Conversation: The conversation between human and AI assistant.
[|Human|] i have arm and shoulder pain at night. it is a throbbing, like a few second cotraction in my upper arm. have had an exray last year and an mri, they said tenndinitos. yet it is getting worse and tylonel and alieve is not helping. it had progressively gotten worse and the pain is getting unbearable. what else could be
[|AI|]  Hi, What I understand by the history and MRI results is that there tendonitis present. Painkillers are for symptomatic relief. Usually painkillers are administered in night, so person gets good sleep. Usually people take it the other way. Consume the painkillers and continue to use the limb. This act by the people leads to increase in the symptoms and injury to the soft tissue never heals and increase more.  The first foremost thing to do is, when consumed painkillers please do not use the limb and allow it to rest overnight. Next thing is you haven't mentioned if you have undergone any physiotherapy. As physiotherapy plays an important role in taking care of the tendonitis. Improving the muscle strength will help to allow less pressure on the involved tendon and allow it to heal. Also, if left ignored this injury can land up to surgery. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.