Intense shoulder pain

So when I was 6 years old I had a tumor cut away from my spinal cord and it left me with a constant dull ache and scoliosis ever since. It’s never gotten better it’s always a dull throb that I’ve just gotten used to having over the years.

Lately the past two weeks or so the pain in the exact spot has been so severe that I can’t lay down or sit or stand or find any comfortable position. I’m due sept 27th.

I’ve been sleeping on a hot pad and taking light medication (DR approved) but it’s hurting to where I can’t take a full deep breath without stabbing pain.

I don’t know what to do I’m at my wits end about it.

I do NOT want to take off work early but it’s just stressing my shoulder so much. I want to be able to take the full 6 paid and 6 unpaid with my baby girl when she gets here. Sometimes I lay in bed and just cry because it hurts so bad.