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

### input:
I have some pain in my right shoulder which radiates up toward the neck area. I can handle the pain without meds but wonder if it might be a tumor. I notice it more at night in bed and seldom during the day. If it is just a strained muscle, I can handle it. I do workout every morning with Classical Stretch Program on TV. Have had this mild pain for a month now. My only fear is if it might be a tumor. I do have some arthritis and am a fit 79 year old. !20m lbs and cook healthful foods. Just moved here to CA so haven t found a primary care doc yet. Thanks!

### output:

Hi there, I had gone through your question and understand your concerns. I see similar cases amongst old age people who visit my clinic. As you have written Male aged 79 years old and having arthritic changes, so it is very common having pain and stiffness in joints in the morning as these are sign and symptoms of osteoarthritis. You are expecting a tumor to which I strictly deny as you are not experiencing any kind of continuous pain, and you have not mentioned any kind of swelling to the surrounding joint areas. I would suggest you to get X-ray done and of your cervical region because you might be suffering from Cervical degenerative changes which would result in pinching of the cervical nerves and giving you pain in the shoulder region. And X-ray will also rule out the tumor possibility.In the meantime you can start --heat fomentation at the neck and shoulder region use of proper cushion during nighttime to rest your head, neck isometric to strengthen your neck muscles. Try this for 5-7 days and revert whether your condition is better, worsen or nothing has changedThanks and regards