Conversation: The conversation between human and AI assistant.
[|Human|] I have upper back and neck pain that radiates all the way around to my ribs, under my heart . Just had a stress test and EKG , and all is well. The upper back though seems to never end, and hurts worse when standing or walking. Also my lower back seems to be bothering me lots as well, as it often gets a throbbing, pulse-like feeling in it, and it really hurts there when i tilt my head downward. It dont feel like a muscle, as it feels like its actually in my spinal cord or something. I also sometimes have numbness on the outside of my right thigh, and my arms go numb and tingle often for no apparent reason, especially when lying on my back???
[|AI|]  Hithanks for your query have pain upper back and neck your stress test and EKG is normal told about feeling pain while tilting your head that indicates cervical spondylosis again told that feeling numbness on outside your right thigh, numbing of your arms also.....so these are indicative of nerve compressional I think u may have a generalized disease of spinal cord may it is generalized desalinating disease like Multiple Sclerosisthrombing pulse like feeling also suggest its go for an MRI WHOLE SPINE BOTH T1 AND T2 weighted image sand also nerve conduction velocity testing of upper and lower limbs think u ll be diagnosed by this consult a neurologist soon thank u