Conversation: The conversation between human and AI assistant.
[|Human|] I have neck and shoulder pain for years caused by a strain in the neck. Usually a couple of Tylenol and a heating pad made it feel much better. Now I have pain in the right side of neck and the shoulder and top of the shoulder blade all in that area is very bad achy pain that at times causes me to cry fron the pain stress. I was seeing a dr. That was pulling on my shoulder and streaching my neck, maybe that is what cause this I really don t know what to do. I did have a regular back X-ray recently, dr. Said I have some moderate arthritis. , but not sure if that is the reason.
[|AI|]  Hello, I have studied your case. Due to compression of nerve root there can be pain in neck and shoulder.Also, there can be large disc bulge which is compressing over spinal cord. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. I will advise checking your it B12 and it D3 level. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.