Adhesive Capsulitis Embolization: A Case of Particle Embolization for Refractory Shoulder Pain Secondary to Adhesive Capsulitis

Adhesive capsulitis (AC) is an inflammatory process characterized by limited shoulder mobility and pain. The prevalence of AC is as high as 5% in the general population but increases up to 20% in patients with diabetes. The current management algorithm for AC consists of physical therapy followed by pharmacological treatment. Surgical options are reserved for those with refractory pain. Adhesive capsulitis embolization (ACE) is a new minimally invasive procedure that involves particle embolization of the inflammatory vessels linked to chronic shoulder pain. Early studies show promising results with significant improvement in shoulder pain and mobility. The present case describes a 40-year-old woman who underwent ACE for refractory shoulder pain and discusses the postoperative management of ACE.