Hello Comupterchuck,
Welcome to this forum Chuck.
Arthritis is a pain, a REAL pain. I have "good days', and those #%$&^@$ "bad weather" days, except I'm not sure what the weather has to do with it. LOL
You are most fortunate to live in the same state where Dr. Tolli practices. I have read good comments about him.
The corticosteroid that my PM doc injects for my back epidurals is Kenalog. I do not know if that was the same corticosteroid that my "shoulder" doc injected in my shoulder. All I know is that it worked. Chuck, I live in Northern Virginia.
A thought or two if I may - I would suggest that you get a second and even a third opinion from the best orthopedic surgeons that you can find in your area BEFORE you have any nerves zapped. To me that IS the last option for it does NOTHING to correct the problem.
How to find the right forum to be reading? For me at least it has been a matter of finding a forum where I feel comfortable communicating in an open honest manner and receive the same back. At least for spineys, to me this is the BEST forum.
Hope all goes well. Let us know how things go for you.
RichT