Conversation: The conversation between human and AI assistant.
[|Human|] I am experiencing pain in my right shoulder. It has been ongoing for a while now but just at night. It wakes me where I cannot sleep. Now it hurts more nights than it doesn t. Also it is starting to hurt during the day now. Also on the same arm my elbow hurts when I pick up heavier things or turn it certain ways. Also hurts if I have it bent and my arm gets pushed where it makes it a tighter bend. Hard to explain in text on that one. This has been going on for awhile also. It too is getting worse. I don t remember injuring them, and cannot remember if they started hurting at the same time. Not sure if they are even related.
[|AI|]  Hello, I have studied your case. It can be shoulder rotator cuff disease 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. Another possibility of cervical disc bulge leading to such symptoms. 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.