Conversation: The conversation between human and AI assistant.
[|Human|] HI. I AM 42. HAD AN CERVICAL DISCECTOMY AND FUSION ON C4 C5 ABOUT 2 YEARS AGO. 6 MONTHS AGO MY SISTER HUGGED ME AND SQUEEZED MY NECK WHICH HURT. SINCE THEN I HAVE A NERVE TWITCHING IN MY ARM AND PAIN IN MY THUMB JOINT PLUS PAIN IN MY KNEE. I HAVENT BEEN TO THE DOCTOR YET. I M NOT TAKING ANYTHING BUT HAND PAIN IS GETTING WORSE EVERY DAY AND STARTING TO RESTRICT ME AT WORK.
[|AI|]  Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you specifically describe your symptoms and your thumb pain means your sixth cervical nerve root is getting compressed, please get a MRI done and confirm, if the compression is more you may need a repeat surgery, but that can be judged by a clinical examination. I hope that answers your query. If you want any more clarification, contact me back.