Conversation: The conversation between human and AI assistant.
[|Human|] I am 533yo female with numbness and tingling in ring, 4th and 5th digits on left side. pain down back of upper arm. also pain under armpit and in chest and back area just above my breast. getting no relief from NSAID s been going on for 4 weeks now. can get any relief other than lying down, Sitting is the worst,,do I have a pinched nerve?
[|AI|]  Thanks for your question on Chat Doctor. In my opinion it is neuritic pain only. But as a rule, any left sided chest pain must be rule out for cardiac cause. So get done ECG and 2D Echo to rule out cardiac cause. If both are normal than no need to worry much. It is mostly neuritic pain. This can be due to 1. Nerve entrapment2. Vitamin B 12 deficiencies. So get done B 12 level. If lower than start supplements. Also follow these steps. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site.