The patient’s neck and arm pain and finger numbness had almost completely resolved. However, the earlier C6 sensory pattern, cough-provoked symptoms and reduced right brachioradialis reflex still required an explanation. Why did successful treatment not complete the diagnosis?
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Shoulder pain, restricted movement, local tenderness and an ultrasound abnormality appeared to form a complete diagnosis. However, several examination findings did not fit. Those inconsistencies became the reason to look beyond the shoulder.
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