<s>[INST] The past week, I have been experiencing pain on and off in my neck, upper arms and occasionally my wrists. It started pressure in the back of my neck almost like when I get a sinus infection. It seems to travel from the left to right side and into my lower back and shoulders. Advil and naproxin don t seem to have much effect, only Tylenol relieves the pain for a while [/INST] Hello, I have studied your case. Due to compression of nerve root there can be pain in your neck and arm. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care </s>