Shoulder Artery Embolization (SAE)
in Cocoa, FL
Minimally Invasive Frozen Shoulder Treatment in Cocoa, FL
If you’re suffering from frozen shoulder, nighttime discomfort, or pain that hasn’t improved with therapy or injections, a less invasive, effective solution may be available. At Vascular and Embolization Specialists in Cocoa, FL, Dr. Derek Mittleider performs shoulder artery embolization (SAE)—a cutting-edge, image-guided procedure designed to reduce inflammation and restore shoulder mobility without surgery.
A Proven Alternative to Shoulder Surgery
Surgical treatments for shoulder pain can mean general anesthesia, hospital stays, and lengthy recovery. SAE offers a minimally invasive alternative by targeting the source of inflammation directly, improving function while avoiding the risks of open surgery.
- Outpatient procedure takes about 1–2 hours
- No cutting or damage to shoulder structures
- Up to 85% of patients report pain and function improvement
- No hospital stay or general anesthesia required
What You Should Know About Shoulder Artery Embolization
How the Procedure Works
Dr. Mittleider inserts a fine catheter into an artery—typically through the wrist—and uses X-ray guidance to reach the vessels supplying the inflamed shoulder area. Tiny particles are injected to reduce abnormal blood flow, which helps alleviate pain and increase range of motion.
Common Shoulder Conditions SAE Can Improve
- Frozen shoulder (adhesive capsulitis)
- Persistent nighttime shoulder pain
- Shoulder arthritis
- Symptomatic rotator cuff tears
- Subacromial impingement
Who Is a Candidate for SAE
You may be a good fit for SAE if you:
- Have chronic shoulder pain that hasn’t improved with physical therapy or medications
- Have been diagnosed with frozen shoulder, arthritis, or rotator cuff issues
- Prefer a less invasive treatment option
- Are not a good candidate for surgery due to age, health, or personal preference
When to Consider Treatment
Shoulder conditions like adhesive capsulitis and rotator cuff inflammation can worsen over time, limiting your ability to sleep, work, and move comfortably. SAE provides early, lasting relief—before more invasive treatments are necessary.
Minimally Invasive Treatment Long-Term Relief for Shoulder Pain
SAE targets the root of inflammation—without cutting, stitches, or hospital time. Most patients experience reduced pain and improved shoulder function within weeks, with continued improvement over time. There’s no general anesthesia and very little downtime.
| Feature | Shoulder Artery Embolization (SAE) |
Shoulder Surgery | Medications & Injections |
|---|---|---|---|
| Minimally Invasive | Yes |
No | Yes |
| Requires Hospital Stay | No |
Yes | No |
| Recovery Time | 2–5 days |
4–8 weeks | None |
| Preserves Shoulder Structures | Yes |
No | Yes |
| General Anesthesia Required | No |
Yes | No |
| Long-Term Symptom Relief | Yes |
Yes | Variable |
Why Patients Choose Vascular and Embolization Specialists
Specializing in
Image-Guided Treatment
We use the most advanced imaging and interventional techniques to reduce shoulder inflammation without surgery.
Faster Recovery &
Less Downtime
Most patients return to light activities in a few days and enjoy improved function within weeks.
Trusted by Patients
on the Space Coast
Dr. Mittleider is a board-certified interventional radiologist known for his personalized care and commitment to safe, effective outcomes.
Shoulder artery embolization offers an effective, outpatient solution to chronic shoulder pain. If you’re ready to move freely and sleep soundly again, our team in Cocoa, FL is here to guide you toward the next step.
Experience Relief Without Shoulder Surgery
Frequently Asked Questions
Is shoulder embolization effective to improve shoulder pain?
Yes. A majority of patients who undergo SAE report a significant improvement in shoulder pain. Pain control may continue to improve for up to 12 months after the procedure. Studies show clinical success defined as a greater than 50% improvement in shoulder pain in 85% of patients six months after SAE.
Is shoulder embolization effective to improve shoulder function?
Yes. A majority of patients experience an improvement in shoulder function and range of motion following SAE. The largest clinical trial to date reports average range of motion improvement of greater than 50% for anterior elevation and greater than 200% for external rotation.
What types of shoulder pain can improve with shoulder embolization?
SAE has been used effectively to treat patients with frozen shoulder, nighttime shoulder pain, shoulder arthritis, and symptomatic rotator cuff tears. A prospective multicenter study of 100 patients with refractory nighttime shoulder pain from frozen shoulder or symptomatic rotator cuff tears showed that pain, range of motion, and quality of life improved progressively for patients over one, three, and six months after the procedure regardless the cause of the shoulder pain.
What are the risks of shoulder embolization?
Any embolization procedure has the risk of non-target embolization (the beads traveling to a undesired location). Serious complications from non-target embolization during SAE performed by an experienced physician are very rare (less than 1 in 1000).
Are patients satisfied with the results of shoulder embolization?
Studies report a high rate of patient satisfaction with SAE. More than 85% of patients have been reported to be satisfied with the results of the procedure six months after SAE. Patients report satisfaction with the nonsurgical, minimally invasive nature of the procedure, the lack of general anesthesia and hospital stay, and the very low risk of complications.
Who should consider shoulder embolization as a treatment option?
Patients who experience chronic shoulder pain and decreased range of motion due to frozen shoulder, symptomatic rotator cuff tears, and shoulder arthritis may benefit from SAE. Patients who have not responded to conservative therapy and wish to postpone or avoid surgery may be candidates for this minimally invasive treatment.
Which patients may benefit from shoulder embolization (SAE)?
- Chronic shoulder pain sufferers: Individuals with persistent shoulder pain lasting for several months or longer, despite conservative treatments such as medications, physical therapy, and rest.
- Rotator cuff tendinopathy or tears: Patients with tendinopathy or partial tears of the rotator cuff tendons who experience significant pain and functional impairment.
- Subacromial impingement syndrome: Individuals with impingement syndrome, where the tendons of the rotator cuff are compressed during shoulder movements, leading to pain and inflammation.
- Not ideal candidates for surgery: Patients who are not good candidates for surgical intervention due to medical comorbidities, advanced age, or personal preference to avoid surgery.
- Individuals seeking a minimally invasive alternative: People who want to avoid anesthesia, a hospital stay, or prolonged recovery.
What is the recovery process like after shoulder embolization?
The recovery process after shoulder embolization typically involves a short period of rest followed by a gradual return to normal activities. Patients may experience some pain or discomfort for a few days, which can be managed with over-the-counter pain medications. It’s important to follow any specific post-procedure instructions given by Dr. Mittleider to ensure proper healing. Light activities can usually be resumed within a few days, but strenuous activities should be avoided for a few weeks.
How soon can I get back to my routine after shoulder embolization?
Most patients can return to their normal routine within a few days to a week after shoulder embolization, depending on the nature of their activities and how quickly they recover. Light activities and work can typically be resumed within a few days, but it’s important to avoid heavy lifting or strenuous exercise for a few weeks. Dr. Mittleider will provide personalized advice based on your specific condition and recovery progress.