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I was referred to Dr. Mighell due to problems developing from a rotator cuff repair 40 years ago. I had developed osteoarthritis and bone spurs and some impingement of shoulder movement. After reviewing the MRI and CT of my shoulder along with his new x-ray, we determined surgery was the option for relief from the pain. My operation was scheduled on a timely basis. Dr. Mighell’s medical assistant, Rita, explained the process and what the next steps were that would need to be completed before surgery. I followed all the directions and never felt any pain at any time in the last six weeks. I no longer have to wear a sling and my shoulder already feels better before even starting therapy. I would recommend Dr. Mighell and his team to anyone considering having their shoulder be evaluated due to pain and certainly for surgery.