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

### input:
i recently had reconstructive shoulder surgery after a broken humerus below shoulder joint, the dr put unconventional metal implants in the shoulder to try to shore it up i guess,before i left the hospital recovering from post op pain I began having wide spread joint pain in totally unrelated areas, ie both hips an old femur repair in left leg, my lower back (old compression fracture location and scoliosis in thorasic spine due to old car wreck) my buttocks right thigh muscle, calf muscle, knees, cramps in totally unrelated parts of body, It has gotten so severe I can barely function and am now in nursing facility at 60 yrs old no longer ambulatory in severe pain all over, this had to be caused by the referred problem of the shoulder surgery, im not aware of what type of metal implant but also causing muscle atrophy im totally lost as to what to do, I approched orthopedic surgeon who did the shoulder and ask him for help and he said i was not a good candidate for further surgery or proceedures could this be infection, allergy what. Please if you have ever encountered anything like this give me a straw to grasp my life is essentially over at this point due to severe pain and very limited mobility, please help if you can thank you Kirk R.

### output:

Hello, I have studied your case. Impingement can lead to tear of rotator cuff muscles. It can be rotator cuff injury which may need MRI for confirmation. If MRI shows severe impingement or rotator cuff tear then arthroscopic shaving and repair will help. You can send me your reports so that I can help you better. Medication like tender and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. Strengthening exercises according to MRI report will help in early recovery. You may need to take rest for early healing. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take disregards Chat Doctor. 