Conversation: The conversation between human and AI assistant.
[|Human|] 2 days ago I was roller skating and fell on my back hard on cement. I can t extend my arms out, it hurts to My head, and bend or reach for something. I have to stay on otc pain meds just so it won t hurt to breath. There is a bulge and bruising. How long Can I wait out this pain before I know it might be some thing more serious that requires a Dr. And if I go do I go to a chiropractor or urgent care
[|AI|]  I'm sorry to hear about your recent fall and injury. For starters, I definitely do not recommend going to a chiropractor or an urgent care. My main concern is that you fell onto the back of your head and also that you are unable to lift your arms. This could be due to multiple causes : rotator cuff injury or tear, cervical disc bulge, subdural hematoma, or even an epidural hematoma. You should definitely make an appointment to see your primary care physician or even just go to your nearest ER for evaluation. If you start having symptoms of nausea, vision changes, lethargy or somnolence than this is even more concerning, and you need to go to the ER immediately. I hope you feel better soon.