Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr. Rynne, I m a 58 yrs old female American but not a native speaker. I damaged (?) my shoulder (Rt side) one day (unknown reason) and now it s slowly getting worse - it only hurts when I use my arm in fast/sudden motion. thanks for taking my question.
[|AI|]  Hello, Since you are not sure of the traumatic event its possible that this not to an injury. This could be the beginning of an inflammation of the shoulder tendons which connect to the bone. Pain medication like diclofenac or celecoxib can be used(take care to protect your stomach with anti ulcer agents)Try a hot pack after a local cream application and then a round of rotatory shoulder exercises. Physical therapy and ultrasound therapy will help as wellie you are a diabetic do make sure that it well controlled