<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have pain in my left upper arm. There is some pain in upper spine also. Seen doctors several times. They advised physiotherapy Hot pack, IFT and exercise and muscle relaxant ointments and Etoshine MR tablets. Pain reduces a bit after physiotherapy for 3-4 weeks but again reappears. Need some advice.  <response>: Hello, Since the symptoms are getting recurrent a correct diagnosis of your condition is necessary. This way treatment ways should be clear. Degenerative spine disease, herniated disc disease, spondylolisthesis, etc. are conditions to consider in cases like yours. A neurological examination and cervical spine MRI are necessary. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 