Conversation: The conversation between human and AI assistant.
[|Human|] Hi, tell me what you think.... Numbness/tingling in toes (usually 3rd and 4th only, and usually unilaterally), not constant but frequent, started in 2012. Occasional leg pain, deep pain, massage doesn t relieve, only Motrin. In 2013 I fell three times. Once I was drinking and hanging clothes when the line broke and I fell with it. Another time I slipped coming out of the shower and fell onto the floor, and another time stumbled backwards off of an elevated porch and fell down 5 stairs. I was only drinking for one of the falls. October 2014 started having daily, almost 24 hr headaches, right side only, mostly in the front and on the side. No migraine symptoms. Prescribed amiltryptiline, worked for a while then started having breakthrough pain. Negative MRI of brain, MRI of cervical spine shows slightly bulging disc at c5&6. Occasional R shoulder pain with numbness/tingling in R 4th and 5th fingers. Headaches completely subsided for 2 says in the middle of a medrol pack, lots of energy, no pain, I felt like me. They are back, not constant, but definitely daily. Two weeks ago my eyelid started twitching, first only when I sneezed or yawned, now it just does it on and off throughout the day. This week I m noticing small spasms in my arms and legs causing smal involuntary movements. Tried posture strengthening and awareness, heat, cervical stretching. I sleep on my back with a cervical pillow, temperpedic mattress. I had a one hr deep tissue massage and left with the same amount of pain I went with. She said she did not feel any significant areas of tension. Everyone asks if I have stress. Answer is yes, but nothing extreme, I m a working mother of 4, so yes there s stress. I drink plenty of water, eat healthy, exercise regularly (I run 2 miles most days), take vitamins. Rarely take meds for the pain. I sleep 7-8 hrs per night.
[|AI|]  helloBulging disc in neck could give deck pain and shoulder hand symptoms-may be cervical spondylitis, often combined with too much stress can give tension headaches also. Pain in toes or numbness may be associated to fall injury of back (lower spine) and x-ray/MRI of lower spine will give a clue. Try relaxation and meditation techniques, physical therapy and exercises, methycobalamin and lyric tabs and pain medicines like alive. Mild tranquilizers like clonazepam and Escitalopram(anti-depressants) could also help. See an orthopedic /and psychiatrist for above medicines prescription am sure you will surely benefit Best wishes