Severe Chronic Shoulder Pain. Anti-inflammatory Drugs And Exercise Offering No Relief. What Could Be The Underlying Cause?

Hi Doctor,

I am writing this email in hope for a help. My wife is suffering a lot with severe shoulder pain since more than an year. We have been to multiple doctors in United States but there is no help, All doctors are saying that she is absolutely fine and the pain will go away in some time after regular exercises.

She is regularly doing all the shoulder exercises but there is no improvement in her pain relief. She is just 28 Years.

She played tennis last year for only once and since then this is the case. Doctors initially said its a muscle pull/tear and inflammation. They suggested anti inflammatory drugs, she was fine when she takes that but pain was coming back if she stops. She was also recommended for physical therapy, we have been to therapy sessions for 6 months but when we give a gap in therapy pain is coming back again.

We stopped visiting Physical therapy as its not giving permanent solution , she then started doing regular shoulder exercises at home and hoping for a relief. But not much help still.

We both don't know the root cause of the pain , and its a really a concerning part that the pain is still there even after an year. We are skeptical about something big going on in her body.

Could you please take a minute or two to understand my wife's situation and suggest the treatment.

Thank you very much for your time.