Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor , I m having arm and shoulder pain for the last 9 months. I cant bend my hand behind and is affecting my daily activity and also my night sleep. I have problems to scrub my back during shower . I tried heat therapy and it doesn t help. Please help advise . Thank you ST
[|AI|]  Hello, As this appears to be polyarthritis of the shoulder. Due to which internal rotation of the shoulder is blocked due to pain and also there will he pain in the arm muscles like the deltoid and biceps. I will advise contacting a physiotherapist who can help you with shoulder mobilization and help to regain the full range of motion of the shoulder. Also, he will be able to help you with strengthening the muscles of the shoulder girdle and the upper back scapular muscles. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.