<s>[INST] I had substantial bruising on both shoulders and my lower back and thighs when I fell down a full flight if stairs with a fright hand extra turn at top about 3 years ago at a friends house one night in pitch black. I am now getting bad pain in both shoulders but especially the left one. Also back pain. X rayed during 1st week of falling cos didnt call ambulance but pain and inability to move were getting worse but nothing broken. Could I now have degenerative problems? [/INST] Hi, thanks for writing to Chat Doctor. You have not mentioned your age in the description. Degenerative changes occurring in the shoulder joints is a rare entity as they are non weight-bearing joints. So, degenerative changes develop prior in weight-bearing joints like Knee joint and Hip joints. As you had a fall with injury to both shoulders, there is a possibility of development of Secondary degenerative arthritis. A recent X-ray film of the painful shoulders will show up the degenerative changes, if any. I suggest you to consult an orthopedic surgeon for a detailed evaluation and further management. Hope this information is helpful. Good day </s>