Frozen Shoulder Embolization (FSE)

An exciting new treatment for adhesive capsulitis in Greensboro and Charlotte

Overview | FSE Preparation Instructions | FAQs

Frozen shoulder embolization is an effective alternative to surgery for the treatment of frozen shoulder. When conservative treatments haven’t worked, or are taking too long to work, this minimally invasive procedure may be an option for you. It is also an excellent option for those who wish to avoid surgery and the long recovery period.

Frozen Shoulder Embolization (FSE)

Why consider frozen shoulder embolization?

  • High success rate – FSE is effective at reducing pain and improving range of motion for up to 90% of patients who have the procedure
  • Fast pain relief — FSE helps you realize pain relief in days or weeks, not months
  • No hospitalization – FSE is performed in our convenient outpatient center
  • No general anesthesia – FSE only requires “twilight” sedation during the procedure
  • Shorter recovery – You can return home the same day as the procedure and resume most normal activities in about a week
  • Less risk – Surgery has higher intraoperative and post-operative risks
  • Less expensive than surgery – This can make a real difference when it comes to insurance deductibles and co-pays

What happens during the FSE procedure?

FSE is performed by a specially trained doctor known as an interventional radiologist. The doctor uses imaging to guide the procedure, which involves the insertion of a tiny catheter into a blood vessel which is then navigated through the bloodstream and into the shoulder joint. “Microspheres” are then injected into the abnormal arteries that have formed within the joint. This blocks the flow of blood and inflammatory mediators entering the joint, in turn reducing pain and inflammation in as little as a few days after the procedure.

Why visit Carolina Endovascular for your FSE procedure?

Frozen shoulder embolization is performed at leading hospitals throughout North Carolina. However, you can avoid the hassles of going to the hospital for this procedure… such as paying for parking, long waiting periods and potential exposure to very ill patients.

Carolina Endovascular delivers a very different experience. With our primary focus on you, we deliver a level of concierge-style service uncommon in healthcare today. Our doctors are just as experienced as hospital doctors; in fact, they used to work at hospitals and have extensive experience performing procedures like FSE. Our staff has all the required safety equipment and training. Additionally, the same procedure costs less at our center, which can save you money when it comes to insurance deductibles and co-pays.

FSE Preparation Instructions

  • Please inform us about any medications that you are taking, including herbal supplements. Also, please inform us if you have any allergies, or have had allergic reactions to local anesthetic agents, any medications or contrast (also known as “X-ray dye”).
  • Our staff may advise you to stop taking aspirin, non-steroidal anti-inflammatory drugs (Tylenol, Advil) or a blood thinning medication for a period of time before your procedure.
  • Please inform us if you have other medical conditions or have recently experienced an illness.
  • You may take your usual medications, including blood pressure medications, unless otherwise instructed.
  • You may be asked not to eat or drink anything for several hours before your procedure.
  • Expect to remain for 1-2 hours after your procedure for a period of observation.

FSE Questions & Answers

Frozen shoulder embolization typically takes about 1–2 hours, including a short recovery period under medical supervision before you go home the same day.

Yes. Clinical studies and patient outcomes show that FSE can significantly reduce pain and improve shoulder mobility in up to 90% of patients. Many people begin noticing improvement within days to weeks after the procedure.

Coverage varies depending on your insurance plan and medical history. Our team at Carolina Endovascular will help review your benefits and guide you through any insurance or payment questions prior to treatment.

Recovery is usually quick compared to surgery. Most patients return to light daily activities within a few days and resume normal routines within about a week. Your physician may recommend physical therapy to help restore range of motion and maximize results.

FSE is performed using local anesthesia and “twilight” sedation to keep you comfortable and relaxed. Most patients experience minimal discomfort during the procedure and manageable soreness afterward.

You may be a candidate if you have been diagnosed with adhesive capsulitis (frozen shoulder) and have not experienced adequate relief from conservative treatments such as medications, injections, or physical therapy, or if you want to avoid surgery. A consultation with our specialists can determine if FSE is right for you.

Interventional radiologists are physicians specially trained in minimally invasive, image-guided procedures. They use advanced imaging and tiny instruments to treat conditions from inside the body without large incisions, helping patients recover faster with less risk than traditional surgery.

We have two centers conveniently located in Charlotte, NC and Greensboro, NC.

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