The patient was diagnosed with high-grade partial rotator cuff tear status post repair.
Prior treatments included injections, medications, use of a splint, physical therapy, home exercise program, and psychotherapy. The patient had an approved 6 to 8 sessions of cognitive behavioral therapy (CBT). Medication include Tramadol.
The patient had corticosteroid injection into the shoulder (undated) which had no relief.
The x-rays of the right hand and right shoulder reviewed on 09/01/16 documented that there was a normal result. The magnetic resonance imaging of