Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr. Praveen Thank you for the generous offer to follow through with my right shoulder problem. It was 30.6.2014. It has not changed and there still is a raised, bony feeling bump on the end of my right shoulder top. Very pronounced. I feels as if it definitely does not belong. The pain is subliminal and only when I have not used the shoulder for some time. It feels bony, hard and full. I do not know whether I should wait a little longer for an improvement or seek specialist attention. I have full movement without hindrance, BUT there is that bony, hard protrusion above the shoulder. I have not dared to use full strength on that shoulder and dare not use my bicycle on hills. I feel that there is not full strength but I have not tested it. Thank you for your help and generous attention. Affectionately Peter Kurz
[|AI|]  Here it can be related with frozen shoulder or shoulder joint soft tissue damage, as well you also have mention protrusion over the shoulder joint. I want to know this protrusion is recently started or it's there from birth as well is it present even when your hand is down resting and there is no movement in shoulder joint. Or it comes only while moving your hand up with shoulder movement. If it is there from birth and even at resting position then its normal but if it comes only while moving hand up along with shoulder then its biomechanics of joint which is affected and so that you are feeling it as shoulder protrusion. Here one more symptoms you have given is bone tightness at shoulder. It can be due to less movement also. So the surrounding soft tissues have become tight. I suggest visiting or tho or physio doctor get it examine properly if needed they may ask for MRI scan. And based on diagnosis if there is mild to moderate issue that will get over with physio treatment and exercises suggestion. If there is major damage to soft tissue or joint capsule then you may need surgical correction and then again physiotherapy treatment for further healing and rehabilitation. You can also use hot and cold pack over your shoulder painful area for further pain relief. I am sure you will recover soon if you follow all above given steps. Take care.