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Upper back and arm pain
From past 2 months i have upper right side back shoulder and arm pain on the right side. It increases with physical activvity but when i lie down it reduces.I have consultes a neurosurgeon but all the report of mri were ok. No spine problem or brain problm. he sent me to physiotherapist and suggest ed me exercises But no help in pain
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Answers (2)

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physical exam a must
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This type of pain appears to be muscular..  it may be due to chronic muscle spasm in upper back and shoulder muscles.. Are you involved in any heavy physical activities or working in sitting posture for a long time daily. These may be some of the reasons for the pain..
Next Steps
I will suggest you to start with Hot fomentation,  take analgesic with muscle relaxant, avoid heavy work, if you are doing sitting work, take intermittent breaks.. Physiotherapy can be started including Local US, SWD.. 
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