The patient: “Cheryl,” a 36-year-old massage therapist.

Why she came to see me: Cheryl arrived at my office with soft tissue and joint pain that had surfaced—and worsened—within the last 10 months. On the morning she came in to see me, she said her pain was a six out of 10, but that it often escalated to nine. Indeed, the pain had gotten so bad that it had restricted her from using her hands for anything but the most vital tasks, such as brushing her teeth, preparing food and driving. Frightened by the prospect of losing her facility with her hands entirely—given her line of work and love of weight-lifting, bike-riding and swimming—she wanted to get to the bottom of her pain and to treat it naturally.

How I evaluated her: Cheryl and I began our work together with an in-depth discussion about her present symptoms, medical history and lifestyle… Read on…

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