Conversation: The conversation between human and AI assistant.
[|Human|] I have back pain just to the inside of my left shoulder blade along with this pain that wraps around my chest and in to my arm pit I also have two fingers numb all the time the chest and back pain together feel like a stake driven through my from the back causing anxiety and cramping in my chest muscles
[|AI|]  Hello, I had gone through your questions and understand your concern. Looking at your description I am thinking of following possibilities,01) Heart related problem: pain due to heart diseases may radiate do back, left shoulder, arm. An ECG will help to rule out this condition.02) Neurological problems: A slipped disc, entrapped nerve, fibromyalgia may cause pain in back muscles, arm.03) Muscular pain: Any kind of muscle stress due to weight lifting, abnormal posture while sleeping, walking may cause this. I suggest you to change your posture while sleeping for some days, avoid sleeping on pillow, do some easy exercises, reduce mental stress if you have any, include vegetables, fruits in your diet, avoid smoking, avoid spicy food and carbonated Chat Doctor. If your problem persists even after all these it is better to consult your nearest physician. You can ask any follow-up question or any other queries. Hope this helps. Wish you good health.