I was in a car accident on 3/18/04. I had positive loc for several min. When I did wake up I was unable to use my left arm. The tests I have had are: MRI of brain, c-spine, l-spine; EMG of left arm and leg (I am also having some LLE weakness). The only thing they have found is a bulging disc at L-5. My arm has improved a little. I can lift it to about shoulder level, grip strength has improved to 25 lbs (my right arm is 65lbs). My doctor said I could have a torn rotator cuff. Would you agree with this? I am unable to shrug my shoulder. When I try my back muscles contract, but my trap muscles or other shoulder muscles don't seem to do anything. I do have a lot of pain in my neck, trap muscle, and deltoid area of my arm, but not a lot in my actual shoulder area. If it was a nerve problem, I'm assuming it would have shown on the emg. I have been in PT for 2 months with little improvement. I am a nurse and unable to work until this improves. The only thing the doctor(PM&R)is doing right now is trigger point injections in my neck and trap muscles. I have had 8 in the last 2 weeks. I don't know what step to take next. Everything seems to be happening so slowly. Do you thing the injections will help? Is there anything else you can recommend? Would a torn rotator cuff affect the ability to shrug? Any advice you can give would be appreciated! Thank you so much!