Conversation: The conversation between human and AI assistant.
[|Human|] I have acute thoracic back pain. It feels like Im being stabbed with a sharp knife. Heavy pain meds barely take the edge off. Pain is on right side of the spine. Approximately T4-T5. MRI did not identify anything, 3 different X-rays have not identified anything. I am familiar with the sensation of nerve pain, and thats what this feels like. I have been in excruciating pain for over 6 months. No trauma occurred
[|AI|]  Hello, I have studied your case. There is possibility of nerve compression in thoracic spine. I will advise you to do HRCT [CHEST] and EMG- CV [nerve conduction study] and PET Stanford these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, you can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. I will advise consulting orthopedic surgeon for clinical examination and further investigation. Hope this helps. Wish you a speedy recovery.  Take care