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

### input:
Six years ago I went to the er. Always been super healthy crediting hard work and healthy living. Had a blood pressure of 220/117. Had a ringing in my left ear so much so it was hard to make out what people were saying to me. Blood pressure went down to 190/98 so they sent me home. Went to family doctor a couple days later. She examined me and said she did no know why my blood pressure was so high, the noise now seemed to be in my head than just my ear, and why I then could not turn my neck. She added that she noticed that it had been over 5 years since my last prostate exam and she could check that, that day. And I went home. Realizing it was up to me to survive whatever it was and try to get better. I have always believed I would wake up morning and the battle would be won. I lost my job and took some contract work. As of last year the pain is such that contract work is no longer possible. I don t nor have I ever taken drugs. To my question today. My left shoulder and arm really hurt, and I am good with pain. To the point, if I hold a phone to my ear for more than 5 minutes balancing my elbow on the arm of the chair, my arm locks up. I have to use the other arm to bend it straight and the bicep burns. The right arm will sometimes do the same but not at such a low threshold. In my heart I believe I have some sort of autoimmune thing. There are other symptoms that I believe support what I think but I am in no way an expert. I went to one person a couple years ago, expensive yes but boasted he was an expert. Turned out he was a chiropractor and would you believe if I went to him twice a week he could help me. I don t want to go back to my GP as I feel it would be a waste of her time and my money. I just don t know where the closest place to Southern Indiana that one could go to see a true expert in Autoimmune stuff and such. Do you? I would normally bother anyone with questions but these last couple weeks are getting rougher.

### output:

Here in your major explanation you have told you have problem with your left shoulder and arm along with range restriction. Here your problem could be related to 4 things,1. It can be frozen shoulder.2. It can be soft tissue (rotator cuff) damage covering your shoulder joint.3. Furthermore, it can be something related to heart problem.4. Shoulder joint often arthritis. Now if you see you have pain while lifting hand up and resisting movement and not allowing any movement. That means only with muscle contraction (tightening) if pain is present then it is soft tissue pain. If there is no pain while lifting hand up and resisting movement. But there is pain when movement is allowed. That means pain while moving the joint then it is frozen shoulder. If you feel pain in chest along with breathing difficulty while walking up hill or running or jogging then it can be due to heart weakness and heart related issues. Here whatever is your condition the conformation between frozen shoulder and soft tissue damage can be done by MRI of shoulder as well with or tho and physio specialist examination too. Now based on that there will be treatment given. For severe damage in shoulder joint there will be arthroscopy repair can be done. And if joint is deform due to often arthritis then shoulder replacement has to be done. And if there is mild to moderate problem then you will be fine with physiotherapy treatment and exercises. You can also use hot pack on your shoulder for some more pain relief. Now if there is problem with heart then your doctor will ask you to do ECG and treadmill test and based on that there will be treatment plan. It can be medical or surgical again. Here also in the end physio therapy will help for getting you back to normal life. Take care.