###Human: How can chest pain in left shoulder and upper chest be managed? ###Assistant: Hello. The characteristics of your pain are not typical of cardiac pain. There are two possibilities in you, first is of a spinal cause like spondylosis or compression of nerves and other is costochondritis. Does this pain increases on neck movement, or any neck trauma, these may be the associated symptoms. You should get X-ray cervical spine AP or lateral view. You need to visit physiotherapist after X-ray and also orthopedician. Does this pain increase on pressure over the area, if yes then it suggests the possibility of costochondritis? You will need a Naproxen then.