Conversation: The conversation between human and AI assistant.
[|Human|] I am 73 y.o. and have AFib, type ll diabetes and have been a non-smoker for a few yrs. Lately, I have sharp pain in my left shoulder blade to spine and neck. The neck pain has been constant for several years, and a sharp pain (like a cigarette burn) hits me at mid- spine when I bend over to pick something up. I can work through it if Im tying my shoes by bending slowly. This has been with me for several years, also. I have had dye injected into my blood stream and had cat scans. Curvature of the spine has been the only thing to show up other than some calcification at my lower spine. This pain between my shoulder blades is horrific, at times; but, thankfully, will subside to a managable level (about a 4 on a scale of 10 { 1 being no pain and 10 being excrutiating, sick to your stomach pain}) for active hours. The night time or resting pain will easily hit a 9 and hang around for a while. Any ideas?
[|AI|]  Dear Sir, Than for Asking. Before I further Comment, Can I know a little more 1) How Long have you been having Diabetes ?2) Is your Diabetes under control ? (What are your latest Reading and HBA1C)3) Have you ever got any Nerve related test done ? Like Biothesiometry or Nerve function testing The Pain can be due to many reasons, From a Planetologists Perspective This can be Neuropathic Pain - The Usually Features of Diabetic neuropathic Pain are the Following Diabetes most of the time initially affects the nerves in your feet and fingers (Simply put)1) Burning sensation in the feet2) Pain in the Feet and legs3) tingling sensation in the Finger and toe tips But it is not uncommon to see Truncate Problems. In some patients we see something called as Truncate Mononeuropathy - Which is characterized by Complaints of burning, stabbing or deep aching pain in a particular area of the trunk. This is usually common in those whose age is > 50 years and is due to uncontrolled diabetes Solution : If this is the Case you have to do the following things 1) Strict Blood Sugar control 2) Neurovitamin (Like Tab Nerve Up/Eurozone forte or Reserve 3) Neuropathic Pain medication (Tab Lyrics 75 mg or Tab Megastar or Tab Duane etc... Provided you are not allergic to this From Orthopedic Point of view - Its Good to Rule out Cervical Spondylosis and any Disc or Nerve root problems.It's better to consult an orthopadecian and an MRI spine would be helpful if advised, since especially you say the pain aggravates when you bend over to pick something ... Hope this Helps Regards Chat Doctor.