<s>[INST] The inflammation rate in my body is 3 times higher than normal. My shoulders hurts so bad I a can of soda feels like it weighs a ton, my upper arms muscles are useless. I was hospitalized and the only thing they found was the inflammation rate increased daily. They sent me home with predisone 20 mg, twice a day, perocet and fexerall. That only masked the pain. I had to go back to ER Thursday Morning at 2:30am and they gave me another steroid shot and another 5 day Prednisone pack. I am at a loss. They don t know where to send me. The ER doctor said for people that present like I did suddenly, they usually transfer to Mayo Clinic. [/INST] I feel you should meet a orthopedic specialist and a cardiac specialist too. they might help you assess your issue and guide you some exercise which will surely help after meeting a physical therapist. </s>