First steps
- Inflammation labs (CRP, ESR)
- Vitamin D + B12
- DXA if post-menopausal
- PT evaluation
Treatment options
- HRT (anti-inflammatory effect)
- Strength training (essential)
- Vitamin D + creatine
- NSAIDs short-term
When to see doctor
Pain ≥2 weeks limiting movement. Frozen shoulder needs early PT.
Informational only — a symptom pattern is not a diagnosis. Only a clinician can diagnose the cause of your symptoms.