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

### input:
I have neck pain on my left side for the last 7 months when I turn especially to my left side, feels like a muscle pain because sometimes travels to my left shoulder , I also had vertigo for 4 months and after x rays , an MRI , physical terapy they tell me I have osteoartrithis but my neck still hurts ..

### output:

Hi, Based on the history you provided I feel this should be related to nerve entrapment anywhere in its course. Usually there are two places - one at the intervertebral disc region at cervical spine and other due to trapezius muscle inflammation. The pain you mentioned sounds like radiating in nature. That means it's definitely a nerve pathology involved here. I think maybe you have taken the MRI of cervical spine? Is that so? Did the MRI reveal anything nerve entrapment in the cervical region? Or you took an MRI of shoulder? Well we need to know this because arthritis can be diagnosed in shoulder but not in the cervical spine usually. Also, maybe you have undergone some physical therapy like - TENS therapy and ultrasound therapy? Is that so? Did it help in you in any way like 20-30%? What where the application location? The shoulder, arm, or cervical region? Lot of things you missed mentioning in the history, but that is okay. I want to know if you are diabetic and having any high blood pressure symptoms? Your age too? Now with the solution part I would like to advice you to work out for a particular group of muscles like the neck, the Trapezius, the interscapular muscles, the shoulder girdle muscles. Hope this muscle groups strengthening helps you get rid of the pain as in my clinical practice I do find people getting benefited with proper diagnosis and treatment plan. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. 