<s>[INST] One month after quitting smoking pain in my right shoulder that radiates down to my hand and makes me hand stiff and I submit it to the back of my shoulder and sometimes to my neck I haven t had run with shortness of breath but is accompand by extrely beingextremely hot or being extremely cold. I have had a few dizzy speel but It more just makes me feel out of focus [/INST] Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As the pain radiates from neck to shoulder and to the hand, it is related to pinched nerve in the cervical spine. Taking an MRI will help understand the soft tissue status.Also, physical therapy will help reduce the pain with Therapeutic ultrasound therapy and TENS therapy. Post which exercise will be taught to get the strength in the muscles of the neck and upper limb. The symptoms are classical to the indication of pinched nerve.  And can be treated well with Physical therapy and simple medication. In my clinical practice many patients have this complains and majority of them respond well to physical therapy and medication. RegardsJay In Chat Doctor.  </s>