Bad pain in neck, shoulder and arm

Patient : I keep getting this really annoying pain in the right side of my neck which goes down into my shoulder and arm, my left shoulder looks bigger then my right and it feels weird when I touch it it feels like there is loads of tissue there, it's is painful and all my arm goes numb and my hand do you know what it could be, thanks and I've also tried physical therapy which hasn't worked my Arm gets tired a lot quicker then it should do and always feels heavy I've tried stretching it and moving it about but nothing works
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