While the techniques in optimal control theory are often model-based, the policy optimization (PO) approach can directly optimize the performance metric of interest without explicit dynamical models, and is an essential approach for reinforcement learning problems. However, it usually leads to a non-convex optimization problem in most cases, where there is little theoretical understanding on its performance. In this paper, we focus on the risk-constrained Linear Quadratic Regulator (LQR) problem with noisy input via the PO approach, which results in a challenging non-convex problem. To this end, we first build on our earlier result that the optimal policy has an affine structure to show that the associated Lagrangian function is locally gradient dominated with respect to the policy, based on which we establish strong duality. Then, we design policy gradient primal-dual methods with global convergence guarantees to find an optimal policy-multiplier pair in both model-based and sample-based settings. Finally, we use samples of system trajectories in simulations to validate our policy gradient primaldual methods.