Conversation: The conversation between human and AI assistant.
[|Human|] Hello doctor, i am 31 year guy and working in factory as an accountant.from last 1 year i am feeling buring on back side under my blade areas.the burning is usually in morning when i woke up and set in my car seat and at night when i m going to bed for sleeping.Rest of the day during my working hours i don t fell such burning feeling.i visited 2 times to hospital and doctor told me that is because of long working hours and i am not doing physical exercise and they have given some Relaxon and diclofanic tablets.when i am using such tablet then i feel good and when quit taking tablet the burning again started.please advise me what is the real problem.i am worried about my health.personally i am feeling that, it is due to smoking please advise me.....Thanks and have a nice day..
[|AI|]  Hello there, welcome to Chat Doctor. Since you experience pain at rest and not during activity this is not a case of mechanical disturbance/ irritation. As per your data scapula (blade) has no articular surface on the thorax. Scapulo-thoracic joint is known as a functional joint rather than an anatomical joint. So we can not think of any inflammatory arthritis as a cause of your burning pain. There are no bursae in that part of the body which could have been a case also. Since there is no complaints of lack of muscle control/ weakness, numbness, radiation there is no chance of neuropathic, nerve root irritation. There are no signs of vascular conditions also......Hence, Your burning pain is a cause of deficiency in vitamins/ minerals/hormones/calcium or frostbite..... So supplements rich in these things whether in natural form or in tablets would be more helpful for you. Wish you a pain free back soon..... have a nice day.....