Suggest Treatment For Shoulder And Arm Pain
Needs work up and evaluation
Detailed Answer:
Thank you for asking
I read your question and i understand your concern. Shoulder pain and arm pain waking you up from sleep at night is likely a pain related to shoulder joint or nearby tendons ligaments or rotator cuff involvement etc. This pain usually worsens on movements. A little work up like shoulder radiographs, MRIs etc will be needed to assess the damage. Age of 58 makes it more likely to be an age related articular degeneration of shoulder joint.
Every shoulder and arm pain should always be ruled out for visceral causes of referred pain like heart problem or gallbladder so a simple EKG and abdominal ultrasound to assess gallbladder with some baseline investigations would be wise. If you have tightness of chest or difficulty breathing with this pain then call 911 as it could be a heart attack.
Nutshell its either a referred pain due to heart or gallbladder or a local pain due to neuromuscular structure involved.
Take some ibuprofen for the pain and get evaluated for the cause.
I hope it helps. take good care of yourself and dont forget to close the discussion please.
Regards
Khan