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Richard A. Parker, MD; Erin E. Hartman, MS
From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 2001;285:3140.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In March 2000, Stephen S. Burkhart, MD, discussed a 26-year-old woman with severe chronic shoulder pain. Mrs B was a physical education teacher whose activities were limited by chronic left shoulder pain. She had tried physical therapy, nonsteroidal anti-inflammatory drugs, and cortisone injections without adequate relief. The pain started 4 years earlier in both shoulders without preceding injury, and diagnoses included subdeltoid bursitis, rotator cuff tendonitis, and impingement. The pain awakened her from sleep and interfered with basic activities such as brushing her hair and lifting her arm. A magnetic resonance image (MRI) showed a possible small tear in the rotator cuff. She wondered whether surgery would afford long-term relief and how difficult the recovery period would be.

Dr Burkhart discussed the prevalence and pathophysiology of shoulder pain, along with the correct history taking and physical examination for these patients. He described . . . [Full Text of this Article]

MRS B, THE PATIENT



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