"Patient reported she was unable to sleep in her bed, and must use a chair as the position of sleep caused too much pain. She was also unable to move her arms for more than a few seconds or would be in extreme pain for the rest of the day. She was not hopeful when she came in, but during the examination, we found some issues that not previous Dr had not mentioned. We then started treatment, and after the third visit, she noticed some slight improvement. We worked on a few changes in her positioning while sitting at home and changes to how she did laudry as well. The combined improvement from in-office treatment and at-home changes ramped up her improvement and allowed her to achieve amazing results she thought were not possible/"