that may be frozen shoulder or may b degenerative changes so we have to diagnose first Advise blood investigations cbc esr crp s uric acid rbs Xray left shoulder ap lat

An MRI of the shoulder may be necessary to make the diagnosis. However it is better that a shoulder specialist sees her first

Understood. In that case, for a 66-year-old with shoulder pain for one month without injury, the most common causes are rotator cuff inflammation/degeneration or early frozen shoulder initial evaluation should include a shoulder X-ray, and if pain persists or movement becomes more restricted, an MRI shoulder to look at tendons. treatment can be medication-based initially pain relievers short course anti-inflammatory drugs local gel heat application activity modification. if pain continues despite medicines, targeted injections like steroid injection into the shoulder) may be considered after proper diagnosis.

Rule out Cardiac Pathology first It could be adhesive capsulitis Requires physical examination Xray left shoulder AP can be taken

Is she diabetic?