<s>[INST] I fallen down a flight of stairs and four days later; I had to go to the ER for treatment and the doctor said I have a contusion of the shoulder from the fall and gave me some pain pills. My shoulder has not stop hurting after taking the pain pills and I am also a cancer patient it started as breast cancer and then the doctor said it went to my bones and that why I am so worried about the fall and my shoulder hurting so badly even with taking the pain medicine. Thersea [/INST] Dear patient Since you have fall with injury to your shoulder and pain is not relieved by medication possibility of fracture cannot be ruled out. I would like to advise X-ray of involved shoulder anteroposterior and lateral views to confirm diagnosis. Visit radiology center nearby you and get it done. Meanwhile, apply shoulder immobilizer brace on your shoulder to prevent pain ND mobility of involved shoulder. You need to consult expert orthopedic surgeon with report.  All the best. </s>