Seems there s arthritis of elbow and shoulder. It could be frozen shoulder as well. Treatment is almost same in both cases with some variation. Your doctor must have given you good medicine that did not suit you. Since you have not mentioned any radiation of pain, I don t think it s nervine pain due to cervical problem. Changing doctor will not make much difference either. I would suggest to my own patient to start physiotherapy or Yoga postures and to add Rumalya Ayurvedic tablet continuously for 8-12 weeks with Rumalya liniment gentle massage, hot water bath and drinking warm water glasses two to three times a day. This won t counteract with your current medicine. Since you are Indian, you have an advantage. Take five herbs from Pansari: Peepal, peeplamool, chavya, Chitrak and sonth equally. Make decoction daily by boiling in water. Drink hot - may add little turmeric powder to it - in the morning and evening. Many of our HCM patients in foreign land, suffering from small diseases for years together, find it difficult to get herbs except turmeric. See the result if you follow all the instructions. Hope it will be helpful to you. Thank HCM for open forum questions.