Conversation: The conversation between human and AI assistant.
[|Human|] Hello, my name is Davie. I have severe back and neck problems, have for close to a decade. My entire spine and neck is very sore, nerve problems and no doubt my spine would be out in lots of places. A few weeks ago i started getting pains in my throat, like pain coming from the top of my chest just below my collar bones and traveling up my two neck two arteries. It isnt constant, but is there daily and comes and goes. Its in direct line with where the worst part of my back is, just below my collarbone line. That level is where my back is just beyond sore, words cant describe how bad it gets and i know my spine is out of place badly there. Now at the front at the exact same level is where im getting the pains from that are shooting into my throat. I know that pains like that can be heart related, but i feel fine apart from my back pain, my heart feels okay. Im just wondering can severe back pain and having a spine out of place cause such problems like this at the front. It just feels very tight and i get shooting pains going into my throat, but theres no real trouble breathing, just the usual tightness i feel with my spine being out and being very painful. If i honestly thought it was my heart and i had no trouble at all with back or neck pain, id be at the hospital right now. I just honestly dont feel its my heart and i know how ridiculous my back feels right now with the pain im in. Im only 35, so i dont think its a heart attack or stroke or anything and i have no tingling or numbness or anything in my arms/hands. Just want to know if severe back pain and spine out of place can transfer pain to your front and affect other things to give you the neck pain and chest tightness ive just described. Thank you for you help.
[|AI|]  Welcome to Chat Doctor. Thank you for asking the query. In my opinion this is not heart attack or stroke. The pain at the back and in the spine does not come to the front just below the collar bone. The pain you are having in front and at the back are two separate pains. If I was your treating physician I will do the following:1. Take detailed assessment of your mood and anxiety. Sometimes such pains are associated with depression and anxiety disorder. Treating depression/anxiety improves the outcome of pain as well. 2. Get your x-ray spine done. 3. Examine the throat and chest for any abnormality.4. Get an ECG done.5. Consider starting antianxiety and pain modulating medicines. I hope this helps you.2.