Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I am a thirty seven year old male that was struck by a car back in August. I incurred a head trauma and trauma to my neck . Currently, I have a shiver that goes into my chest and down my arms when i lower my neck to the ground. I am just a little worried about it. Also, my neck gets quite heavy from holding it up i suppose. In return, I kind of rest it by lowering it towards the ground which causes the vibration/shiver that i was referring to. Regards, Joseph Van Buren
[|AI|]  Hi Mr Joseph, Thank you for posting your query. I must admit, you have provided a very good description of your problems. Your symptoms are most likely, what we refer to as, Permitted sign or symptom, and it is suggestive of injury to cervical spinal cord. MRI of the cervical spine would be useful in evaluation of the same, especially to look for injury to a bundle of nerve fibers, called as posterior columns (located in the spinal cord). Improvement may occur with medications such as pregabalin or gabapentin. Please consult a neurologist. Wishing you good health, Chat Doctor.