<human>: Hello, I am a 41 year old female.  I fell down the stairs this morning and have tremendous pain in the top of my arm/shoulder. I  am unable to raise my arm or lift anything, The pain is going round into my shoulder blade but is generally within the section at the very top of my arm, I live alone and do not drive and really cannot get to a hospital this evening. Will I be ok to wait until the morning and do you feel I may have a fracture? Many thanks for your time. Charlotte
<bot>: Dear Charlotte, there are three things that may have happened to you:1. Contusion of the shoulder, treatment only ice and painkillers2. Luxation of the shoulder, treatment go to the hospital directly need reduction3. Fracture of the bones of the shoulder, the treatment varies depending on from the damage you have sustained, conservative to surgical. So the conclusion is that you should go directly to the hospital. This is the best for you.