<s>[INST] hx rear rotator cuff impingement distal resection of collar bone 2006. got full rom back last 3 weeks feels like tendons crossing over each other causing me to get stuck then they would release with pain, I almost fell the other day and this arm shoulder got flung upwards I felt sharp pain and burning in my neck scapula and hand. I went to urgent care put me on pain meds muscle relaxers and so far no change told me to see primary ortho booked till july 16th.is this tear [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you have described , In my opinion this problem  appears not because of shoulder but appears to be a radiculopathy , originating in cervical spine due to pressure on a nerve. I would recommend MRI for Diagnosis. In the meantime start painkillers ,muscle relaxants and a combination pf Pregabalin and Methycobalamine. Hope I have answered your query. Let me know if I can assist you further. </s>