Conversation: The conversation between human and AI assistant.
[|Human|] last time this happened and its starting again...distal part of hand and arm tingles and is sore to touch..bilateral..have had shingles when i was 13...but it leads to whole body flu like symptoms in muscles and joints...no fever or maybe a small one..nausea and slight loose stools...
[|AI|]  Hi I am Chat Doctor. .  You may have a kind of nerve compression, you may use painkillers like (NSAIDs) Tylenol tabs when needed, hot gentle massaging with topical anti-inflammatory gels, muscle relaxants, B12 vitamin supplements will be effective in most of the cases. In more severe or chronic cases steroid tabs or injections are prescribed if required.  If these symptoms persists or does not respond to medications I recommend MRI scan on spine to exclude any spinal injury or discs or herniation and follow them up with your neurologist for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.