How Can burning Sensation In The Shoulder Be Treated?

Hello Dr. A flat brown lesion appeared on my upper left side near shoulder blade. Burning sensation and slight tension in shoulder/ uncomfortable, after I experienced breast tenderness and sensitivity in a certain top spot of left breast during my menstruated cycle. I will be 58 in July and just now experiencing heavy bleeding for the first to days of cycle. Yes I do have fibroids. No pain, in back or stomach. I take iron supplements ..For anemia daily with multi vitamins, I notice pigment in skin ..White spots and a few small round brown patches within several months. I do have a small hernia that does not cause me any discomfort...My bowels are regular for I eat healthy 5 days a week and splurge two.. Smiling here