Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I was prescribed Levofloxacin Feb. 17th. I lost the use of my upper arms.It was extremely painful. My arms have improved to a point,but my shoulders and upper arm sill hut. I can hear the bones in my shoulders crunch. Its very hard to lift my arms. WHAT AM I SUPPOSE TO DO??? HOW LONG WILL THIS LAST??? I am 66 years old. Thank you
[|AI|]  Hi, thank-you for providing the brief history of you. A thorough musculoskeletal and Neuromuscular assessment is advised. As you have pain in shoulder and upper arm along with difficulty in the movement of the shoulder joint a thorough musculoskeletal and Neuromuscular assessment is needed. These symptoms can be due to 2 reasons1. Shoulder complex pathology2. Cervical spine pathology. Undergoing an assessment post which an MRI of shoulder or the cervical spine will be needed to see what area is involved and what is the soft tissue status. Treatment of choice will be physical therapy like therapeutic ultrasound therapy and TENS therapy for pain management. For strength and ROM exercises will be taught by physical therapists. In my clinical practice majority of patients respond well to physical therapy and recovers in 2-3 weeks of time. RegardsJay In Chat Doctor.