Conversation: The conversation between human and AI assistant.
[|Human|] I have been diagnosed with trigeminal neuralgia some 2 years ago since then it feels like arthritis is both thumbs will the move to my left large toe into my left neck and shoulder area the remainder of my body just hurts, it starts first in my right ear area then then next few day will progress. Any idea I have blood trust to rule out limes and rhumithroid arthritis, it did show signs of swelling.
[|AI|]  Hello! Welcome on Chat Doctor ! The pain in your neck irradiating to the toes is not related to the trigeminal neuralgia. It could be related to a bulging disc in the cervical vertebral column causing irradiating articular pain in this region. For this reason, I would recommend performing a cervical spine X-ray study and a nerve conduction study. A cervical spine CT scan or MRI may be needed. Regarding trigeminal neuralgia, it is necessary performing a brain MRI to exclude other secondary causes that may lead to this situation. You should discuss with your doctor on the above tests. Kind regards,