Acute pain in right side of neck and shoulder

[kisk218]

I am having pain in my right side of neck ( actually just above may be it might be at occipital region). I would rate my pain as  7 (1 to 10: 1 is being no pain and 10 is maximum). Now since the last 2 years pain started in right shoulder and arm (5 and 3 pain index) . I am exactly not sure when and how I got it. I am having this since 10 years. Right now I am 30 yrs. Left side is perfect without pain. But for right side I live with pain day in day out :(

I visited a GP, and she suggested me to go for MRI
So I took 2 MRI's at neck and shoulder, and doctor told me that  nothing is wrong and suggested physical therapy. After 15 sessions, i still have same amount of pain. My physical therapist suggested me to chiro.
Sadly chiro sessions aggravated my pain...so I stopped. I am not sure what is happening with me if everything shows normal in x rays and mri. How do I identify the problem? Please help me

PS: MRIs have been checked by my Physical therapist and chiro and they said the same thing - no issues
and also i have attached a picture showing my pain (My origin of pain).
Thanks

[kisk218]

Hi skmedlin27703, Thanks for the reply.
I have few questions
Which specialist suggested you to go for medial branch nerve block? I mean is it neuro surgeon?
Can you also tell me about the treatment, does it have any side effects?

Thanks

[skmedlin27703]

I had the similar but my pain was behind my shoulder blade and into my arm however it sounds very similar to your pain and my doctor did a medial branch nerve block and the pain went away and has not returned for about 3 years so far... Medial branch nerves are small nerves that feed out from the facet joints in the spine, and therefore carry pain signals from those joints. A medial branch nerve block temporarily interrupts the pain signal being carried by the medial branch nerves that supply a specific facet joint. If it works, they normally go back and do what's called Radio Frequency Lesioning which is a procedure using a specialized machine to interrupt nerve conduction on a semi-permanent basis. They say the nerves are usually blocked for 6-9 months (can be as short as 3 months or as long at 18 months) but the first one did the trick for me! Good luck.  Hope this info helps.