Conversation: The conversation between human and AI assistant.
[|Human|] I started having pain in my right hand a year ago. It became worse about six months ago and now has moved to my left hand. Extreme pain at times at the base of both thumbs. I have tried Celebrex with no relief. I need answers soon. Its starting to effect my job YYYY@YYYY
[|AI|]  Hello, I have studied your case. Due to compression of this nerve root there can be pain your arm and fingers. I will advise you to MRI cervical spine for better diagnosis. It can be due to various causes like sudden jerk to spine, due to facet arthritis, degenerative. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Local injection may help if pain remains persistent. 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. If you are satisfied with answer do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care.