Brief Answer:
It may be due to muscle spasm.
Detailed Answer:
Hello XXXX
Thanks for writing to XXXXXXX
You need proper clinical examination and investigation.
Your problem may be due to muscle spasm as you may had exertion during marathon.
Firstly short course of muscle relaxants like tablet
Tizanidine 4 mg twice daily and analgesics like tablet Acelofenac 200 mg twice daily for five-six days should be given.Tablet
pantoprazole 40 mg once daily half hour before food can be given for 10 days as analgesics can cause gastric irritation.
You need proper evaluation by orthopedician.If there is problem in shoulder joint then
MRI of shoulder should be done.It can assess problems in shoulder joint accurately and it is the investigation of choice.
You also need
mammography of your breast.It is not only due to your complain,but screening is necessary due to your age.
You also need routine hemogram,RBS,LFT,RFT,
Lipid profile to detect other problems.
Proper treatment can be done after clinical examination and investigation reports.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
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