Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I am a female, age 53. I am feeling pain in my left arm and same side in the back ( whole back up to half)! The pain is more severe in the night and some time during the day! It comes for few days and goes away. This time it is continues from last week! I am under lots of stress. Is it spasm?
[|AI|]  Slight tearing or spasm of connective tissue around upper back region can cause pain in upper back pain and may radiate to surrounding areas typically as a result of bending, lifting, twisting or shoulders forwards activities or trivial movements, such as picking up a pencil or sneezing. May cause upper back pain with or without symptoms radiating along shoulder, arm, forearm, hand or fingers. Pain may increase on firmly touching the affected level of the spine and spinal movement is often stiff or restricted. Pins and needles or numbness are occasionally present in affected arm or hand. Symptoms may increase with repetitive or prolonged sitting (especially slouched sitting or during computer use), bending, lifting, shoulders forwards activities, coughing or sneezing and are often worse first thing in the morning.