<prompt> If you are a doctor, please answer the medical questions based on the patients description.How to treat: 74 yo female, 5 tall, 165 . left shoulder pain radiating Down left arm tingling, sudden onset with no known trigger. One. Month. Negative. Shoulder x-ray and neck x ray shows arthritis Used: codein, Meloxicam, Cyclobanzaprine, naproxen YYYYYY  <response>: HelloYour findings indicate nerve involvement, and it may be due to cervical spine problem. You may need clinical examination and MRI of cervical spine. It is important to evaluate nerve root compression, inter vertebral disc prolapse etc. You may also need blood investigation to confirm arthritis. Investigations may include routine hologram, RA factor, HsCRP, anti CCP estimation, serum calcium, vitamin D level etc. Treatment depend upon findings. Get well soon. Take Care Chat Doctor. 