When I stand up or sit down, most of it flat. When I lay on my right side, it pokes at my face. It "stand up" that far for me. Anyway, it is not hurt or painful. If I lay on my left side, it's going to fall in the middle of my chest. Again, it is not hurt or painful. I never tell my cardio or gp about that. I think it is normal......
Sometimes when I run or put on my T-shirt, I experienced a very very shape pain. It likes a cut over the wound. I've to hold and pressing it and make the pain goes away. I almost faint when this pain occurred. This happen on my fourth pacer. The past 3 never happened like this.
It sounds as if it is moving in the pocket. Depending on the amount of excursion nothing may need to be done, but if there is excessive movement then you may need a pocket revision. What kinds of activities are you participating in that my have contributed to this: such as swimming, golfing, or other repetitive movement type of activities?