Conversation: The conversation between human and AI assistant.
[|Human|] I am a 56 yr old white female who has sufered for the past several years with pain in shoulders, arms, hips, knees and lower back.  I develop a rash on my left arm that appears to be tiny blisters but does form a ring and has severe itching and at these times seem to have more pain.  I have had two vervical fusions in the past.  I did suffer a tick bite in 2006 and had the bulls eye rash but tests for lymes was negative.  I continue to become worse where now I am unable to walk but short distances and have severe pain in my lower back and legs, extreme weakness and fatique.  I am afraid that I may have lyme disease but my PCP will not test me again and just brushes my symptoms off.  What type of provider can I see that can answer my questions, a neurologists, arthritis, autoimmune?
[|AI|]  Hi. Thanks for posting your concern at ChatDoctorI would like to rule out a possibility of Herpes Zoster, which presents as clusters of blisters, usually on one side of the body e.g. an arm or one-half of the chest, often arranged in a stripe. There are symptoms like burning, shooting or stabbing pains. It is caused by viral re-activation. I would advise that you see a dermatologist for a confirmatory diagnosisTreatment for zoster is oral antivirals e.g. Acyclovir for a week. Pain of zoster can be managed with either NSAIDs or with Tricyclic antidepressants, Anticonvulsant etc regards