Mr. john bill is a  male who was in his  usual state of health until 5  days ago. when he first experienced the back pain as well as neck and arm pain since 2 / <br>The back pain started 5 days ago. which is intermittent reoccuring 5 days a week. There is no change in the back pain. <br><br><br>Least neck pain described by the patient is 2/10. Usually the pain is 2/10 in severity The patient describes the pain as burning pain. The pain is intermittent. The pain is aggravates by standing. The pain is reduced by sitting. The pain is usually better in the afternoon and worse in the afternoon. Patient has no previous history of neck pain. <br><br><br>