Conversation: The conversation between human and AI assistant.
[|Human|] One time this morning and one time this evening. Light headedness, at same time ripping burning shooting pain across upper back between shoulder blades,as well as left arm pain and cold/numb down arm into hand. Also same time have horrible right side lower jaw pain,burning, tightness, like can not speak or swallow. These episodes lasted 5-10 minutes each time. I have to lie down with legs bent to help ease pain. My e-mail is YYYY@YYYY .
[|AI|]  Hello, I have studied your case and I think that there can be nerve compression in the cervical spine. It is causing acute episodes. I would suggest you following.1. Get x-ray of the spine and if there is reduction of the disc space. If yes then you will need physiotherapy. 2. Intermittent cervical traction exercises.3. Tablet Pregabalin M one at nighttime. 4. Soft cervical cooler can be worn. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks