Conversation: The conversation between human and AI assistant.
[|Human|] On a scale of 1-10 the pain is a 7.  I have extreme pain starting from my left neck going down to the joint of my sholder it also goes down along the back bone.  The pain causing an ache in my left arm... When i try to lift my arm over my shoulder it hurts.  the same pain is causing pain down to my lower left side of my back leading into my left hip.... Really really sore... Aleve doesnt aleeve it.... what is going on?
[|AI|]  Hello ! How long has the pain been ? Is it accompanied by any other symptoms like weakness in arm / shoulder muscles or loss of sensation in the arm ? The history of how this pain started will play an important role in deciding about further investigation and diagnosis. Symptomatic treatment will include release of muscle spasm or trigger points in the muscles if any (which I would generally expect in such a case) and which is a cause of pain during movement, stretching of the affected muscles, taping to keep those muscles in the optimal function and exercises further on to improve muscle balance. Your physiotherapist will be able to evaluate it differentiate between a muscular pain or a nerve compression from a discography. The treatment in either cases, starts with symptomatic relief of affected structures, with some advanced physio therapeutic techniques in case of nerve or disc involvement. Please go to your physio for an evaluation who will refer you to appropriate specialty if needed. Hope that helps !