Conversation: The conversation between human and AI assistant.
[|Human|] My 2 year old niece is having shoulder arm pain. She fell last week, we took her to the doctor all was well. But her tight arm seems to be pained for some reason. X-ray revealed nothing is broken . Her right arm just doesn t move as much she s not using it a lot and she kind of is holding it in a position like it s in an invisible sling . I see prominent veins on that shoulder as well. What could this be ? She is pained when she is picked up under that arm right at the axillary space .
[|AI|]  Thanks for posting your query at Chat Doctor. Let me mention that X-Ray films can only reveal fractures or bony injuries. They cannot identify the soft tissue injury that could have occurred. So, the injury to ligaments that connect two bones, is not clear in an X-Ray. Although your niece has not broken a bone, the ligaments between two bones have probably been injured and hence she is suffering from pain and movement restriction. The prominent veins are probably an unrelated incidental finding. Hot compress over the affected region should give her relief. Pain medication like paracetamol might also need to be given. Hope that I could resolve your query. Feel free to communicate back in case of further queries if any.