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

### input:
my mother is 73 years old. About three months ago she suffered an inocuous bang to her left arm. It was very, very painful at the time and there was a huge lump below the elbow. That lump has never gone down and it s quite painful to touch. She now tells me that she has a pain in the shoulder area. Is this something to be concerned about?

### output:

HI, Dear,Welcome with you query to Chat Doctor Virtual Clinic. Reviwed your messed up lump with shoulder pain. You seem to suffer from ? Hematoma below left elbow with a painful hit, with shoulder pain lately. Your mother at 73,mostly seems to have-Frozen shoulder post left arm hit with the painful lump under the left elbow. Suggested Remedy plan for you is as follows-Consult your Surgeon/Orthopedic doctor-Get the Blood tests and X-ray left elbow and left shoulder with arm to rule out any hidden fracture / with hematoma.USG of the left elbow lump would confirm any hematoma if need be, as its long after your left arm hit that your mother had this shoulder problem. Control messed up elbow painful lump ?infection/inflammation, With SOS Wide Bore needle Aspiration under Antibiotics cover and Voltaren Gel to shoulders for Frozen shoulder with Physiotherapy to shoulder. Hot fomentation to begin withZincovit to supplement your healing power. This reply would help you to plan treatment with your doctor. Contact after 2 weeks time with a Followup Premium question to ME. Will appreciate your Hitting, thanks. Will appreciate review with your excellent review write up comments. Welcome with any other further query in this regard, if need be. Good Day!! Chat Doctor. S. Genl-CVTS