Conversation: The conversation between human and AI assistant.
[|Human|] I have suffered with chronic pain in my low back, knees, elbows, and especially now in my shoulder and upper arm. Several years ago a sore place showed up right where my low back hurts. It has recurred several times and is excruitatingly painful on the surface when it shows up. Could it be what kills my back deep inside and what could it possibly be. Family Drs. have thought it to possibly be shingles, then another Dr. thought no. I also suffer with severe clinical depression. Could they be connected and what tests should I have done.
[|AI|]  Hi, I have studied your case with diligence. As per your history and symptoms there is possibility of viral infection. Another possibility of polyarthritis Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased you have such stiffness in spine? Clinical examination is also required to diagnose it. You can do blood test for HLA-B27 to confirm it along with it CRP, RA TEST, ESR, CBC will help. If all tests are normal you may need proper exercises and lifestyle modifications. Chronic persistent pain can lead Lt depression. 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.