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

### input:
I had 4 cortisone injections about 6 weeks ago, 1 in my left shoulder between my spine and shoulder blade 2 in my right shoulder same place as the left and 1 around my cervical spine. They hurt pretty bad and the doctor didn t numb me because he said he wanted to know when it hurt cause he would know he was in the right place. Well about 1 week later I had a knott come up on the side of my neck, the size of a marble kinda like a lymphoid well it is still there it really doesn t hurt unless I push on it but doesn t hurt bad. It that normal and if so how long will it be there?

### output:

Hello, For the last line in history. Yes, this is normal sometimes to have lump kind. But resolved with hot water fermentation and gentle massage. Coming to the actual cause, your shoulder, why do they hurt. I feel you should take an MRI of the cervical spine as I understand from the history that you have Trapeziums. And this occurs due to multiple factors but still, an MRI is suggested to find is any cervical disc is leading troubling. Trapeziums is some time a protective inflammation of the muscles to safeguard the spinal cord in the cervical region.  What I would advise is to follow the therapeutic plan which should help you. 1. Hot water fermentation2. Neck collar for a week (only when not exercising)3. Static neck exercises4. Strengthening the triceps and deltoid (free exercise without any weight)5 Stretching of biceps and pectoralis muscles6. Neck rotational exercise slowly. In my clinical practice of 12 years most cases have similar complains of pain but fortunately very few had nerved blocks or steroids to reduce pain. But therapeutic plan was always same - examination, assessment and diagnosis. Individual-based plan of exercise. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. 