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

### input:
I am trying to find help with neck and shoulder pain. I have had pain in my neck and shoulders for several months. My doctor has done 2 x-rays in the last 8 months. She has me on Baclofen, Tramadol and Nabumetone. I do have a curvature of the spine. My Dr. 1st thought I was having muscle spasms. Thus the meds I am currently on. The pain and stiffness has only gotten worse and these meds are not helping at all. I will be seeing my Dr again next week to go over the last x-ray. I need relief, I need advise on how to be expressive with my Dr so she understands the severity of these problems and the problems this is causing me in my everyday activities. The constant pain is causing me to miss work and major depression. Thank you in advance for your assistance and advice, Sincerely, Nisa Hagan

### output:

Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have chronic pain in neck and shoulder. Well there can be many reasons for symptoms you mention in query like muscle spasm, cervical spondylosis, TMJ problem, nerve compression, ear infection or heart problem like angina. I would suggest you to consult orthopedic surgeon for proper examination and treatment. Doctor may order CT scan, MRI along with nerve conduction test and physical examination to confirm the diagnosis. Doctor may prescribe muscle relaxant, anti-inflammatory, nerve supplement along with physical therapy. For now stay calm, take ibuprofen, apply warm compresses to shoulder and arm, do light stretching exercises under expert or acetaminophen for pain and take proper rest. Doctor may also refer you to cardiologist for cardiac problem or to dentist for TMJ problem. For now eat light and soft, sleep in correct posture and try to reduce your stress level, as such pain can also occur due to stress. Hope your concern has been resolved. Get Well Soon. Best Wishes,