What causes left-sided shoulder pain and tightness in the arm and chest?
Patient: Sudden pain in left shoulder, under shoulder blade. Took Tramadol, and rubbed topical pain relief. Pain gradually moved from back to chest mid-breast bone. Difficulty taking deep breath without heaviness in chest. Took 2 puffs albuterol, drank 16oz of water. Pain slowly moving to top left arm. Now tightness in arm and chest. All this began around 5:30 pm today. Pain and pressure went from severe to mild by 9:15 pm EST. Should I go to urgent care or emergency room tonight or check with Dr tomorrow? Doctor: first You do investigations like ECG x ray c spine.it will helpful for diagnosis  until I will suggest you some Ayurvedic medicinetab yogaraj gugglu 2 bdtab sarpgandha vati 1bt