<s>[INST] Hi, a couple of years ago I was skate boarding and fell and shattered my elbow. I had pins and screws inserted to repair my elbow. I now have this aching radiating pain and I can't seem to get relief. I've taken aspirin but it doesn't help. What could the cause? [/INST] Hi, now the time has come to remove the implant, so get xray of elbow in AP and Lateral veiw done and send me the report at XXXX. Thanks. </s>