Wow, you just explained what I have. I too get anxious when I feel the pain in my should and arm. Sometimes I feel I am going to get so scared I will go into a full blown panic attack. I do not take meds so I cannot speculate on weather they work or not. I do know that I never noticed these pains / ailments until after my first panic attack. I know how you feel. One thing I have been doing is getting chair massages at least once a week. That has been helping a lot. Also occupying my mind with things other then the pain helps the intensity of the anxiety. It sometimes stops the pain and when I realize that and put my attention on my shoulder or arm or back it starts up again.

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