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Shiny Stiff Surprise - 3/28/2017

This patient presents to you in the clinic with order to eval and treat for hand pain. She is in extreme pain and unable to move the right hand without great effort. She reports she was bit by a cat on her index finger 6 months prior and has had difficulty using her hand for anything since. She reports that she has trouble sleeping and that even the a/c in her car makes her hand hurt. What might you think is going on with this patient and what treatment interventions will you do? Click here for moderators response.