DR PHILIPPA KAYE: I’ve seen countless middle-aged women with chronic shoulder pain – most of them have a little-known nerve problem in their neck… and it can be fixed with daily exercises

Kirti had been trying to ignore the pain in her shoulder and upper arm for weeks.

What she couldn’t ignore was the ‘zinging’ – an electric sensation that shot through her arm, sometimes right into her little finger. It had begun to frighten her, so she came to see me.

After taking her history, I said I’d like to examine her, starting at her neck. She looked at me as though I hadn’t heard a word. The pain, she pointed out, was in her shoulder and arm. Not her neck.

I had been listening. It’s a question I’m asked all the time: why

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