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

### input:
Hello,Okay my mother had a back surgery. She recently pulled a muscle in her shoulder. She is okay if she lays down, but when she gets up her pain is so intense she screams. I would love to take her to the doctor but she can t....without suffering.... I found some expired Methocarbamol....it expired 9/2013, less than a year ago. what do you think of trying one to help her?

### output:

Here I need to know due to what issue there is shoulder pain. As per me, it can be due to either soft tissue issue (could be muscular) or it could be frozen shoulder. However conformation can be done only by specialist by physical evaluation, or you can also go for MRI scan report. Now here I always suggest to all my patient do not take treatment for pain but take the treatment for the cause of pain so that you can get permanent relief from pain Here if there is pain due to soft tissue problem then based on the severity of problem it can be treated with arthroscopy, or it can be treated with conservative medication and physiotherapy management. And if it is due to frozen shoulder then again there are 2 option. As a conservative and primary treatment it can be treated with shoulder physiotherapy (shoulder manipulation) exercise, or if it is very severe then it can also be treated with shoulder manipulation under anesthesia. Here I have given you option for different type of shoulder pain since I am not able to check and evaluate here, But I suggest visiting a specialist or call specialist at your place and get it evaluated properly, and take treatment according to it. She can also use hot and cold pack on painful shoulder at home to have some more relief from shoulder pain. Take care.