"OK," the orthopedist said. "You may experience some pain."

Of course there would be some pain. Pain, I was once told, is only the beginning. So pumping cortisone directly into a bone spur in my right shoulder is expected to hurt.

It didn’t hurt all that much. I’ve had worse.

"You must be used to pain," he said.

The bone spur rips its way through the rotator cuff muscles in my shoulder and the cortisone might break it up and allow me to avoid shoulder surgery for the time being, although the orthopedist says the day will come when avoiding surgery is not an option.

Until then, I will try to let the steroid reduce the spur and will also avoid raising my arm above the shoulder.

We’ll keep working on it.