Conversation: The conversation between human and AI assistant.
[|Human|] My right shoulder has been making a regular crunching noise for quite a few months and I have also has associated sharp intermittent pain ( sometimes pulsatile) firstly from the elbow to wrist and then in the elbow, hand, fingers and shoulder. It has been very gradually getting worse over a few months but has increased significantly over the past 2 weeks. My left shoulder has now started making a crunching sound and I have had some pain in the elbow and hand on that side too. I am 42 year old female.Do you have any suggestions on what this could be? Many thanks.
[|AI|]  Hi. The pain what you experience is due to some neural irritation that could have caused due to disc... facet joints.reduced space between vertebrate. Initial noise out of shoulder is due to imbalance in the shoulder joint .not to worry as this will settle down with stability exercises... I suggest you to kindly get an MRI done for your neck to rule out the cause and get it treated. Till then... I recommend you to-Do icing frequently in the neck to keep spasm and pain under check keep your neck supported with a soft collar if possible. Keep your neck supported while sleeping...once neural irritation cone down then start working on neck and shoulder strengthening.... Hope this is helpful for you.Revert in case if you need any further clarification. .