<s>[INST] ive had shoulder pain for about 10 months now which goes down my arm to my hand some days its fine but other days i can hardly lift my arm and putting a coat on is not easy i have also noticed i have a hard lump on my collar bone near my shoulder blade was just wondering what thisw could be? [/INST] **1. initially seek an opinion of orthopedic surgeon, it might be possible that your range of motion/movement, might be/is compromised.2. shoulder pain can occur independently due to over exertion [strain], overuse [tendonitis] or due to certain disease state[rheumatoid arthritis, diabetes, over active thyroid], thus examination becomes necessary.PS. further testing may be required like plain X-ray, [revealing narrowing of space or damage to bones], MRI [reveal details of shoulder joint] and blood tests [ to rule out any inflammatory conditions]3. since collar bone fracture is one example of shoulder pain [as there is hard lump on collar bone in your history], so it could possible be example of pinched nerve pressing on the nearby structures.4. In Ayurveda we treat frozen shoulder on the line of Avabahuka:. Initially dry heat. . successful and result oriented prescription is:I. vatakulantak ras, rasraj ras,panchamrit lauha guggulu.II. rason sura,dashmoola arishta.III. erand pakIV. Lehsun ksheer pak. avoid eating spicy, fried, pungent and oily foods. [The aim of the Ayurveda treatment is to bring the vitiated vata in equilibrium. The most popular kerala therapy is pizhichil, you may ask an experienced Panchkarma Doctor about the same] </s>