Conversation: The conversation between human and AI assistant.
[|Human|] My husband is 47. Relatively good health till recently. There has been no trauma, no illness, no allergic reaction. He has been suffering from chronic pain in the right shin area. It presents at all times of the day or night and usually is accompanied by swelling of the ankle. The pain was relieved by naproxen till recently. His blood pressure was slightly high recently... 140/90 but overall does not have a significant history of any health problems. MRI, Ultra sound and xray all negative and blood work negative . We are stumped.
[|AI|]  Hi, thank you for providing the brief history. A thorough neuromuscular assessment is advised. As the MRI, Ultrasound and x-ray are normal, then the injury is not major and the symptoms are totally muscular. Also, pain the shin are and swelling are related to the venous insufficiency and also the fatigue. The shin area of the leg, hardly contain much of the muscles and due to which possibility of getting pain is common. Checking with the physical therapy, and undergoing sessions under them, should provide good result. Usually, in my clinical such cases are more of the chronic and over use injuries, which gets treated well with physical therapy. RegardsJay In Chat Doctor.