Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I have server pain between my shoulder blades and I have had now for two weeks, I just thought I had pulled a muscle but on the left hand side now there has been a tightness across the shoulder blade and down my arm, pain killers are not working and it seems to be getting worse not better? Can you help. Thanks Linda
[|AI|]  Hello, I have studied your case. Due to compression of nerve root there can be pain.Also, there can be large disc bulge which is compressing over spinal cord leading to pain and tightness in between shoulder area. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. I will advise checking your it B12 and it D3 level. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.