<s>[INST] I have severe pain and a burning pain that radiate right through my left shoulder like a knife into my left breast and back. I have been given much antibiotic but to no avail. What do I have and what should I take on X-rays I have calcification of the spine. [/INST] Hello, Possible causes are like:1. Nerve compression with pain.2. Cardiac pain that radiating to limb.3. Cervical spondylosis with radiculopathy.4. Myalgic or shoulder joint arthritis. Until examination is done it is difficult to say what it is. Get it done chest X-ray and ECG. Use tablet tramadol with paracetamol twice a day for five days. If symptoms not improved please consult with your physician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further.  </s>