Shoulders Elbows throb Hands tingle

I have severe throbbing in both my shoulders and elbows, shoulders are worse, and my hands are tingly and partially numb most days. This started about 3 weeks ago, gabapentin use to take care of it now it has come back. I have read the Lyrica (pregablin) and tricyclic antidepressants can help. Right now I am using tiger balm, ice sprays hot showers you name it. Anything anyone can suggest cause this debilitating.