Conversation: The conversation between human and AI assistant.
[|Human|] i am having pain between shoulder blades to the point its spiking bp. i am on blood pressure meds and the local drs are stumped as to what could be causing it. i am non smoker, run frequently, exercise daily (until recently). my systolic blood pressure has stayed high
[|AI|]  Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. Pain between shoulders blade can be due simple muscular or can be due to aortic dissection with sharp pain ... if u were my patent I would like to ask detail history with examination n run test ESP X-Ray to look for mediastinum widening to rule out dangerous condition n if it is culprit then TX by surgeons ...in case muscular pain need simple analgesic n muscular relaxant ... I hope this answered your question, if you have more feel free to ask. Regards.