Hello,
It is not
normalNormal saline flush to have pain like that after a pacemaker implant. He should definitely communicate with his doctor about the problem and if they can't address the problem, find another doctor that will. I have put in many pacemakers and seen pacemaker follow up's and this is not a problem that I have seen. It may or may not be related to the pacemaker, but needs attention nonetheless. In rare circumstances with pacemaker pocket pain, we remove the device and implant on the other side. This is not typical of that because it involves the back/shoulder. It may take some time to figure out the problem but be persistent.
I hope this helps.
Good luck.