Hi sorry to bother you but I’m in pain my

Patient: Hi sorry to bother you but I’m in pain my right shoulder is really painful I had a physio therapist notice about 4 years ago my shoulder had dropped even my man boob is quite a lot lower than other side I been doctors but was told its arthritis just by feeling thing is now any way I move my arm in in pain I struggle lifting everyday objects I have arthritis in my knee and my shoulder is a more intense pain please help thank you

Doctor: