FT: About a year and a half ago I noticed pain in my right shoulder, which evolved during the day and worsened making me seek diagnostic procedures and a visit to my primary care physician. This was diagnosed as a frozen shoulder, a condition without really an explanation and treated with anti-inflammatory’s, without success.

The pain over last summer, summer 2005, was so severe that I would have to sleep on my left side with a cushion to elevate my arm. It would impact my sleep and thus my functionality. It also, by the end of the summer, started radiating in my right forearm. It came with a limitation of movement in extension, in catching objects behind me, like helping my son in the back of the car. That would hurt, and also I wouldn’t be able to do some movements, dropping objects when I was cooking.

That motivated a second visit to my primary care physician. The x-rays were negative. Then there was a visit to an orthopedic surgeon who confirmed the diagnosis of a frozen shoulder, who sent me for MRI’s of the shoulder which were not diagnostic and prompted me to physical therapy which was extremely painful, with no improvement. That was followed by one injection in the shoulder that relieved some of the pain. Also, the thickness and strength of the muscles of my hand and fingers, (the palm of my hand and my right fifth finger) were noticeably decreased. Therefore that prompted the orthopedic surgeon to ask for an MRI of the spine which showed some pinching of the nerves in the cervical spine. That led to a visit with one of our pain faculty, because the orthopedic spine surgeon deemed that surgery would not be helpful at this time.

The pain specialist, one of our faculty gave me the choice of an injection of steroids in the spine and/or chiropractic care. I basically chose to do both, the epidural injection of steroids, but first to go to the chiropractor. Dr. Wallace directed me to you.

DK: Fantastic. Mark Wallace sent you to see us. Then before you had the injections you got adjusted, is that the correct sequence?

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