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I don't think it would hurt to get it looked at. My gut says soft tissue injury -- like a torn rotator cuff (your symptoms sound so much like mine!) or maybe a pinched nerve in your neck, but who knows?
If it were me I probably wouldn't rush to the ER, but I'd call the doc. If I had health insurance, which I don't.
Meanwhile, you could try icing the general area and take an anti-inflammatory to help reduce swelling/pain.
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