Conversation: The conversation between human and AI assistant.
[|Human|] Over the last 4 weeks, fr om time to time and in times of conscious and unconscious stress I have pain (knife points) but no rash on my upper arm - ice helps - occurs more at night and then will wake in the morning without any further symptoms or residual pain - what is causing this?
[|AI|]  Hi sir the reasons for pain in Upper arm originate from neck, shoulder & local pathology. It could be traumatic, neurological, vascular, musculoskeletal. Common reasons being cervical spondylosis, per arthritis shoulder, rotator cuff injury. I advise you to get thorough investigation to rule out above causes & take treatment accordingly. At present take mild painkiller like Attract, Use cervical pillow, physiotherapy for neck shoulder, elbow under supervision, Limb elevation, ice fermentation, topical analgesic spray. Thank you.