“It feels like a rock in my shoulder”, Marie says after I ask her to describe her pain to me.
My next question is, “Where is it, exactly?” She puts her hand over the muscles on top of her shoulder blade. OK, it’s getting clearer.
Onto my next question. “When is it?” When it started and when it shows up. Knowing when it started is a clincher to pain detective work. Marie isn’t sure, “I just noticed it was bothering me one day and it keeps coming back, more and more.” Now I know we’ve got what I call a “creeping issue.” It crept up into her life and got into her framework.