Shortly after being trained in dry needling, I was searching for willing subjects who would allow me to hone my skills. I had a long term patient I was seeing who I was treating for a thoracic compression fracture. We had a pretty good rapport and it came to light that he had had a rotator cuff and labral repair 2 years earlier. He voiced frustration that he never could attain full end range elevation compared to his uninvolved side. He heard me talk about dry needling and asked if I would take a look at his shoulder and see if he’d be a candidate.