<s>[INST] I have a pain in the right arm this pain runs along the outside of the arm from below the elbow to the shoulder, the head, the neck and below the bone under my shoulder. What are the causes? I am diabetic. I have to hold my arm behind my head to get relief or lie down with my arm outstretched. Do I have diabetic nerve pain? The doctor put me on naproxen but it is not helping. I think it elevates my bp. How can you help. Thank you. [/INST] Dear patient You are having typical signs of cervical nerve root compression.  Pain that is bitten relieved by elevation of arm behind head is typical of cervical disc prolapse with nerve root compression.  I would advise MRI of cervical spine with screening of whole spine to confirm diagnosis.  MRI gives detail of level of compression and cause for it so that treatment can be planned.  Visit radiology center nearby you and get it done. Meanwhile, start tab vitamin B12 plus pregabalin 75 mg at bedtime for 10 days.  Need to take visit to spine surgeon with MRI report.  All the best. </s>