Hi, thanks for writing to HCM. The shock like feeling in your shoulder might be due to Cervical spondylosis (wear and tear in the neck spinal column). I don t think that your nose bleed is in anyway related to your other symptoms. Consult a Otorhinolaryngologist regarding your nasal bleeding. The conservative management of this condition is as follows - * Physical therapy - Strengthening and stretching weakened or strained muscles is usually the first treatment that is advised. Physical therapy programs vary, but they generally last from 6 to 8 weeks. * Non-steroidal anti-inflammatory drugs (NSAIDs) - are thought to be the most effective painkillers for symptoms of cervical spondylosis. Some commonly used NSAIDs include - Diclofenac, Ibuprofen and Naproxen. If you experience spasms, when your neck muscles suddenly tighten uncontrollably, a short course of a muscle relaxant may be needed. * Exercise and lifestyle changes - - doing low-impact aerobic exercises such as swimming or walking - using one firm pillow at night to reduce strain on your neck - correcting your posture when standing and sitting * Soft Collars -These collars limit neck motion and allow the muscles of the neck to rest. Soft collars should only be worn for short periods of time because long-term wear can decrease the strength of neck muscles. * Ice, heat, other modalities - Use of ice, heat, massage, and other local therapies can help relieve symptoms. Hope this information is helpful. Good day