Hi Doc, I'm Emmanuel Thanks for being there for us...

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What are the causes?

1. Fracture or injury
2. Muscle strain or spasm
3. Arthritis
4. Joint dislocation
5. Joint inflammation
6. Thorcic outlet syndrome 

What is the treatment?

1. Pain killers like paracetamol
2. Muscle relaxants like relaxone
3. Anti-inflammatory drugs like serodase
4. Anti-inflammatory creams like voltaren gel 

What are the investigations?

1. Physical examination
2. Blood test (cbc)
3. Blood tests for arthritis
4. X-ray to the shoulder 
5. Ct-scan

What do we advice?

1. Consult the orthopedic 
2. Limit the movement of the shoulder 
3. Physical therapy

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