### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Bicipital problem or shoulder problem? Last thursday went to gym did the 30 minute circuit, which exercises everything in 10 different machines. After doing the 3 leg machines which are the first 3 mschines, felt severe pain in right arm between above elbow and shoulder. Iced my arm all thursday night in bed. Friday when I went to work. Still had severe pain, hurt to even lift arm at any level. Saturday had mild-moderate pain in arm. Sunday and today barely any pain.. what would have caused this? Haven t been to gym since thursday. Should I have gotten it checked out? Who to see? What if I do nothing? Went to gym today, did biceps/triceps, no pain. Always wear a tennis elbow strap doing tricep exercises, otherwise pain in elbow joint. Currently no insurance.

### output:

Ok lets keep it simple and really specific for you. I don't like giving generic answers to my patients. So here's something to get your moneys worth1) first are you relatively new to the 30 min circuit or have you added something in the regimen, if yes you have a DOES (delayed onset muscle soreness). Postexercise muscle soreness, also known as delayed-onset muscle soreness (DOES), is defined as the sensation of discomfort or pain in the skeletal muscles following physical activity to which an individual is not accustomed to. The incidence of DOES is difficult to calculate, because most people who experience it do not seek medical attention, instead accepting DOES as a temporary discomfort. Every healthy adult most likely has developed DOES on countless occasions, with the condition occurring regardless of the persons general fitness level. 2) then your next question would be, why does this happen?It's caused by accumulation of waste byproducts after muscle activity, these waste products can serve as a pain chemical. Small tears in the muscle after an accustomed exercise is an additional factor3) doc what do I do?well DOES just like in your case is a self limiting disease, meaning it won't get worse. It usually resolves in a week (max) so if the pain goes away on its own, the best thing to do will be to stretch before you exercise, adjust the timer to 40 mins initially, or switch to a more basic exercises for your arms first than switch gradually after a week to your preferred 30 mins regimen. (if you have a trainer now is the time to employ his/ her expertise)as of now no urgent need to see a doctor :) advanced merry Christmas (