<s>[INST] I am a 37 year old female. I m a diabetic and have had a very mild heartack in Oct 2013. I ve also had a stent. My left upper shoulder is hurting over to my collar bone just below my left ear and feels sore under my arm and the far left side of my breast. My bp is 128/82. What could be causing this? Its not exactly a pain just more of a soreness. [/INST] Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe shoulder blade pain and high blood pressure. Well there can be many reasons for symptoms you mention in query like bursitis, tendinitis, cardiac condition like angina, cervical spondylosis or wrong movement. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan, x-ray or physical examination like movement of shoulder. Doctor may prescribe muscle relaxant, anti-inflammatory, vitamin supplement for quick healing or recommend physical therapy. Doctor may also refer you to cardiologist in case of angina. For now give proper rest to shoulder, apply warm compresses and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes, </s>