Hi Shalini, Thanks for your query. Firstly, the pain in shoulder joint, near wrist and nape of neck is apparently due to contusion of the shoulder and neck following the fall. If your range of movements at the shoulder joint are normal in all conceivable directions, there is nothing to worry about. A short course of NSAIDs (such as ibuprofen + Paracetamol combination) will give you relief. It is, however, suggested that an xray of shoulder should be done to see if there is a chip fracture or not. Further, fusion of the posterior spinous processes C2-C5 vertebra due to cervical spondylosis is high unusual. Also, it appears that a mild concussion on the neck vertebrae following the fall may have caused a slight protrusion of the discs (something like washers/cushion) between the neck vertebra, enough to compress on the nerves supplying the upper chest and back. An MRI should be done and a neurosurgeon consulted along with the MRI report. He is the best judge to decide if the fusion of vertebra is severe enough to cause compression over nerves. Depending on the MRI report, he will apprise you of the options available. Yes, a slight compression over the nerves frequently respond well to 2-3 weeks of steroids in very high doses. But the neurosurgeon is definitely better placed as he can decide whether to give a trial of steroids, or defer surgery (if at all required) or use of Cervical collar trial would suffice. Your headaches are apparently migraine attacks, since you have been under great tension since the recent past. Consult your doctor who will prescribe prophylactic treatment. Hope you find my response as helpful and informative. Dr. Rakesh Karanwal