### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Im 52 and fell ice skating yesterday and came down hard on inside of right elbow and right knee.Yesterday the elbow bothered me and my forearm all the way down to my hand - not much swelling or bruising which is unusual for me.Today my shoulder feels very sore and my range of motion is not very good - my arm, shoulder and elbow feel best when I keep them tucked up against my body.  Should I just keep on taking  aleve and rest or should I get an x-ray?

### output:

Hello, You have shoulder pain cause, you fall down. There are many causes for having shoulder pain but in your case its looking there may be muscle strain or ligament sprain or other possibilities also as fracture of forearm or shoulder bone. But some home remedies which you want to apply, you can take cold /hot therapy:Take some ice cubes and wrap it in the towel and apply on affected area for 20 mins. It will reduce the swelling and relax the muscle, and you will feel better. But don't apply the ice directly on the skin as it can do ice burn there. Ice therapy apply up to 72 hrs of injury. You can take warm therapy but after 72 hrs of injury. It will reduce the inflammation which includes pain and swelling. You can take painkillers as ibuprofen and naproxen. These are anti-inflammatory and will reduce the pain and swelling. Keep your affected hand elevate from heart. You take rest for 72 hrs and don't put the weight on the affected hand. Move your fingers and arm when pain is minimal. Hope I have answered your query. Let me know if I can assist you further.