Conversation: The conversation between human and AI assistant.
[|Human|] I have this pain in between my right shoulder blade and spine. A pain that I do not get at home only after noon when I am work. It is a pain that starts slowly then becomes more extent as the afternoon continues. It cannot be massaged or rubbed or push for relief, it just makees me angry with the discomfort. Take Tramal 50mg, but doesnt always work? Judi
[|AI|]  Hi you have not described your nature of work but reading your summary I think that you do a lot of work on computer. In my opinion this pain has its origin in neck and when the muscles are stretched, esp on one side(R in your case) then muscles go into spasm and pain starts. I will prescribe Painkillers, Muscle relaxants and Neck Exercises for 10 days and would control your pain only by exercises later. If there is no relief in 10 days then I would get X-Rays of cervical Spine and treat accordingly.