<s>[INST] I have been having a pulling like sharp pain on my left shoulder blade and bottom left neck area...I am fairly confident it is muscle or nerve related. When I inhale deeply I feel a sharp (burning) pain in that area as well. I am on BP medicine and my pressure has been normal; however, the past few days it has been high. My doc gave me a coritzone/lidocain shot in the area but the pain is still there (a week now). My bp is a bit high again and I was told the raise in bp is because of the pain. Are there any other tests I should have. About a month ago I had a physical; blood, ekg, etc...and all is well. I am 38 [/INST] Hello, It may be due to muscle sprain. Still for further assessment you may require electrocardiogram, 2 D echo, chest x-ray after cardiologist consultation. Further treatment mainly depends upon the underlying condition. For pain, you can take tablet acetaminophen. Do regular physical therapy. Avoid strenuous activity and heavy weight lifting. Hope I have answered your query... Let me know if I can assist you further. Chat Doctor.  </s>