### Patient: Hi, doctor. I have been experiencing leg cramps or spasms and my tongue looks abnormal.
### Doctor: Those symptoms are not related to a rotator cuff injury. Have you noticed any pain in your shoulder or upper arm, difficulty moving your arm, or weakness in your shoulder?Patient: Oh, I'm sorry. Yes, I have been experiencing pain in my shoulder and upper arm. It's also hard for me to move my arm and my shoulder feels weak. 