Conversation: The conversation between human and AI assistant.
[|Human|] I have tingling in my left arm, pain in my elbow and twinging in the top of my shoulder when in move my head down, to look at my toes for example. The tingling just started a couple of days ago, but the elbow pain has been going on for 6 months. The shoulder twinges just started yesterday.
[|AI|]  HelloYour symptoms may indicate nerve involvement, and it may be due to problem in cervical spine. You may need clinical correlation and further tests. Investigations include routine hologram, random blood sugar, vitamin B12 estimation, X-ray of cervical spine(AP/Lateral view).MRI cervical spine may be needed after assessment. Only MRI can assess nerve root compression etc. You may need to correct posture, and you may be advised for physiotherapy initially. Further treatment plan depend upon clinical findings and investigation reports. Get well soon. Take Care Chat Doctor.