<s>[INST] I m suffering from acute pain in my muscles of right hand elbow area and shoulders... It has started due to first day of gyming..bt problem is its has been 2 days yet it s not getting normal. It gets increased when I try to change position of my hands. Should i take combiflame or signoflam. Please help me with it. [/INST] Non-steroidal anti-inflammatories.signora has more anti-inflammatory effect at low doses. Besides being very effective for this type of pain, the mediators of THIS PAIN (prostaglandins) mediate MUSCLE BREAK DOWN and blocking the prostaglandins not only help pain, but they probably help get better gym effects (ok, this has ONLY been shown in middle-aged people who stop exercising for > 6 months...but still). </s>