Edward C. Cheung, MD

The patient is a 35-year-old right-hand dominant woman with 2 years of chronic right shoulder pain. She previously sustained a cerebral hemorrhage related to postpartum hypertension, which resulted in right-sided hemiparesis 2 years prior to presentation. At baseline, she had right upper extremity paresis that was worse than her right lower extremity paresis. She was able to walk short distances around the house, but her shoulder pain impaired her ability to take care of her three children. Her complaints were centered around shoulder pain that occurred while trying to use her arm. She currently uses her right hand as a helping hand to post objects that she then lifts with her left hand, but she cannot grasp or lift independently with the right upper extremity.