Conversation: The conversation between human and AI assistant.
[|Human|] Hi, My upper right arm has felt like its in a constant vice grip for the last 3 weeks. The pain starts in my upper bicep close to my sholder and shoots a constant pain all the way to my fingers. I have never had this issue other than a torn muscle in my sholder blade that is simular to a rubberband.. i forget what its called.. lol. But back to my issue the pain sometimes hurts so bad I try to prevent from useing it. Heat and massage sometimes helps but soon returns within a matter of min after stoping. Im a cna and fear that i will no longer have the capabilities of performing my duties. Please help.
[|AI|]  Dear patient according to your history You have got rotator cuff tear which is responsible for your pain. Shoulder pain and pain whole moving shoulder can be explained by rotator cuff tear. I want to know how it was diagnosed? MRI of involved shoulder is must for diagnosis and if not done previously get it done now. Visit radiology center nearby you and get it done. Meanwhile, about overhead abduction and start tab diclofenac 50 mg twice a day for pain relief.  You need to consult expert orthopedic surgeon with report.  All the best.