Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor I am having SPASM (L3 borne deviation) problem for the last 15 years and Once in a year I used to get acute pain in my spinal card and will be completely bed ridden for three days till the paid gets subsidized. Off late say in the last two or three year I am getting heavy pain in my both the shoulders with a small bulging and I am regularly taking pain killers. Due to the above said problems I am unable to carry out my regular activities even combing for a while (say less than a minute) and also unable to type (though I type fast) to respond emails. Please advice for suitable treatment. Regards
[|AI|]  Hello, You need to be evaluated for any compression of nerves in the neck region which can cause shoulder pain. Though bulging is not associated with that. Difficulty in combing etc. also suggests that there may be compression in the neck region. However, there may be bony problems without neurological involvement which can present like this. You need to first be seen by an orthopedic and subsequently by neurologist if required. Good luck.