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Suggest Remedy For Pain Due To Frozen Shoulder

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Posted on Mon, 20 Jul 2015
Question: I am male, 76 years old. I suffer from frozen left shoulder for the last 2 months and feel pain when swiveling my left arm beyond a short XXXXXXX Further, for the last several years I find no strength in my both legs at the calf muscles. This weakness is NOT to a serious degree since it does not cause me any problem, pain or discomfort for short walks of 2 to 3 KM at a time. I confess guilty to have been extremely lazy with regard to physical exercise or walking, doing neither for several years, finding comfort in physical inaction beyond usual daily chores. Last week my ortho-specialist found my left shoulder x-ray as 'Nothing wrong' and prescribed me 5 days of [1] DOLOMEX DT 1-0-0 after food and [2] RANTAC 1-0-0 before food. Additionally he prescribed ice fomentation on shoulder 1-1-1 x 5 days and mild active assisted shoulder mobilisation exercise. I am to report back to him after a week. However my medicare agency gave me instead PARACETEMAL and OCID 1-1-1 x 5 days. My question : [1] Since I do not find much pain, will it be OK if I do not take PARACETEMAL at all ? [2] Is OCID the right substitute for the specialist-recommended RANTAC ? [3] Can I redeem my calf muscles if I begin mild exercises from now on ? What kind of exercises ? Will 20 minutes brisk walking a day do ?
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Answered by Dr. Prakash H Muddegowda (1 hour later)
Brief Answer:
Yes, you can stop paracetamol.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:

1. Yes, paracetamol is not necessary, and was being given only for pain. As there is no pain or fever, it can be stopped.
2. OCID can be used in place of rantac. Even though both are different chemically, at the end of the day, similar action. If you do not have gastritis, or you have stopped paracetamol, OCID/ rantac may not be necessary. If continued, no complications though.
3. Calf exercises can help in building up the calf muscles. Before exercising, stretching of calf muscles is essential. Trying to stand on toes is the best exercise for calf muscles. Initially, in seated position and then in alternate legs in standing position and later on, as it builds, single leg standing and trying to stand on toes. Need to do it slowly, as much as possible.
4. 20 minutes brisk walking is always helpful. It helps in a good cardiac workout too. However, calf specific muscle training, 5 minutes daily will help in strengthening it.

Protein rich diet (at least 1g/kg body weight of protein) to help in building muscles will help. Any high heeled footwear needs to be avoided.

Continue with shoulder mobilization exercises.

Hope it helps.
Any further queries, here to help again.

Dr. Prakash HM
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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Suggest Remedy For Pain Due To Frozen Shoulder

Brief Answer: Yes, you can stop paracetamol. Detailed Answer: Hi, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Based on your query, my opinion is as follows: 1. Yes, paracetamol is not necessary, and was being given only for pain. As there is no pain or fever, it can be stopped. 2. OCID can be used in place of rantac. Even though both are different chemically, at the end of the day, similar action. If you do not have gastritis, or you have stopped paracetamol, OCID/ rantac may not be necessary. If continued, no complications though. 3. Calf exercises can help in building up the calf muscles. Before exercising, stretching of calf muscles is essential. Trying to stand on toes is the best exercise for calf muscles. Initially, in seated position and then in alternate legs in standing position and later on, as it builds, single leg standing and trying to stand on toes. Need to do it slowly, as much as possible. 4. 20 minutes brisk walking is always helpful. It helps in a good cardiac workout too. However, calf specific muscle training, 5 minutes daily will help in strengthening it. Protein rich diet (at least 1g/kg body weight of protein) to help in building muscles will help. Any high heeled footwear needs to be avoided. Continue with shoulder mobilization exercises. Hope it helps. Any further queries, here to help again. Dr. Prakash HM