Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I had a spinal stenosis surgery on 2-26-2014 and now both of my arms are very painful that i could not sleep and was wondering if I can take Roxicet before bedtime for my pain or Diazepam 5 mg.? I have mixed messages what not to take. Please help. I also have very stiff neck, shoulder and back pain and due to this stiffness, my TMJ came back and this also aggravated along with my arms pains. thank you. Ms. Leah Wong
[|AI|]  Hello! Welcome on Chat Doctor ! You should know that your symptoms could be indicative of articular pain in both arms. Chronic spinal column degeneration could lead to such symptomatology. For this reason, I would recommend performing a new cervical spine MRI study and a nerve conduction study. Regarding Roxie, I would not recommend taking it for a long time, because it can lead to addiction and tolerance. Instead, I would recommend taking amitriptyline or pregabalin for the chronic management of nerve pain. A new surgery may be needed, depending on the new MRI results. Hope you will find this answer helpful! Best wishes,