I'm seeing a referral tomorrow specifically for "Synvisc injection for shoulder pain". The patient has a history of breast cancer, post-mastectomy pain syndrome, with secondary adhesive capsulitis. She can't tolerate physical therapy. She's had corticosteroid injections in the past - no benefit. Her shoulder MRI shows minor DJD, tendons intact, no tumors. I'm going to need to examine her to determine if her pain is truly coming from the shoulder, but if it is - has anyone injected Synvisc (or anything similar) into the shoulder?