Conversation: The conversation between human and AI assistant.
[|Human|] I have had 4 cervical operations over the past 5 years my 1st cervical fusion didn t take and the 2nd one I was opened in the front neck and back the last one at duke due to chronic pain from muscles being cut so much they took the hardware out thinking it would help it didn t needless to say , I ve also had 4 wrist (right) operations last one being a complete wrist replacement I m only to lift 1 to 3 lbs. with right hand and have 20 percent range of motion . I developed a few months ago spasms in my hand same fingers each time which appear to look as if my hand is deformed lasting 45 seconds to over a minute it has since progressed to same toes at times and now the left side also always the same fingers or toes , I am very concerned due to all the surgeries on both cervical spine and wrist . I have seen the dr who operated on my wrist replacement and he said I need to see a neurologist that it wasn t stemming from my wrist ? Can you give your opinion what you think it might be ???? I m really concerned !!!!
[|AI|]  Hi, thank-you for providing the brief history of you. Secondly I am. sorry to hear you have to go through all this pains.let's come to the point now. As you mentioned you have undergone two spinal and one TWR I would have been happy if more about the functional status of you was mentioned. As to this getting spasm, I feel it should be muscular initially. As the muscles of the wrist post replacement needed more attention. Also, taking up an x-ray would have been better to understand more of the joint positioning. Besides, how long did you undergo physical therapy rehabilitation plan? As per my view you should go for longer than expected. Also, indeed you got operated for spine twice, but how much time you performed the physical therapy post surgery?physical therapy is a scientific and secure way to rehabilitate the muscle and movements. Also, I will say to look for a physical therapy now as to which he will assist you to further. Meantime you can surely take an appointment with a neurologist, as every experts' advice will play a role. Maybe the use of diagnostics will come into role as technology has helped a lot to rule out human body illness to a greater extent. But hardly we understand the best use of technology used in assessing the human body. Okay, your muscle spasm is of what kind? That is important. First you need to reduce the muscle spasm by hot water fermentation and whirlpool therapy. You may have to spend a little time in this process as The muscle relaxation will take some time. I will say that you visit a physical therapist so by which your treatment starts. With the grace of God I wish you a speedy recovery