I don't know if it is psychosomatic, but my arm and hand are hurting worse then ever. I saw Dave the other day and we shook hands. He squeezed a little too hard and I winced. One problem I have is wondering what part of the pain does the pinched nerve play in the pain. Could any part of this be arthritis? I am thinking about calling the orthopod and asking them to schedule an MRI on my shoulder before my July appointment.