<s>[INST] I have been experiencing pain in my arms. It started near my right shoulder and has spread to my left upper arm area. It isn t constant, but when I make certain movements (such as trying to reach back to unhook a bra!), the pain stops me before I can reach up my back to even get close to the area. Reaching to get something off of a high shelf is very painful, more so on the right than the left. The pain started several weeks ago and does not seem to be getting any better. Strangely, I can swing a golf club with no pain, and most other movements cause no pain. I thought it was just a muscle strain (it does not seem to be aggravated by bone movement, i.e. shoulder rotation), but I became concerned when it moved to the left upper arm. Can you help me with what this might be? Thank you, Teresa [/INST] Dear patient if pain is on both sides with restricted abduction of the shoulder and internal rotation (as per your description) it is a sign for early adhesive capsulitis of the shoulder. Are u diabetic? This condition more common in diabetes patients. There is thickening of shoulder capsule with restricted movement. Mainline of treatment is physiotherapy. This is self limiting condition and resolves by itself in 6 months. You can take tab attract twice a day for pain relief.  Please get in contact with your physiotherapist. </s>