Conversation: The conversation between human and AI assistant.
[|Human|] Hi Im a 42yr old fitter welder ,I was diagnosed with bilateral shoulder impingement in both shoulders as well as elbows with tendinitis both forearms ,Ive had shoulder surgery with little improvement in shoulders and no improvement in fore arms it has been 18 months since symptoms started. I m unable to work at the moment and near future ,do you fore see this will change or would the pain and tightness be a permanent thing.
[|AI|]  Hi, Thank you for providing the brief history of you. As in my clinical experience, we do not find shoulder impingement cases to undergo surgery as the physical therapy has helped to the majority of patients. In shoulder impingement the ROM of the shoulder is restricted and regaining back through exercises is always possible, as research supports this as well. In case if you have undergone the surgery, then post surgery a better physical therapy rehabilitation plan has to be implemented for future goals. In case if this is missed, you can start the post surgical shoulder rehabilitation program to get the shoulder functionality back. RegardsJay In Chat Doctor.