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Suggest Remedy For Pain In The Shoulders
Question: Sir,
My mother is 50 years old. She is having a pain in her right shoulder for last three months, sometimes the pain in unbearable. It seems that she has got a frozen shoulder. She is a fat person and weighs 80kgs. Her height is 5ft5inches. The pain is worse at night. The shoulder has become quite stiff, almost immobile and the pain is gradually increasing. Lateral movement of the arm is almost impossible. Some of her recent reports are as follows -
Glucose, Fasting - 132mg/dl
Cholesterol-Total - 227mg/dl
Triglycerides,Blood-129mg/dl
HDL Cholesterol- 49mg/dl
LDL Cholesterol Direct - 143mg/dl
VLDL-35.0mg/dl
CHOL HDL Ratio - 4.63
URIC ACID,BLOOD - 6.5mg/dl
SGPT/ALT - 79U/L
TSH - 3.79 IU/ml
HAEMOGLOBIN - 12.0 Gm/ dl
She has mild BP and she takes Amplopress-AT(Amplodipine...5mg/Atenolol IP...50mg), Amlong(Amlodipine Besilate..5mg) regularly. Recently she is taking Zyrova 10(Rosuvastatin Calcium) for Cholesterol. Please advise regarding her shoulder pain. She is taking hot bag and trying to do some physio exercises but those are quite painful and she is hardly able to do it perfectly. Thanking you.
XXXX
XXXXXXX
My mother is 50 years old. She is having a pain in her right shoulder for last three months, sometimes the pain in unbearable. It seems that she has got a frozen shoulder. She is a fat person and weighs 80kgs. Her height is 5ft5inches. The pain is worse at night. The shoulder has become quite stiff, almost immobile and the pain is gradually increasing. Lateral movement of the arm is almost impossible. Some of her recent reports are as follows -
Glucose, Fasting - 132mg/dl
Cholesterol-Total - 227mg/dl
Triglycerides,Blood-129mg/dl
HDL Cholesterol- 49mg/dl
LDL Cholesterol Direct - 143mg/dl
VLDL-35.0mg/dl
CHOL HDL Ratio - 4.63
URIC ACID,BLOOD - 6.5mg/dl
SGPT/ALT - 79U/L
TSH - 3.79 IU/ml
HAEMOGLOBIN - 12.0 Gm/ dl
She has mild BP and she takes Amplopress-AT(Amplodipine...5mg/Atenolol IP...50mg), Amlong(Amlodipine Besilate..5mg) regularly. Recently she is taking Zyrova 10(Rosuvastatin Calcium) for Cholesterol. Please advise regarding her shoulder pain. She is taking hot bag and trying to do some physio exercises but those are quite painful and she is hardly able to do it perfectly. Thanking you.
XXXX
XXXXXXX
Brief Answer:
Please check her post prandial sugar and HBA1C
Detailed Answer:
hello Mr.XXXX,
I am Dr.Rajesh Teli,MD.
I have gone through your query.Thanks for using HCM.
As I understand from your query that your mother has severe periarthritis of right shoulder. Please continue with physiotherapy and analgesics as per recommendation of an orthopedic surgeon.
From the reports you have attached it is apparent that her fasting Blood sugar of 132 is higher than normal and suggestive of Diabetes. I suggest you to get her 2 hours post meal blood sugar along with HBA1C (Reports which gives information of last 3 month's average blood sugar). Following which we may consider to initiate treatment for diabetes. Please inform me report of blood sugar.
It is quite known that if diabetes is not controlled then such pain does not come under control. Other reports are suggestive mild elevations of lipids. Her serum cholesterol should be below 150 and LDL should be below 100.
Her high SGPT is because of effect of zyrova on liver. But it is acceptable. You may continue Amlopress AT in same dose.
My best wishes
Dr.Rajesh Teli,MD.
Please check her post prandial sugar and HBA1C
Detailed Answer:
hello Mr.XXXX,
I am Dr.Rajesh Teli,MD.
I have gone through your query.Thanks for using HCM.
As I understand from your query that your mother has severe periarthritis of right shoulder. Please continue with physiotherapy and analgesics as per recommendation of an orthopedic surgeon.
From the reports you have attached it is apparent that her fasting Blood sugar of 132 is higher than normal and suggestive of Diabetes. I suggest you to get her 2 hours post meal blood sugar along with HBA1C (Reports which gives information of last 3 month's average blood sugar). Following which we may consider to initiate treatment for diabetes. Please inform me report of blood sugar.
It is quite known that if diabetes is not controlled then such pain does not come under control. Other reports are suggestive mild elevations of lipids. Her serum cholesterol should be below 150 and LDL should be below 100.
Her high SGPT is because of effect of zyrova on liver. But it is acceptable. You may continue Amlopress AT in same dose.
My best wishes
Dr.Rajesh Teli,MD.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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