Conversation: The conversation between human and AI assistant.
[|Human|] I have what I thought might be carpel tunnel. It started in the thumb of my right hand several months ago. It is very painful and now there are times when I move just right that I get the tingling asleep feeling in different places ranging from shoulder to foot. The base of my thumb is very sore to the touch and I am having problems buttoning my pants as well as taking care of personal hygiene when using the bathroom. Is this something I should be concerned about or will it go away?
[|AI|]  Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and it seems you are suffering from both CTS and arthritis of the base of thumb call CMC arthritis, There are two investigations you need urgently1 X-Ray of your Hand2 NCV of median nerve at wrist the diagnosis can be cleared once these investigations are available.Meanwhile take analgesics as required, and do not let your wrist flex at night for which carpal tunnel splint can be used. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks