Conversation: The conversation between human and AI assistant.
[|Human|] I have found a indention in the crown of my head that is tender to touch and feels puffy. I suffer from migraines since age 12 and am now 41. I am concerned because I have other symptons like shooting pains in upper legs, my jaw seems out of alignment and often causes intense pain especially when drinking citrus drinks. I have a back issue and nerve damage in neck. Read up some on pagets disease?
[|AI|]  Hi, Thanks for writing in. Having a puffy swelling or indentation in the crown that is tender requires clinical examination. Please consult your doctor and know if it is a mild infection as it is tender or something that need detailed evaluation. Pages disease is a condition that evolves over time and unlikely to present acutely. Since you also have a migraine, it will help to do an MRI scan of brain and cervical spine should your symptoms be of a severe nature. The nerve damage in the neck region that you have mentioned needs a little more detail. Since you say nerves are damages, the cause of such damage and its location is important to guide your treatment. In the next few days please schedule an appointment with your neurologist. Please do not worry.