Thanks Meg, my pain is mostly in my left shoulder joint and in my elbow. When I wake at night with the pain and grab my shoulder to massage it, I can definitely feel a hot sore spot in the front and in the back of my shoulder. My right shoulder hurts also but not as bad as the left. When I don't move my arms or turn my neck, it doesn't hurt. When you mention muscle atrophy, I aready have this. I thought this is due to not being able to move it properly and exercise the area.. On some days it hurts to put on my clothes, let alone exercise. I used to lift light weights before this started and had my arms and bicep muscles toned up nicely. When I look at them now, I could cry. The doctor prescribed diclofenac cream to put on it. I tried some last night and while it did feel better for a few hours, later I was feeling the pain again. Is this medication a temporary fix like Heat or BenGay that works for the few hours it's on your skin, or does it work to help take the pain away on a longer basis.