A 59-year-old woman presented with left neck pain radiating to her left shoulder, scapula, lateral arm, and hand numbness for one year. Her pain management injections failed to provide relief. Her medical history includes right nephrectomy for cancer in 2004 with no further treatment, left total knee arthroplasty, thyroid issues, cholecystectomy, and hypertension. Her physical exam was nonfocal. The spine conference discussed the patient's axial neck pain and left cervical radiculopathy.

1. Upper Chesapeake Medical
Center Spine Conference
Friday June 3rd, 2016

2. 59 year old woman
cc: L neck pain B shoulder pain
L UE pain
HPI: pain for one year. L neck
radiates to L scapula, L
trapezial, L lateral arm, L hand
goes numb, failed injections in
shoulder and pain mngmt
PMH: R nephrectomy for ca
2004 no chemo/rad, L TKA,
thyroid, chole, R CTR, HTN
SH: office worker, nonsmoker,
no ETOH
Exam: 5’5” 235 lb, nonfocal

52. Problem list
• Axial neck pain
• L cervical radiculopathy

63. THANKS