Thanks Tam and Jo; I truly belive this is all tos, and I think I may have some rsd as well after having my surgeries last year, my left arm has never been the same since Functional capacity evaluations, when I was released from work recovery the first time I felt some better but after lifting weighted crieghts beyond shoulder level and working above head tasks my shoulder and left arm have never been the same, my neck has good and bad days but the left arm, hand, scapula area in the back... My neck is so tight by times, I just can't take the pain anymore, Hoping whether it helps my case or not someone can tell me whats wrong and help me get some sort of relief. Tam your response is starting to make things clearer for me.