Conversation: The conversation between human and AI assistant.
[|Human|] I have had pain in my upper back and neck and shoulders for now 5 weeks.  I am having trouble sleeping as pain is all the time.  I have swollen nodes at base of skull and sides of neck, have been to doctor was given pain killers and muscle relaxers.  This is not helping - very wooreid
[|AI|]  with swollen nodes, I would advise a complete blood count, ESR, amateur test if in tuberculosis endemic area, Liver function tests, examination of abdomen for any splenic or liver enlargement plus examination of throat, cervical spine and x-rays of chest, cervical spine. These base test may give contributory information for the causes and treatment may be directed specifically depending on results. As of now, pain medicines only.FNAC (fine needle aspiration cytology) of node if persistent swollen nodes or increasing in size. You have to keep a watch whether they are growing, and tender and whether they are mobile or fixed. All this physician would do if he considers and agrees best wishes regards,