Conversation: The conversation between human and AI assistant.
[|Human|] hello I have been taking Celebrex for some time for arthritis pain. I have been fortunate to have avoided pain in my arms and shoulders until just recently. the pain will actually awaken me from a dead sleep. in my arms shoulders, wrist. I am sitting in my recliner awaiting my narcotic pain killer to start working so I can finish my nights sleep. and suggestions come to mind?
[|AI|]  Hi, thank you for providing the brief history of you. As mentioned by you, about the sharp pain in the arms, shoulders and wrists, I will advise to undergo a complete neuromuscular assessment. Also, this sharp shooting pain can be due to the pathology of the nerve. And for which your or tho may advise you for an MRI, which will help understand the physiology of the soft tissues in the cervical spine. Post which with a combination of medicine and physical therapy, the symptoms will come into control, also, on a later stage, exercises will be taught to strengthen the muscles and avoid nerve impingement, which is common for this kind of sharp pain. Usually, patients recover with good health in 2-3 weeks, and later stages, exercises are followed at home. RegardsJay In Chat Doctor.