<s>[INST] I have severe pain on my left arm above the shoulder and my neck muscle is sore. I am a Diabetic and currently taking up to 10 medications a day. I also take a shot of insulin in the morning and night. The pain started about 3 weeks ago but has been getting worse. To the point I can not lift my arm over my head. I work in a Daycare. I am just wondering if lifting the children did some damage to my arm. What over the counter medicines can I take for until I see my Doctor. I am taking tyenol extra strength and using Rub A535. But nothing is helping. [/INST] Hello, There are many causes of shoulder pain but in diabetes, frozen shoulder or shoulder pain is common which leads to shoulder movement restriction especially extension and external rotation of shoulder joint. You are taking painkiller even then you are not getting relief then you can try other treatments as:Hot /cold therapy if you are having pain with swelling, you can apply ice therapy for 20 mins over your shoulder or apply hot wet towel apply on your shoulder up to 20 mins don't exceed the time to avoid skin burn. You can apply massage on your shoulder to reduce the muscle spasm of shoulder. Do isometric shoulder exercises to free the shoulder joint. You can take physiotherapy to restore range of motion and strengthening the muscle. An over counter Chat Doctor.  Although you don't get the relief get X-ray of shoulder joint and consult to orthopedic. </s>