My mother aged 58 has been suffering from severe burning pain in left upper back near scapular region which sometimes radiate down the arm, shoulder and neck and lower back. It started about an year ago with pain at single point in breast and back. Doctors in bangalore asked to undergo ultrasound and ift physiotherapy of 5 sessions each. In october, she underwent 2 sessions each of both after which the pain increased profoundly and covered the complete left upper back, shoulder and arm. She was bedridden. Slowly on orthopaedic consultation, she started to take medication of calcium, vitamin d and meganeuron od plus. She also started to exercise slowly with mainly exercises of arm and shoulder. However in may, the pain suddenly increased a lot. On suffering an orthopedic, she underwent mri of spine and left shoulder joint. It revealed mild to moderate tendinosis of supraspinatus and subscapularis tendon. Also mild adhesive capsulitis and intramuscular lipoma in anterior deltoid fibers. Mri orf spine was normal. Doctor recommended medicines like pregalin m 75, etova, calcium and vitamin d capsules along with few exercises. After 1 month of medication, she has only gotten mild relief. Now she is again taking meganeuron od plus with calcium and vitamin d capsules with exercises. The pain she feels is burning pain in scapular region. Sometimes radiating in arm, armpits and neck. When she sleeps on left side or flat on her back, after waking up, slight protrusion appears over scapula bone when compared with right side which after sometimes go away. Pain is sometimes very severe and sometimes slightly lower but pain remains persistent and burning. After exercising, sometimes pain increases. She is not able to sleep on her left side or on her back for long. She is constantly in pain while sitting, sleeping. However she tries to keep moving and exercising. I want to know if she has been correctly diagnosed with muscular problems and whatever showed on mri. Or there may be something else bothering her. Pain has become chronic and has been since last 1 year. She is severely depressed and not able to sleep. So she has been taking lonazep 0.5 since last 10 months since ift physiotherapy. Is there anything else should I do?