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Real-World Scenario

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Real-World Scenario In 2002, a lady was working in an extremely physical and fine-motored position at her job. Over time with moving heavy boxes of files something happened to her shoulder area. Sorting taxpayer/auditor requests did not help the situation either, along with writing and typing. She went through several specialists. First she saw an occupational therapist because there was numbing in her right arm down to the (dominant) hand. The therapist did numerous tests and gave her tips on getting the hand to ease up on the tingling. For instance, making a tight fist for a few seconds and releasing or tapping fingers on a surface to get the circulation going again. After a few sessions, the therapist referred her to physical therapy. The physical therapist was trying to help the lady gain her strength back, but after a few months the therapist thought the lady could do more. The lady tried to tell her that she was already hurting a great deal. Therapist did not listen. The result, the lady was in more pain than ever before. During this time, the lady was also referred to several other specialists, such a sports medicine doctor, chiropractor, physiologist, and a pain doctor. The sports medicine doctor tried cortisone shots that gave only mild relief. After 15 sessions from the chiropractor the lady was not feeling any better. The physiologist did not help whatsoever. The pain doctor tried steroid cortisone shot in the neck, result one day of relief (was supposed to be at least two weeks). The pain doctor did prescribe a heavy duty pain killer (Neurontin) and a tens unit. The Neurontin took only some of the edge off the pain; however, the doctor had to increase the dosage. Within six months the lady went from 1600 mg to 4800 mg. The doctor also had an MRI (magnetic resonance imaging) done to see if he could get a better idea of what could be

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