### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi.i woke up this morning with my right shoulder blade hurting badly. it was sharp and constant. it has gotten worse all day....and is now unbearable. it has spread to the left side of my neck and shooting pain down my right Arm and hand. I can t lift anything, turn my head, bend, breath deeply w/o a worse sharp stabbing pain. my right elbow also feels like I smashed my funny bone...n now both 3 lows feel that way while I hold my phone n type (I m lying down w a heating pad on my blade n neck. I have a lidoderm patch on both blades/neck. I ve taken an alive and used a professional vibrater. nothing helps. I can t sit up or move w/o making it worse. The onset was so sudden. no over use. didn t do anything unusual. I just turned 50. Pls help. too weak to go sit at hospital for hours and my car is a five speed...i cannot shift at all ( tried to drive but too painful to shift n too weak) thank you for your time. kim. YYYY@YYYY

### output:

Hi, thank you for providing the brief history of you As per your history it looks like the cervical disc degenerative disease. A nerve impingement is possible on the nerve root leading to pain radiating to the shoulder blades, shoulder joint, arm, forearm and hand. This is a classical symptom of nerve root impingement in the cervical spine. I will Advise you to undergo a thorough clinical examination and an MRI of the cervical spine to understand the level of the nerve root compression. Also, using a cervical collar for support will help provide the traction leading to relief in pain. Treatment :Physical therapy has been worth in my clinical practice and most patients responds well. Physical therapy includes therapeutic ultrasound therapy, TENS therapy and exercises. Regards Jay In Chat Doctor. 