instruction: hello doctor approximately months ago some mild pain started in my right shoulder joint but I have not taken it seriously it started bothering me since end of february and it was slowly worsening I daily travel by crowded trains approximately 25 am to my workplace and back by middle of march while travelling by standing in train holding overhead handles my shoulder was hurting with every push from the crowds at various stations during day time there was not much pain I felt but in the night my sleep was disrupted frequently with pain like pulling with a hook on the shoulder I applied dynapar qps diclofenac diethylamine and absolute alcohol non aqueous topical solution my mother was using it for joint pains and she asked me to try it but I got no relief with it then my cousin practicing home medicine advised me some home medicines and it provided only a slight relief in the est week of april I consulted an orthopedic joint pain bone specialist and had taken ray of my right hand in different positions he suggested it is due to frozen shoulder problem and advised rotation of hands shoulders neck etc along with some medicines mainly pain killers and anti acidity medicine even after taking it for 25 days still I am having pain mainly in the inside bend of the right elbow if I raise my hands straight it hurts very little but if I bend it to comb my hair or putting my hands through the sleeve of my shirt it hurts very badly during day time the pain is very minor but in the night after the sleep of an hour it starts paining badly what I assessed is while the weight of the upper body rests on the shoulder or around the area including back side while lying down the pain radiates from this region and it hurts mainly the shoulder joint forearm muscles elbow joint and the wrist after trying various positions to rest the hand and shoulder with pillows soft towels the pain eases little and I fall asleep again this repeats throughout the night I use laptop extensively at work and at home also sometimes I feel a pulling pain in the wrist when I use the mouse more but no problem with key board now I am working from home due to covid19 lockdown but afterwards I may have to travel again by train and I am scared of the pain I will have to suffer
output: hi it seems to be frozen shoulder as told by orthopaedic earlier primary treatment of frozen shoulder is physiotherapy pain killer and muscle relaxants are given temporarily start on tablet neorelax my aceclofenace thiocolchicoside two times a day for days along with anti acid tablet pantoprazole 40 my before breakfast for days stop remaining medicines after to days start physiotherapy of shoulder you may consult physiotherapist he may suggest better physiotherapy exercise diabetes has to be ruled out please check fbi and pubs for sugar if not relieved with above then get an ultrasound of that shoulder done