<s>[INST] I took a fall on a rock glade being pulled by a tree limb over the back of the saddle landing on my upper back first. Left shoulder blade took the most blunt of it first. I was in a lot of pain and couldnt seem to catch enough air and it hurt to breathe. Next day I can hardly get out if bed due to upper back and chest and lower hip and tailbone pain. I knew id be sore but should I have it checked out or give it a few more days? [/INST] Hallo dear friend I have studied your case you might be having blunt injury shoulder such fall can lead to rotator cuff[shoulder muscle] injury you will need X RAY shoulder. Clinical evaluation for shoulder there is injury to your rib cage too it will pain on deep inspiration, cough also you need to take rest take painkiller and apply local gel and consult doctor for further query contact Chat Doctor. Com </s>