<s>[INST] My neck and back are hurting. From left of spine between shoulder blade and spine, up through my neck, if I lower my chin to my chest and then raise my head I feel the pull and it hurts likeHell. I've pulled muscles in my neck before and got relief from heat or pain relievers and nothing is working. I'm 40. Could I be having a heart attack? [/INST] Hi,From history it seems that you might be having cervical spondilitis giving this pinched nerve pressure symptoms.Go for x-ray cervical spines for cervical spondilits.Physiothereapy and short way diathermy will be helpful.Ok and take care. </s>