In case #68 I'm joined by Dr. Scott Eiselt of Greenville South Carolina, USA. He presents a 36 year old female, a tire factory worker complaining of shoulder and arm pain and arm and hand numbness. Scott helps us understand how he reasoned through her descriptions of the pain and paresthesia, what her physical exam findings told him and what classification came to the surface within the 2nd or 3rd visit. There is also excellent patient education and management discussion through this patient who showed to have a condition with a slower responding lesion. Although there was no rapid response this case is a great example that a clear, successful outcome can be achieved through persistence and the proper care. (1hr, 5min, 45 sec)