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

### input:
I have been experiencing severe pain on the right back side of my neck, down into my shoulder and upper arm, and extending down the right side of my upper back close to the spine.   I have been diagnosed with GERD and had an endoscopy last year.   Will a trip to the chiropractor help this new pain?

### output:

**1. The pain to the hand combined with upper back pain indicates that nerves leaving your spine are being compressed; it is likely happening in or around your lowest cervical vertebrae in the neck, C6 or C7. The compression could be caused by a bulging or herniated disc between the vertebrae, so consult an orthopedic surgeon for necessary examination and investigation [X-ray cervical spine]2. Also occupation can be one culprit for the same: postural dysfunction can cause neck/ back pain3.  General Instructions. Maintain straight back posture while sitting or standing.ii. avoid bending forwards and lifting weights.iii. Sleep on hard mattress.iv. gentle massage. Back exercises: Leg raising in dorsal recumbent position, push-ups, swimming. [once acute stage is over]Spine Management:i. Relax the spine completely.ii. Do not lie face down.iii. Lie on your back with pillow under the knee.iv. Lie on the side with a pillow between the knees.v. Distract your mind from the pain, watch television, read light humorous stories, listen to soothing music.4. A Chiropractor or Osteopath can perform joint and spinal manipulations to release pressure on nerves which may be causing referred shoulder pain. PS. People who have osteoporosis, spinal cord compression, or inflammatory arthritis, or who take blood-thinning medications should not undergo spinal manipulation. In addition, patients with a history of cancer should first obtain clearance from their medical doctor before undergoing spinal manipulation.5.  Following preventive aspect can be tried in HERD to alleviate symptoms:. Bland and soft diet, more of milk. Avoid hot Chat Doctor.  Give small, non-bulky meals more frequently [since HERD causes hiccups/ irritability]. Head high position at night. [since HERD causes regurgitation/choking]PS. Management of HERD in adults is based on disease severity, the degree of symptoms, and presence or absence of complications of HERD determined by the diagnostic evaluation.