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Shoulder Embolization: A Non-Surgical Solution for Chronic Pain

2026-05-07 7 min read
Medically Reviewed by Dr. Mehran Manouel, MD, FAAOS · May 7, 2026

Living with chronic shoulder pain can feel like a constant burden, limiting your ability to perform daily tasks, enjoy hobbies, or even sleep soundly. For many patients, the pain stems from underlying issues like muscle strains, tendonitis, or complex vascular conditions that standard treatments simply cannot resolve. When physical therapy, medications, and corticosteroid injections fail to provide relief, patients often face a daunting choice: undergo invasive surgery with a long recovery time, or live with persistent discomfort.

At M&S Vascular and Orthopedic Group P.C., we believe there is a third option. We are proud to offer advanced, minimally invasive procedures that target the root cause of your pain without the need for major surgery. One of our most innovative treatments is shoulder embolization, a specialized technique that has transformed care for patients in Forest Hills, Queens, NY. By combining the expertise of our orthopedic surgeons and interventional radiologists, we provide a pathway to recovery that is safer, faster, and less painful than traditional open surgery.

If you are searching for relief from chronic shoulder pain in the Queens area, you deserve a treatment plan that prioritizes your quality of life.

Understanding Shoulder Embolization

Shoulder embolization is a cutting-edge, non-surgical procedure primarily used to treat chronic pain caused by abnormal blood vessels, such as arteriovenous malformations (AVMs) or severe arterial bleeding, as well as to manage pain associated with certain vascular tumors or hypertrophic muscle conditions. While the term "embolization" might sound complex, the concept is straightforward.

During this procedure, an interventional radiologist guides a tiny catheter through the blood vessels to the specific area of the shoulder causing the issue. Once the target vessel is identified, the doctor injects special embolic agents (tiny particles or coils) to block blood flow to the problematic area. By cutting off the blood supply to the source of the inflammation or abnormality, the procedure effectively stops the pain signals and allows the tissue to heal or shrink over time.

This approach is particularly beneficial for patients in Forest Hills, Queens, NY, who wish to avoid the risks associated with open surgery, such as infection, significant scarring, and prolonged immobilization. Instead of weeks in a cast or a hospital stay, many patients return to their normal routines within days.

When Is Shoulder Embolization Recommended?

Not every case of shoulder pain requires embolization. This procedure is specifically indicated for conditions where blood flow abnormalities are the primary driver of chronic symptoms. Dr. Amir Salem, our board-certified Interventional Radiologist and Vascular Surgeon, often evaluates patients for this treatment when standard orthopedic interventions have not yielded results.

Common conditions that may benefit from shoulder embolization include:

* Arteriovenous Malformations (AVMs): A tangle of abnormal blood vessels that can cause pain, swelling, and a pulsating sensation in the shoulder.

* Hemangiomas: Benign tumors made of blood vessels that can become painful if they grow large enough to press on nerves or surrounding tissues.

* Chronic Pain from Vascular Compression: Sometimes, enlarged or varicose veins in the shoulder area can compress nerves, leading to persistent, aching pain that mimics musculoskeletal injuries.

* Post-Traumatic Vascular Issues: Injuries that result in abnormal bleeding or vessel damage that has not healed properly.

If you have been living with unexplained shoulder pain in Queens for months or years, and imaging tests suggest a vascular component, embolization could be the game-changer you have been waiting for.

The Role of Our Specialized Team in Forest Hills

What sets M&S Vascular and Orthopedic Group P.C. apart is our integrated approach. Chronic shoulder pain is a complex issue that often requires a dual perspective: the structural expertise of an orthopedic surgeon and the vascular expertise of an interventional radiologist.

Dr. Mehran Manoel, our Orthopedic Surgeon and Sports Medicine specialist, is instrumental in the initial diagnosis. He performs comprehensive physical examinations and interprets imaging to determine if the pain is musculoskeletal (involving bones, muscles, or tendons) or vascular. If Dr. Manoel identifies a vascular component that requires intervention, he works seamlessly with Dr. Amir Salem.

Dr. Salem then takes the lead on the embolization procedure. His expertise in minimally invasive techniques ensures that the treatment is precise and effective. By collaborating closely, Dr. Manoel and Dr. Salem ensure that every patient in Forest Hills, Queens, NY, receives a holistic treatment plan that addresses both the structural and vascular aspects of their condition. This multidisciplinary model eliminates the need for patients to visit multiple specialists across different locations, streamlining their path to recovery.

What to Expect During the Procedure

One of the most common concerns patients have is the invasiveness of the procedure. Shoulder embolization is performed under local anesthesia with sedation, meaning you will be awake but comfortable and relaxed. The procedure typically takes between one to two hours, depending on the complexity of the vascular anatomy.

Here is a general overview of what happens:

1. Preparation: You will lie on a specialized X-ray table. The skin over the access point (usually the groin or wrist) is cleaned and numbed.

2. Catheter Insertion: Dr. Salem makes a tiny puncture in the skin and inserts a thin, flexible tube (catheter) into the blood vessel.

3. Navigation: Using real-time fluoroscopy (live X-ray imaging), Dr. Salem guides the catheter through the vascular network directly to the shoulder area.

4. Embolization: Once the target vessel is located, the embolic material is released. You may feel a slight warmth or tingling sensation, but the procedure itself is generally painless.

5. Recovery: The catheter is removed, and a small bandage is applied. Patients are monitored for a short period before being discharged.

Because this is a minimally invasive technique, there is no large incision, and the risk of infection is significantly lower than with open surgery. Most patients can go home the same day.

Recovery and Long-Term Benefits

The recovery process for shoulder embolization is remarkably quick. In the days following the procedure, patients may experience some mild soreness at the puncture site or in the shoulder, but this is usually manageable with over-the-counter pain relievers. Unlike traditional surgery, there is no need for extensive physical therapy or a long period of immobilization.

Many patients report a significant reduction in pain within days of the procedure. As the abnormal blood vessels are blocked, the inflammation subsides, and the pressure on surrounding nerves decreases. Over the following weeks, patients often notice a gradual improvement in range of motion and an overall return to their daily activities.

For residents of Forest Hills, Queens, NY, this means getting back to work, playing with grandchildren, or returning to sports much faster than traditional recovery timelines would allow. Dr. Manoel and Dr. Salem will provide you with a personalized post-procedure care plan to ensure the best possible outcome.

Take the Next Step Toward Pain-Free Living

Chronic shoulder pain should not dictate your life. With the advancements in interventional radiology and orthopedic care, there are more options than ever before to find relief without major surgery. At M&S Vascular and Orthopedic Group P.C., we are dedicated to providing our community in Queens with access to these life-changing treatments.

Whether you are struggling with a vascular anomaly or complex musculoskeletal pain, our team is here to listen, evaluate, and treat you with the highest level of care. Don't let another day go by in discomfort.

Contact us today to schedule a consultation with Dr. Manoel or Dr. Salem.

Call us at (718) 897-2228 or visit our website at https://www.msorthovasc.com to learn more about shoulder embolization and other advanced treatments available to you in Forest Hills, Queens, NY. Your journey to a pain-free life starts with a single call.

Have Questions?

Our team at M&S Vascular and Orthopedic Group P.C. in Forest Hills, Queens is here to help.

Call (718) 897-2228