Conversation: The conversation between human and AI assistant.
[|Human|] Hello, thank you for your time. For the last couple of days I ve had a sharp pain mostly on my right upper shoulder and back area. The pain comes and goes but is most evident at night. At times it goes away completely but will suddenly come back. It s the same kind of pain that you feel at the onset of the flu but it does not have the accompanying symptoms. It seems to move around from one part of my body to another.
[|AI|]  Hi there. Pain over the upper shoulder and back region most commonly is myofascial in nature. That is there are these certain areas of the upper back that are known to act as trigger points. It feels like a dull aching, sometimes cramping pain. Low levels of vitamin D, Improper posture while sitting at work, sleeping on a hard pillow can cramp these muscles of the neck and upper back and can lead to this. So I suggest you get an appointment from a physiotherapist and ask for a trigger point release which is quite effective. Also get guidance for proper sitting posture and get your vitamin D levels checked. If the level is low you might need to take some supplementation for the same. Local analgesic ointments and sprays can alleviate your pain to some extent. Do look out for any numbness, tingling sensations or weakness in your hands for which you might need to see doctor and get yourself evaluated for a possible spine related problem. Thank you.