<s>[INST] I was just wondering if I should be concerned if I had a upper respiratory infection for a few days as the symptoms subsided I am left with constant arm pain on both hands it has been three days now I have taken ibuprofen , Celebrex to subside pain (heat , ice )starts at the wrist up to both shoulders I thought it was the antibiotics I was taken but it has yet to have any relief what should I do [/INST] Hi, I cannot say in your particular case, but generally, it is common to sprain muscles with coughing. Pain in the lung area is often felt in shoulders running out to the hands. However, if you brace yourself with the arms with coughing, the arms can get sprained. This generally responds to aspirin like drugs pretty fast. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist </s>