Conversation: The conversation between human and AI assistant.
[|Human|] I believe I have either a shoulder sprain or strain in my left shoulder, the same one I had a sprain in a year an a half ago. However unlike last time when a sudden jerk caused the sprain, this time I was asleep and suddenly woke up with pain running down the length of my arm, and the inability to move it except from the elbow down. Also when I stand upright with my arms down, my left arm props out and I cannot put it against my side. What specifically is causing this, as well as, is this problem related to what happened a year an a half ago?
[|AI|]  Hello, I have studied your case. This can be rotator cuff injury which may need MRI for confirmation. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing. Some exercises which can be done after pain has reduced are shoulder rotation, shoulder shrugging exercises. Also check your it B12 and it D3 in your blood. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take disregards Chat Doctor.