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

### input:
I have been having shoulder, neck, and upper back pain that has gradually worsened for about 3 months. I m a nursing assistant, so I do some pretty heavy lifting. I m a 23 year old female. I went in to the clinic at the begining of this month and was diagnosed with tendonitis in my shoulder and a muscle strain. I was prescribed Naproxen, a muscle relaxant, and physical therapy. I went to physical therapy and everything seemed to go okay. I mean, it didn t hurt any more than when I wasn t there. About 4 hours afterwards though, I had worse pain than when I first was seen. I was then seen the next day and the physician ordered an MRI of my cervical spine in search of a herniated disc pinching a nerve. From the first time I was seen until now, my pain has increased, but also I have had numbness, weakness, and pins and needles or tingly feeling in my arm and hand. The MRI came back negative for a herniated disc, so I was told I could return to work with a lifting restriction of 10 lbs and also no pulling, pushing, or reaching my arm above my head. Today was my first day back to work and I was placed in a part of the hospital making phone calls all day to accommodate my lifting restriction. The terrible pain is back in my neck shoulder and arm and has been getting worse for the past few hours. Lidocaine patches helped my pain for a while, but I am wondering about a diagnosis. What s wrong with me? I did some research and possibly think Facet Joint Syndrome could be causing my problems, but I am not sure. I m so frustrated! Please help! Thank you for your time.

### output:

Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a pinched nerve in the shoulder. I suggest to use anti-inflammatory medications such as Acetaminophen to relieve the symptoms. If this does not help in relieving the pain, I suggest using prescription painkillers such as Gabapentin. I also recommend maintaining the shoulder area immobilized. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor. 