Conversation: The conversation between human and AI assistant.
[|Human|] I think I may have pulled a muscle or two at work I repeat lifting motions 8 hours a day. I started having throbbing and burning pain along both sides of my spine shoulder blade area. Today though any solid food I swallow especially bread causes what feels like a muscle spasm and pain in that area only what do you think it may be?
[|AI|]  Hi there, Thanks for your question at Chat Doctor. It is most likely muscle spasm. Ice pack application and gel application(analgesic gels) with rest can help relieve the spasm over initial 24 to 48 hours. If your neck hurts when you bend forwards, you should not use a pillow while sleeping. However, you should consider and get evaluated for a pinched nerve if: 1. You have numbness of tingling sensation in your arms or fingers. 3. Any pain which is radiating along your arm downwards.(like sciatica pain in the legs) 3. Any muscle in your limb feels weak. 4. The pain does not subside in first 5 to 7 days after medicines and rest. Hope this helps. All the best. Regards. Chat Doctor.