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

### input:
Yes my question is my right upper arm has been causing me Extreme Pain. I wan that on the outer side do my ran the muscle is so sore that the pain is like sharp pain and I can only lift my arm half way up. I had an ultra sound done today and there are no blood clots there My doctor had blood work drawn and the test showed a positive for high risk for clots the test was negative.He also drew blood for my thyroid those results will not be ready until Monday. I am in so much pain do have any idea what is causing me this pain.

### output:

Hi, as mentioned by you what I can understand is the pain is radiating in nature from the shoulder to the elbow. This nature of pain is due to the nerve getting pinch in the cervical spine. As the nature of the pain is sharp shooting this is what I can understand.Also, for differential diagnosis - it can be trapeziums or bicep ital tendonitis. But by performing specialist test it will be easy to come close to the root cause. Taking an MRI of the cervical spine will help visualize the soft tissues and also the extent of injury to the soft tissues. Also take a hot water fermentation to the neck region and upper back. Followed by this apply the same at the shoulder and upper arm region back side. Taking therapeutic ultrasound therapy and TENS therapy will help reduce pain for this you may need to visit a physical therapist. Also, after the pain comes down performing neck strengthening and upper limb strengthening exercises will help improve the strength in the muscles and avoid future pains. Usually 99% of patients with similar symptoms recover with physical therapy .with the grace of God I wish you a good health