular and interventional radiologists with advanced fellowship training and over a decade of hands-on experience. Dr. Pauldeep Bahra leads our Fort Worth clinic, specializing in image-guided procedures that deliver lasting relief without traditional surgery, and Dr. Amit K. Sharma, a Houston native who trained at Rice University, Texas A&M, and the University of Miami, brings that same commitment to excellence across our Beaumont and Houston locations.

Together, they share one mission: helping patients relieve pain, restore mobility, and return to the life they love.

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Fort Worth, Beaumont, Houston

Have any question?

What kind of doctor provides treatment at Vascular Center of Texas?

We’re board-certified vascular and interventional radiologists who specialize in minimally invasive, image-guided treatment.

Do I need a referral to be seen? 

We welcome a referral from your physician, and it helps us prepare for your visit, but it’s not required. You’re welcome to contact us directly to schedule a consultation.

Am I a good fit if I haven’t tried conservative treatment yet?

We generally recommend our treatments once conservative options like medication, physical therapy, or lifestyle changes have already been tried without lasting relief. If you’re earlier in that process, we’ll usually suggest starting with your primary physician or specialist first.

What if my condition is more advanced or severe than these procedures typically treat? 

For more advanced cases, such as end-stage joint damage, Grade 4 hemorrhoids, or a limb-threatening vascular emergency, we’ll help direct you to the appropriate surgical or emergency care rather than move forward with a treatment that isn’t the right fit.