Conversation: The conversation between human and AI assistant.
[|Human|] I had Neck surgery June 2, 2014 due to pinching of C8 nerve bundle and ulnar nerve challenges on the right arm and hand. My right hand continues to be numb on the lift side of the palm, small finger, and half of the ring finger. Not too surprising as carpal tunnel developing is an issue. What is new is a tearing sensation on the upper back of my left shoulder. My right side feels stronger from shoulder to elbow. No nerve pain under right shoulder blade. Just concerned about left shoulder or just give it time? My next appointment with surgeon s PA is 6/23/2014.
[|AI|]  Hello, I understand your concern and would explain that your symptoms could be related to a pinched nerve (ulnar nerve compression) which could be a bulging disc in the cervical vertebral column (probably residual from your spine surgery). Coming to this point, I would recommend performing a cervical spine X-ray study, a shoulder X-ray study and nerve conduction studies to investigate for pinched nerves. In the meantime, I would recommend starting Gabapentin or Pregabalin for the pain.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.