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

### input:
I am having major pain in shoulders, neck and the back of my head. To the point where any movement almost brings me to tears. I am working and coping. But when I just bend down to pick something up or look in a direction where my neck doesn t want to turn it is very painful and I just can not continue doing the task. I have been going to PT getting massage, strength trainig and such. But I really feel it s coming from the back of my cranial traveling down my neck to my shoulders and downward. Any thoughts? Should I get a MRI?

### output:

Hi, thank you for providing the brief history of you. As after your history, I will advise to undergo an MRI of the cervical spine as the status of the soft tissue is must. Massage is strongly not recommended as you are doing all mixed up stuffs. Doing strengthening also and massage also will only make the muscle weaker. Also, just by mere working behind the blindfold treatment, I will advise to first take the MRI, and based on that, the combination of medication and physical therapy will work better. The physical therapist you choose, should know there is a difference between the patient to patient and symptoms to symptoms. A specialized plan for you should make a difference. Applying a conventional way of therapy will surely not function to the optimum. As, in my clinical practice I have seen cases with 100% recovery, but prior to that, the MRI, and the or tho prescription is understood for the pharmacokinetics of the Chat Doctor.  As this allows me to design a better physical therapy prescription and get 100% recovery. Slow and steady wins the race - this is our clinic principle. I wish to see you soon, with pain free lifeRegardsJay In