Female Dr with arms crossed

Knee Instability: A Sign of Osteoarthritis

Imagine this: You’re taking a walk when suddenly your knees give way and buckle beneath you. It’s like the ground just disappears, sending you lurching and your heart racing. This unsettling feeling is a common symptom of osteoarthritis of the knee, a condition that wears down the cartilage in your knee joint. This wear and tear can loosen the ligaments that hold your knee bones in place gradually, making it feel wobbly and unpredictable. Knee instability can be frustrating, but it’s important to remember that you’re not alone. Many people with osteoarthritis deal with knee instability, and there are things you can do to manage it. Understanding the link between osteoarthritis and knee instability can help you take back control of your knees and get you moving with confidence again.

Knee Instability Symptoms

The most common symptom of knee instability is the feeling of giving way, which is described as a sensation of the knee buckling or collapsing suddenly, especially during weight-bearing activities like walking. Other key symptoms to watch out for are the following:

  • Difficulty with balance and coordination
  • Difficulty straightening the knee
  • Decreased range of motion
  • Increased knee pain during activities
  • Lack of confidence in the knee
  • Looseness 
  • Muscle weakness
  • Popping, clicking, or catching sensations
  • Swelling and inflammation

Knee Instability Causes

Knee instability can be caused by a variety of factors affecting the structures that support and guide your knee joint. Osteoarthritis of the knee is one of the most common contributing factors to knee instability. Some other common culprits include:

  • ACL tears from sports
  • PCL tears from falls
  • MCL tears from twisting the knee
  • LCL tears on the outer side of the knee
  • Meniscus tears
  • Patellar instability
  • Rheumatoid arthritis
Take the first step toward a pain-free life!

Are you tired of knee pain holding you back? Take the first step towards getting back to an active life by requesting an appointment at American Knee Pain Centers today!

How Does Osteoarthritis Cause Knee Instability?

Osteoarthritis, while primarily known for causing pain and stiffness, can also lead to a feeling of instability in the knee. The smooth, cushiony cartilage lining your knee joint plays a crucial role in stabilizing the joint and guiding its movement. As osteoarthritis progresses, this cartilage gradually wears down, reducing its ability to absorb shock and distribute pressure evenly. This lack of proper cushioning can lead to a feeling of instability in the knee. Surrounding the knee joint are also various ligaments that provide stability and control its range of motion. Osteoarthritis can weaken these ligaments over time, making them less effective in keeping the bones aligned and preventing excessive movement, which further contributes to knee instability.

The pain and limitations associated with osteoarthritis can often lead to decreased use of the muscles around the knee. This muscle weakness and imbalance can impair your ability to properly control and stabilize the joint, resulting in a feeling of instability. In some cases, osteoarthritis can even trigger fluid build-up within the joint capsule, a condition known as joint effusion. This excess fluid can stretch the joint capsule and surrounding tissues, leading to a feeling of looseness and instability in the knee. The pain associated with osteoarthritis can also unconsciously alter your gait and movement patterns. You may subconsciously avoid putting full weight on the affected knee, leading to compensatory movements that can further compromise joint stability and contribute to a feeling of instability. The severity and pattern of knee instability in osteoarthritis can vary depending on the extent of cartilage damage, the location of the affected area, and individual factors like age and activity level.

Older Runner Grabbing Knee

Knee Instability Treatment

Early intervention and management of knee instability can help slow down the progression of osteoarthritis, improve joint stability, and reduce your risk of injury. If you’re experiencing knee instability along with pain and stiffness, it’s crucial to consult a healthcare professional for proper diagnosis and personalized treatment. At American Knee Pain Centers, we offer genicular artery embolization (GAE), a minimally invasive treatment that helps you regain control, reduce knee pain, and enjoy greater mobility. Alongside this cutting-edge treatment, our affiliated interventional radiologists offer recommendations for lifestyle changes to improve instability.

Lifestyle Changes

If you’re experiencing knee instability due to osteoarthritis, your doctor may recommend various lifestyle changes to help manage symptoms and improve the stability of your knees. Some lifestyle modifications your doctor may suggest are muscle-strengthening exercises to provide better support and stability to the joint, low-impact exercises to maintain joint health, maintaining a healthy weight to reduce the stress in your knee joints, and rest, ice, and elevation to reduce pain and swelling.

GAE: Knee Replacement Alternative

Genicular artery embolization (GAE) is a minimally invasive treatment for patients with osteoarthritis of the knee that can help improve instability. GAE is primarily used for moderate to severe knee osteoarthritis that hasn’t responded to other treatments like medication, physical therapy, or corticosteroid injections. It’s also a less invasive alternative to traditional knee replacement surgery, with a shorter recovery time and fewer complications. Although GAE is not a cure for osteoarthritis, it effectively reduces knee pain and instability for 1-3 years, compared to knee injections that may only provide relief and improve symptoms for up to 2-3 months.

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What to Expect from Genicular Artery Embolization

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No hospital stay
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Same Day Procedure 
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Fewer Complications
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Short recovery time
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Improved knee function and range of motion
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Reduced knee pain and inflammation
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Symptom improvement for 1 to 3 years

Our Knee Pain Specialists

Our affiliated physicians at American Knee Pain Centers are board-certified interventional radiologists who specialize in treating osteoarthritis of the knee. Our knee pain specialists in New York recognize that each individual is unique and tailor our services to address your specific symptoms and concerns. They use innovative image-guided technology and genicular artery embolization to provide you with relief from knee pain and instability. You can find the following knee pain doctors at our New York locations.

Find Relief at Our Knee Pain Centers in NY

Feeling off-balance with a wobbly knee? At our American Knee Pain Centers in NY, we specialize in restoring stability to your stride with GAE. We understand that every case of knee instability is unique, and we take a personalized approach to your treatment. Our goal is to help you regain confidence in your knee, so you can get back to the activities you love. Visit any one of our knee pain centers in New York to help you regain control and confidence in your movements.

Queens, NY
30-30 Northern Blvd
Suite 501
Queens, NY 11101
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Harlem, NY
505 East 116th Street Suite 400
Harlem, NY 10029
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Brooklyn, NY
71 Carroll Street
Brooklyn, NY 11231
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What Our Patients Are Saying

Good i feel fine. Thank u
Gwendolyn White
Gwendolyn White
01:31 09 Apr 26
Dr. Shams is a wonderful Doctor He took good care of me during the procedure. He informed me on every step. He addressed my questions and concerns in a skillful manner. I really appreciated him a lot Made me comfortable and at ease. Thank God my right leg is feeling better now.
Betty Branch
Betty Branch
22:02 02 Apr 26
Just wonderful!!!
Rose Grandma
Rose Grandma
11:11 01 Apr 26
Dr. Shams was friendly and nice. He made me feel comfortable and answered all my questions.
Osariemen Elcock
Osariemen Elcock
20:38 26 Mar 26
Dr Sham is a very good doctor who helped me with everything he made sure he had they gave me something for the pain and to relax before the procedure and everything went perfect he is the best 5 star’s.
Martin Fagen
Martin Fagen
20:48 23 Mar 26
Very kind and polite
Trenice Taylor
Trenice Taylor
22:29 18 Mar 26
Love my visits smooth best vascular doctor
Charmaine Lawrencr
Charmaine Lawrencr
13:01 07 Mar 26
Very courteous
Catherine Quintero
Catherine Quintero
22:40 26 Feb 26
Good service; one of my family members needed an angioplasty done. The medical professionals were very thorough and explained the entire process, along with following up a couple of days afterwards to see how things were.
Charles Brewster Jr
Charles Brewster Jr
22:16 23 Feb 26
Very Professional and Caring Environment. Without any hesitation, I would recommend the Endovascular Center of Harlem.
Nikki
Nikki
22:25 10 Feb 26
Very professional. Kept me informed through the procedure.
Laurence Clarke
Laurence Clarke
21:55 28 Jan 26
P very smooth cool and pleasant experience
Peter Handras
Peter Handras
22:34 22 Jan 26
I didn’t have to wait long to see Dr Shams he checked my wound and everything looked good the nurses were very efficient and took good care of me
Lynn Brightman
Lynn Brightman
16:56 18 Jan 26
I cannot say enough great things about Dr. Joseph N. Shams and his entire team. From the moment you walk into his office, you are treated with genuine care, respect, and professionalism that truly sets this practice apart. Dr. Shams is not only extremely knowledgeable and thorough, but he also takes the time to actually listen to his patients. He explains everything clearly, answers questions patiently, and makes sure you feel comfortable and confident every step of the way.What truly makes this office exceptional is the team of nurses and staff who work alongside him. Every single person you encounter is kind, attentive, and welcoming. The nurses go above and beyond to make sure patients feel cared for, never rushed, and always supported. You can tell they genuinely love what they do, and that positive energy carries throughout the entire office.Appointments are well-organized, wait times are reasonable, and the overall environment is clean, calm, and professional. It’s rare to find a medical office where every single staff member consistently delivers such a high level of service, but Dr. Shams and his team manage to do exactly that.If you’re looking for a doctor who truly puts patients first and an office where compassion and excellence are the standard, not the exception, I highly recommend Dr. Joseph N. Shams and his incredible staff. This is healthcare done the right way.
Ken C
Ken C
03:00 16 Jan 26
Excellence all around. The doctor clearly explained the treatment and what was to be expected during recovery phase of healing.I am pleased with the outcome.The facility was clean, and the staff were very friendly. I highly recommend the. Thanks.
J B
J B
16:15 19 Dec 25
Dr. Shams is amazing. He takes his time and addresses your concerns and questions
Regina Jones
Regina Jones
22:22 05 Dec 25
The visit was great good service from everyone staffs / doctors very professional and on time I will give a 10+
Linda Noriega
Linda Noriega
23:06 25 Nov 25
Dr. Shan is a blessing sent from god. After seeing him my leg/ feet swelling was down. After being on my feet for hours. The staff were all attentive very professional. Answered any questions and concerns I had at the time. The entire team was great. I am so pleased I did my research and change Vascular doctors. You guys are all great. You make your patients fell welcome. Keep doing what you guys are doing. God bless you all.
Tina McLaughlin
Tina McLaughlin
05:52 18 Nov 25
Outstanding. Kindness, patience and excellence. Im doing well.
Deborah Moss
Deborah Moss
15:03 14 Nov 25
Dr Shams is a wonderful n caring person so is his whole staff.
Ana Rosario
Ana Rosario
17:20 12 Nov 25
I am walking much better than before and I’m not walking with a cane no more so Dr. Sam did a pretty good job on me. Thank you, Dr. sham
Sharon Gy
Sharon Gy
22:23 10 Nov 25
He show unusual compassion and skill. I was soo nervous but the center’s team & DR was Excellent!
Verian Evans-Pimble
Verian Evans-Pimble
21:16 23 Oct 25
Dr. Shams Such a amazing vascular Surgeon knows him a little while, he knows exactly what should be done to makes everything better, I’m very satisfied with my procedure and also his work ethic, the vascular office included everything inside is a 5 Star luxury, thank – you to all the staff . MoniqueV Francois.
MoniqueV Francois
MoniqueV Francois
20:55 23 Oct 25
The staff and the doctor were very professional and treated me with the best care possible.
Sargent Rivera
Sargent Rivera
20:56 17 Oct 25
Great experience
bob f
bob f
16:37 25 Sep 25
The best vascular doctor in the tri state area and a good friend
Darryl Jacobs
Darryl Jacobs
05:25 03 Sep 25
I just love the the warm smiles that you are greeted with,the professional manner iis just awesome and they never rush you through you threw a vist.I would recommend them toeveryboy
Bertha Duncan
Bertha Duncan
01:39 03 Sep 25
Staff and Dr. shams very friendly made me feel at ease. Explained to me what was wrong and what needed to be done so that I can understand.
Debra Santos
Debra Santos
22:16 02 Sep 25
Everything was perfect and professional. I am feeling fine and delighted with the results
Fred Spinowitz
Fred Spinowitz
22:12 02 Sep 25
It was great the service hope it continues
Joanna Morales
Joanna Morales
17:43 14 Aug 25
Wonderful visit. He really is the best. Do not have e to wait long a day he takes his time.
Cynthia J
Cynthia J
18:36 31 Jul 25
Dr Shams is good!!!!
David Forbes
David Forbes
18:48 24 Jul 25
I found that both the doctors and staff to be complete professionals in their practice
George Greene
George Greene
18:59 11 Jun 25
Was treated very nice by the personal
Milton williams
Milton williams
19:56 03 Jun 25
Very good staff. Did not have to wait to see the doctor.
Moises Cuevas
Moises Cuevas
01:19 23 May 25
I WENT TO THE DOC, TO EXPLAIN MY ISSUES AND I LEFT FEELING BETTER THAN WHEN I WENT IN. THANK YOU DOC
Nesamiah B
Nesamiah B
20:44 06 May 25
It 1 thing to to know. The GOD HAS many to show great work. Thank you staff. I feel good . That there is feed back .Thank Angels for showing the Grace of GOD IS AT. HERE AT. PLACE.
Patt Craig
Patt Craig
20:55 23 Apr 25
Looking forward to my next appointment! Best care I’ve had in many
Deborah “Debbie”
Deborah “Debbie”
19:40 23 Apr 25
Staff, Dr Sham super 10plus
Roger Mojer
Roger Mojer
17:20 02 Apr 25
Great location.
Dr shams is amazing along with his team they make you feel at home.
Angela Poueriet
Angela Poueriet
15:19 27 Feb 25
Excellent consultation. Answered all questions.
Nichelle Abney
Nichelle Abney
20:39 25 Feb 25
Excelente Dr y su equipo medico, información claro que lo que a uno como paciente está experimentado altamente recomendado
A ñ Ivan Yanez
A ñ Ivan Yanez
17:51 13 Feb 25
I Just Love The Doctors And All The People Friendly Staff. Everyone is Caring, Warm, Personable And Professional. They Are The Best🩷
Shirley Monroe
Shirley Monroe
02:00 04 Feb 25
Excellent work
Javier Acevedo
Javier Acevedo
16:34 17 Jan 25
I Like The Doctor and all his Staff, everyone in the Office where Very Professional
Dolphus Fudge
Dolphus Fudge
18:28 04 Dec 24
Love this Dr and staff. They are all kind courteous and professional with excellent medical care. I would highly recommend them to anyone in need.
Sybil Wilkins
Sybil Wilkins
13:05 05 Sep 24
Professional and friendly from my phone call to make an appointment to my visit I felt I was is safe hands not just a number. Everyone was knowledgeable and explained the procedures.
James Mullen
James Mullen
19:47 17 Aug 24
Dr David Mobley was kind right to the point. Explained & solved my issue. The whole staff is professional.
Lizette
Lizette
17:52 03 Aug 24
It’s personal
Ricot Charlot
Ricot Charlot
10:57 03 Jul 24
Sheer perfection. The care and expertise and teamwork are the best I have ever experienced. I’m a former nurse and I recognize and give a shout out to the best!!!!
Barbara Murray
Barbara Murray
16:22 02 May 24
First Impressions are lasting impressions! First, the staff are phenomenal! How is it possible that each and every one of them are incredibly kind, caring, professional, personable and treat you like you are THE most important person in the world!? Well, meet this team for an experience that will make you feel valued as a person, not just as a patient. In walks this amazing Doctor and now you understand why his team are the way they are! They regard each other with the utmost respect, and kindness, and they communicate with each other like family. And as a new patient, I had the honor and pleasure to experience excellence in patient care and concern. I am so very grateful to have found a Doctor who is in my opinion perfect with a team who are exceptional! I’m excited for my next visit, honestly! I write this with a great big Smile on my face!
CC
CC
14:57 24 Apr 24
EXCELLENT, EXCELLENT, EXCELLENT ALL AROUND!!! THANK YOU!!!
Marion Moore
Marion Moore
13:44 17 Apr 24
Excellent, professional, organized and efficient all best describes the service here.
Delsi Cunningham
Delsi Cunningham
17:28 05 Apr 24
Very nice and friendly staff.I was so nervous, they all made me feel relaxed and comfortable.They explained everything to me step by step.
Keith Dickens
Keith Dickens
13:10 02 Apr 24
Excelente servicio es lo mejor que me a pasado gracias a sus buenos tratamiento ya no tengo dolor
The staff are the best. Very elated,with the exceptional care,professionalism, and genuine concern, displayed by all the staff.
Constance Sidberry
Constance Sidberry
03:50 17 Mar 24
I felt very comfortable with him. Excellent bedside manner, proper teaching , and knowledgeable. I highly recommend him!
Jamel Jackson
Jamel Jackson
14:07 27 Feb 24
The absolute BEST Dr!! Detailed, caring & kind! The best medical procedure I’ve ever had from consultation to post procedure, perfect! 10s all around 👏🏽👍🏽👍🏽 many thank yous🙏🏾
Josi W
Josi W
22:04 12 Jan 24
Excellent service and staff i’ll let you feel relaxing and comfortable
kadine campbell
kadine campbell
21:01 23 Oct 23
Really like this doctor, talks in your language, just over all regular nice person.
Linda Thoomey
Linda Thoomey
22:03 21 Jul 23
I’m very satisfied of my visit for the first time, everyone was concerned about me, and Dr David was very patient to listen to my long health stories, after that He gave me good explanation for my problem, that was great 👍
Claude Jean Pierre
Claude Jean Pierre
22:38 18 Jul 23
Follow up to a procedure. Dr Mobley and his staff are great and always helpful
DanLiza Diehl
DanLiza Diehl
21:25 10 Jul 23
David monkey,MD and the grupo are excellent very kind and helpful.i will return to them.the attention.its very satisfied.thank u ..
Luis Sarria
Luis Sarria
12:16 29 Jun 23
I had a good experience with my procedure and Dr. Mobley’s follow-up calls are great. I’ve never had a doctor who has been so concerned about following up after a procedure to see how I’m doing and if there are any post-procedure problems I may have experienced (which there aren’t). I’d highly recommend Dr. Mobley.
Hey Beej
Hey Beej
16:42 23 Jun 23
Dr Mobley was so helpful, informative and made me feel secure in making my future medical plan. Supportive and kind. Highly recommended.
Amanda L Browder
Amanda L Browder
15:57 23 Jun 23
Doctor was very thorough. Explaining what the procedure is all about. Tell me what I could realistically expect. Couldn’t have asked for a better consultation. Highly recommended if you have a prostate issue
John Buric
John Buric
16:26 15 Jun 23
I was very pleased and satisfied on how Dr. David Mobley examined me and explained everything on what I need to know regarding my condition. He’s very professional and knowledgeable in all aspects of his profession. I would highly recommend him to my other friends!
Celine Parcon
Celine Parcon
23:16 07 Jun 23
He puts his patients before himself, returning calls and e-mails quickly. Not only is he kind and considerate, he is an excellent physician. I had to have a procedure that requires me to be awake, and he talked me through it and kept me at ease. If I could give him more stars, I would.
Super friendly, tentative, once in the procedure rm the sx staff made you feel comfortable, easy,+ answered all questions. David mobley, MD answered all my questions, very informative, caring. I felt confident in his care
Thais Bini
Thais Bini
21:22 30 May 23
Great doctor. Everyone is so kind and caring. Great place to go
Joan Jurica
Joan Jurica
14:46 30 May 23
The best in Astoria I recommend Dr mobley and staff 100 percent
michaela1951
michaela1951
21:25 30 Mar 23
Knowledgeable , experienced, great bed side manners
mohamed hamed
mohamed hamed
10:09 30 Mar 23
The doctor was very nice and professional. He explained the tests that I need and why I need them.
Judith AndersonNeal
Judith AndersonNeal
22:12 27 Mar 23
This was the best experience I have had in such a long time and I have had quite a few procedures in the past both in patient and out including the procedure I was currently present for. No other surgeon has been so kind, transparent, and gentle. Not only did he personally come out beforehand to provide me with education on my procedure, but he talked me through every step of the way and made me feel so comfortable and relaxed. Not to mention his amazing staff! Despite being extremely nervous they kept me smiling and laughing throughout the whole process. 10/10 would recommend. Thank you so much guys!!
Riah L.
Riah L.
13:49 22 Mar 23
Excellent bedside manners and the procedure was a breeze.
sen-pei hsia
sen-pei hsia
18:26 20 Mar 23
Los mejores/ the best💖🙏
Ruthy Ochoa
Ruthy Ochoa
04:17 03 Mar 23
I went with my mom who just had a hip surgery. The whole team was very caring, nice and very professional. I did appreciate that the surgeon took the time to explain to me what was wrong with my mom’s arm and what he did to fix it.
mouna khalyat
mouna khalyat
14:37 24 Feb 23
Although I didn’t meet with the doctor, the receptionist, assistant and nurse were great.
Theresa Gaines
Theresa Gaines
13:25 13 Feb 23
Every thing and the process are being done properly ..Terissa you are very Carey ..thank you so much every body are very polite and very professional.. Thank you so much to Dr.Mobley..God blessed you all .🙏🙏🙏👍
Remigio Ruda
Remigio Ruda
03:28 31 Jan 23
Very knowledgeable, personable and professional. I came to Dr. Mobley to correct another surgeons work and I was pleased with the outcome. There is a Hispanic woman that runs things in the O.R.She is great! The whole staff is wonderful and caring.Highly recommend
Lakesha Kingdom
Lakesha Kingdom
15:57 17 Jan 23
I had a wonderful PA take care of me, & the nurses were very sweet. I was happy with my visit
Aurora Anello
Aurora Anello
19:20 10 Jan 23
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Woman Grabbing Her Knee scaled
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