Your pain can be due to;
1) Bicipital tendinitis
2) Frozen shoulder
3) Biceps rupture
4) Rotator cuff disease.
The majority of people with the above problems will respond to physiotherapy alone. The program should be daily and assisted by the physiotherapist. The regimen consists of active and active-assistive range-of-motion exercises combined with stretching. Pain may occur early but within six to eight weeks progress is usually made. Other treatment modalities such as heat and massage may help. Nonsteroidal anti-inflammatory analgesics may also be beneficial (Ibuprofen and paracetamol). Deep electrotherapy in the form of short wave diathermy, Interferential current, transcutaneous electrical stimulation, iontophoresis, phonophoresis also are very helpful initially.
Heating pad and local analgesic spray and Lidocaine cream for pain relief can be applied.
Following investigations would be required;
1) X-ray of the neck spine
2) MRI of the neck and shoulder
3) Nerve conduction velocity (NCV) study
4) Electromyography (EMG)
You can consult the following specialists;
b) Specialist in Physical medicine and rehabilitation.
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