A 39 year old gentleman comes in with two months of worsening left peri-scapular, neck, and shoulder pain. The pain does not radiate past his elbow. He has no right sided pain. He has tried several treatment options including: ant-inflammatories, oral steroids, TENs unit, and home stretching/therapy all with minimal relief. His symptoms are now interfering with his ability to perform tasks both at home and work.
A 76 year old lady presents with low back, buttock, and posterior thigh pain. The pain is worse whenever she stands or walks and relieved with sitting or laying down. She rates the pain as 8 out of 10. She used to live an active, independent lifestyle but now she has difficulty doing basic tasks like grocery shopping, household chores, or yard work. She has tried medications, heat/ice, physical therapy, TENs units, and injections--all without lasting relief.
A 50 year old lady comes in with four months of left back, buttock, and hip pain. The pain travels down her lateral buttock and thigh to her knee. She has seen a chiropractor, tried physical therapy, and used a topical anti-inflammatory all without significant relief.