<s>[INST] Hello, I have pain under my right shoulder and it seems to go around my ribs. This has been going on now for about 1 year and has gotten worse, worse to the point that I can't do daily chores around the house. I have had x-rays and blood work on my liver and to 3 different doctors that can't find the problem. By the way I had my gald bladder removed in 1998. What could it be? [/INST] Hai.this looks like a neuropathic pain, u can rule out with a mri scan of ur shoulder, any nerve compression can be found out.u csn go for slow relaxing physiotherapy exercises. For pain u csn take combination of pregablin 75mgs with methylcobal, under supervisionoforthopaedic surgeon </s>