Conversation: The conversation between human and AI assistant.
[|Human|] I took a very severe fall onto my shoulder 9 months ago, and believe I impinged a nerve. That resulted in pain in my shoulder that eminated down my arm into my funny bone , and on into my wrist/hand. It seemed to very slowly heal, although never disappeared completely. The other day, it seemed to come back to where it was many months ago. Will an impingement ever heal completely?.....does hot or cold therapy help?....should I have an MRI?
[|AI|]  Hello! I read your question and understand your concern. I think your problems are related to a nerve Entrapment which is related to the trauma. If I were your doctor I would recommend an Electroneurography to examine the nerves of this arm and the place of entrapment. If a severe compression is found an MRI must be done, and it may need surgery. If a small compression, immobilization is helpful. Hot or cold procedures are not very helpful. I would recommend Gabapentin for the pain management and acetaminophen. Hope to have been helpful! Best wishes.