<s>[INST] I have significant shoulder pain radiating from blade to elbow with some tingling. It especially hurts when I try to lay down at night. My wife noticed that this shoulder is lower that the other when i stand up and the blade sticks out a little. i have no insurance. What might this be and what can i do to alleviate the pain and reduce further injury. [/INST] Hello,I read carefully your query and understand your concern. The symptoms seem to be related to a pinched nerve in the shoulder. I suggest using anti inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest to maintain the area immobilized to prevent further damage. If the symptoms continue, I suggest to see a neurologist.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician </s>