JW is a 50 year old paraplegic who had severe thoracic pain. His previous doctors saw a cyst on his spinal cord. They thought this was causing pain and subsequently removed it with major neurosurgery. Unfortunately, there was no relief of pain. He was sent to The Centeno-Schultz Clinic by his doctor. We diagnosed a thoracic muscle enthesopathy at the rib insertions of multiple muscles (these are the only thing left holding his ribcage up). We performed IMS and prolotherapy under x-ray for the ribs. Since his treatments at The Centeno-Schultz Clinic, his pain has gone from near suicidal to minimal.