Conversation: The conversation between human and AI assistant.
[|Human|] I have been suffering from pain for about three years now.  I sometimes have to resort to taking pain killers to manage it.  The pain is located around the lower right side of my neck, down my shoulder and under my right shoulder blade.  I have seen two doctors about it, one is an internist.  They dont seem to know what is causing it and seem to be reluctant to think it is anything but psycological.  The internist, after looking at me for ten minutes, suggested it was localised fibromyalgia.  They also keep thinking I am somehow addicted to the pain killers when I only take half the dosage prescribed 2-3 times a week. I am very confused, frustrated and I dont know what to do. I have tried physical therapy, message therapy, hot or cold pads, resting, exercising.  It seemed to make the paid worse when I attempted them. If you have any suggestions I would be extremely greatful.
[|AI|]  Hi, Thank you for asking Chat Doctor. I have gone through your query. Cervical spondylosis should be ruled out in your condition. Nerve compression from that can give such type of pain. X-ray cervical spine followed by an MRI if needed can rule out that. For such cases I treat with NSAIDs like diclofenac, muscle relaxants like cyclobenzaprine and neurotrophic Chat Doctor.  I also send them for physiotherapy along with this. Cervical traction and collar will be helpful also. But if that is clear and there is no local findings then it can be treated as fibromyalgia. I usually treat with amitriptyline or other anti depressants. Hope this may help you. Let me know if you have any further queries.