<s>[INST] I am not sure how this works. I watch every episode of Dr. Phil and this sounds like the best thing since bread and milk. I am a 65 y/o retired white female. A week ago I went to answer my door. I live in a split entry house and have 2 very obnoxious, protective Beagles. When I went to shut the door I got my feet caught up in them and fell backward down the stairs. I have the worst back right shoulder pain I am not sure what to do. It radiates to my left shoulder and up my neck. It is the one where you have the involuntary yelp when you don t even move (much less try to move). My PCP is out of town on vacation. I have been trying NSAIDS, have some old muscle relaxer pills that I don t like to take because of the side effects and besides they don t seem to help much. I have also tried ice, heat makes it even worse.I hate to go to the ER. Do you have any other suggestions?Please help!! [/INST] OK madam I can understand your suffering..your are 60 yrs female had injury right shoulder.. usually it may cause contusion  which usually get relieved by rest,NSAIDS ,and ice..but you are saying they didn't work.so please don't get panic ..if I were you I would go and get x ray done to rule out any fracture. or other investigations like ultrasound to rule out any tendon injuries as they are common at this age.. thank you </s>