Conversation: The conversation between human and AI assistant.
[|Human|] I ve been diagnosed with fibromyalgia for a while now. At times I have almost unbarable aching and burning pain to nodules in my upper back and under my shoulder blades. What do you suggest I do for this pain? It s seems to be worse with weather changes.
[|AI|]  Hello, As the pain in the upper back and shoulder blades are guiding me towards two possible issues. One is Trapeziums and the other is an inter-scapular muscle spasm. I will advise you to use hot water fermentation for the upper back and spine of the scapula, which is your shoulder blades. Post that doing simple neck static strengthening exercises, shoulder stabilization exercises, inter-scapular muscle stretching and strengthening exercises should help reduce the pain to a greater extent. Even doing kneading massage with the help of a family person around the shoulder blades and inter-scapular region should provide a soothing effect. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.