Conversation: The conversation between human and AI assistant.
[|Human|] Hey, I was at the doctor for pain in my back, centered right insides of the shoulder blade. Its muscular they say, and gave me pain-killers. 2 days ago. but the pain-killers has very little effect, and the pain is intense! and this morning i felt the pain also flows out to my right arm. I allmost cant move my head or my right arm, and its very difficult to get out of bed by my self. paralgin forte is what they gave me, and arthrotec. Arthrotec I stopped using though, since I had a reaction in my stomach. Should I be concerned, considered that the pain has not become any better, but maybe even a little worse?
[|AI|]  Hello, I have studied your case. It 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. 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.