Conversation: The conversation between human and AI assistant.
[|Human|] Dear Dr. Kumar, I am a 28 year old male and have suffered with progressively worse neck an upper back pain for about 8 years now. The pain seems to be originating from an irritated nerve in the c8 or T1 area of the spine. There is also a noticeable shift to the right in my vertebrae at the T1/2 spots that can be seen and felt. I have had x-rays and a CT scan but my GP says there is nothing out of the ordinary, even though she was initially shocked by the displacement of my vertebrae from a physical inspection. Lately, symptoms seem to be getting worse with more neck pain, restricted neck movement, referral pain in my left arm, muscle weakness, chronically cold hands, and a moving/crawling sensation near my right temple and eye. I don t know exactly what to do since my GP doesn t seem to be taking my pain very seriously. If you have any advice it would be greatly appreciated. Sincerely, Sean Patterson
[|AI|]  Hello, I have studied your case. Due to compression of nerve root there can be pain.Also, there can be large disc bulge which is compressing over spinal cord. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.