Pain around the right shoulder blade that spreads to the neck and shoulder may be due to muscle strain, poor posture, or nerve irritation, but since you smoke and use gutkha, it is important to rule out heart or lung-related problems as well. Try rest, gentle stretches, and avoiding heavy lifting, but see a doctor promptly to check the cause and get proper treatment. Reducing smoking and gutkha use will also help your overall health.

Your neck pain and headaches may be due to muscle strain, poor posture, or inflammation. Zerodol?MR helps temporarily, but short courses relieve only symptoms; they do not treat the underlying cause. Try gentle neck stretches, good posture, and heat therapy, and see a doctor or physiotherapist for a proper long-term plan if the pain keeps returning. Avoid taking strong pain medicines repeatedly without medical advice.

Severe headache, neck pain with limited movement, and pain in the left arm and shoulder could be serious. Seek medical attention, as these symptoms may signal a heart or neurological problem.

It is very common to experience joint pain after recovering from chikungunya; this is known as post-viral arthralgia and usually resolves over time. For mild to moderate relief, you can take over-the-counter paracetamol or generic nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, provided you have no contraindications like kidney or stomach issues. Rest, staying well-hydrated, and applying warm compresses to the joints can also provide comfort. Gentle stretching or physiotherapy is highly beneficial. If the pain is severe, persistent, or accompanied by joint swelling, please consult your doctor, as prescription-strength medications or short-term corticosteroids may be required.

Tooth pain with swelling is usually due to a dental infection or gum problem, where bacteria cause pain and fluid buildup. Rinse your mouth with warm saltwater, keep the area clean, and avoid very hot, cold, or sugary foods, as they can worsen pain. You can take basic pain relief if needed and apply a cold compress on the outside to reduce swelling. As swelling is present, it is important to visit a doctor or dentist soon so the cause can be treated properly and prevent it from getting worse.

Jaw clicking on one side while eating, without pain, is often due to TMJ (temporomandibular joint) movement issues. It usually is not serious, but it can worsen if ignored. Try soft foods, gentle jaw exercises, avoiding wide chewing or gum, and monitor for pain or swelling. If it becomes painful, persistent, or affects your bite, see a dentist or TMJ specialist for proper evaluation.