Conversation: The conversation between human and AI assistant.
[|Human|] I have been having severe thoracic back pain and neck pain with stiffness, numbness and tingling in my arms and hands. I am very stiff when I first wake up in the morning and the pain gets progressively worse throughout the day. I have had a neck xray that didnt show any fractures or bone deformities. This is really starting to worry me and if effecting my daily life. What should I do?
[|AI|]  Dear-thanks for using our service. I understand your concern and will help you with my medical advice. Neck pain can limit your daily activities due to stiffness and numbness of the arms. X-ray can be negative, specially when there is no evidence of fracture. However, MRI of the neck is the gold standard to evaluate pinched nerves, spondylosis or bone overgrowth, spinal stenosis or anything that can be pressing the nerves and produce the symptoms that you are having. I recommend you to see your doctor and explain all your symptoms in order to get the MRI. You can try an analgesic as ibuprofen to control the pain. I hope that my advice has been helpful. Chat Doctor.