<s>[INST] I have not been feeling well for over a month, extremely fatigued, fevers or hot flashes, not sleeping well...but the last 2 days I had left neck pain that slowly travelled down my left arm - this morning I noticed my left elbow was severely bruised and my left upper arm was really sore.......where did that bruising come from? [/INST] Hello have understood your symptoms, There is radiating pain from your shoulder to arm and finger. Usually cervical disc bulge leads to nerve compression and subsequently articular pain in your arm and fingers. I will advise you physiotherapy like Inferential therapy and auto traction for early recovery. Static and against resistance guided exercise therapy may help in this case. You can consult physiotherapist for that. MRI cervical spine will help you to see severity of nerve compression. I will advise checking your it B12 and it D3 level. 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. Take care </s>