Conversation: The conversation between human and AI assistant.
[|Human|] Hi my name is nancy I have a server pain top of my shoulder left one geart doctor says heart is good it like the pain sets on my shoulder a little towards my neck tried muscle rub heat pack andbicebpack no pain down my arm pain stay right at the top of my arm sitting in the area where my bra strip go cross can you tell me what u t u think is the problem could be sometime hard to lie on that side or roll over thank you
[|AI|]  Hi, thank-you for providing the brief history. As per the history I don't think this is a cardiac issue. It is more of muscular pain. I will advise you get thorough tho clinical examination done along with MRI of the cervical spine. This looks to me more of a nerve impingement and trapeziums. As most females suffer the similar symptoms of trapeziums and due to which top of the shoulder pains. With the help of physical therapy - like therapeutic ultrasound therapy and TENS therapy the pain and inflammation can be reduced. Using a myofascial release technique will release the spasm of the muscles as well. Exercises on a later stage will help improve the muscle strength and avoid nerve impingement to have better functionality of the Shoulder. In my clinical practice most patients respond well to physical therapy and full functionality is achieved. Regards Jay In Chat Doctor.