<s>[INST] I ve been having intermittent shoulder pain. It has been at times so bad I could barely raise my arm and could only lay certain ways when sleeping. It improved but its like I now have popping and grinding with shoulder range of motion. I have a job that I do a lot of pulling and pushing. Now I m having right elbow pain that seems worse with a deep breath (seems weird to be associated with each other). What is going on with my shoulders? Is the elbow thing related or something else? [/INST] Hi, thank you for providing the brief history of you. The pain in the shoulders can be due to certain. Reasons, like - adhesive capsulitis, bicep ital tendonitis, cervical spine disc degenerative disease, etc. To rule out the factors we need a thorough clinical examination and x-ray of the shoulder or may be the MRI of the Spine.Also, the pain in the elbow can be related to the pathology of referred pain due to the cervical spine disc degenerative disease or shoulder pathology. Post clinical examination and assessment of the diagnostic tools the next course of action can be initiated Regards Jay In Chat Doctor.  </s>