Conversation: The conversation between human and AI assistant.
[|Human|] Starting yesterday I ve had back pain in the mid section of my back close to spine . I haven t done anything to cause this pain. This morning that pain isn t as sharp, but it s now radiating to the base of my skull . The sharp pain I had yesterday throbbed with heart beat. Today when it come on it all throbs with heart and a strange sensation in chest. Not a chest pain or pressure, just a strange feeling. BP is 155/93. I am diabetic, male 54yr old. I take Lantis 70u at night before bed.
[|AI|]  Hello Your disease condition appears to be trapezius myalgic due to a sprain. As you may know trapezius is the muscle attached from the base of skull to the mid back. Usually precipitated by peculiar posturing for long time. Don't worry the treatment is simple, local painkillers and hot fomentation will help a lot but main thing is to relax the muscle and this is by lying straight on back supine on a flat bed without cushion. Then take adequate rest for few days, then once the pain settles down start physiotherapy for this muscle. If this is not subsiding with these measures please consult a physician for further evaluation