Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I ve been to ER over a hundred times in 3years: seen many doctors and keep getting diagnosed with costochondritis. I m scared there over looking an underlying condition because I have icy cold hands and feet, leg pain, back pain, jaw pain, and rib pain. Doctors say I m don t have circulation problems, heart problems, or any defeincy. Can you please help me
[|AI|]  Hello, Due to compression of this nerve root there is pain radiating to your arm, leg. Diabetes and smoking leads to constriction of blood vessels leading to infection and weakness. So it is advisable to do color Doppler limb to see vascular status. Medication physiotherapy with TENS and anodyne therapy may help. For these symptoms analgesic and neurotrophic medication can be started. I will advise checking your it B12 and it D3 level. There is possibility of transient ischemic episode or stroke leading to motor weakness on arm and leg. You may need clinical examination to confirm neurological weakness, BP and other vital parameters. MRI brain will rule out stroke in case of suspicion. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care