Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have this pain in my Left shoulder, when i move my shoulder in a circle it feels like the bones are crunching, this pain is evan worse when sleeping often wakes me up. This came about 2 years ago when cleaning and scrubbing walls for like 4 days and seems to be getting worse.
[|AI|]  Dear patient Pain in left shoulder with cracking sound on movement indicates arthritis of shoulder. Cracking sound is credits produced due to rubbing of two articular surfaces when they are eroded. This needs to be investigated with X-ray of left shoulder anteroposterior and lateral views to confirm diagnosis and MRI of shoulder joint if required.  Meanwhile, start tab attract p twice a day for pain relief.  You need to consult expert orthopedic surgeon with X-ray report.  All the best.