Conversation: The conversation between human and AI assistant.
[|Human|] whilst using a screwdriver 12 years ago to drive a screw into a stubborn piece of wood i felt a severe twinge in my hand. after that i noticed tremors in that hand and arm. went to docs and was told it was dystonia . a few years later noticed atrophy in hand and forearm . after a few mri,s they thought mmn. had ivig but no improvement. atrophy and weakness now spreading to other hand and one foot. i like a good drink and i smoke . i get tingling/numbness in both hands in the morning after a night drinking. could it just be my lifestyle that is causing it all or is it something else?
[|AI|]  Hi, Thank you for posting your query. Your symptoms are suggestive of a neurological problem, and the blame can not be put to your lifestyle alone. The most important condition is to exclude a cervical spinal cord pathology. This can be done by doing an MRI of the cervical spine. A condition called syringomyelia (where a cavity is formed in the spinal cord) needs to be excluded. Another condition to exclude would be anterior horn cell disease. This can be done by doing an EMG study. Please see a neurologist for evaluation and starting of the treatment. I hope it helps. Please get back if you require any further information. Best wishes, Chat Doctor. Ly/