Conversation: The conversation between human and AI assistant.
[|Human|] I am 49 135#, had a part vag hyst/ recto repair 17 mo ago stretch/stitch injury to sciatic nerve. Re-operated 10 days later to remove ligament sutures. Tremendous pain buttocks to foot. 3,600mg gabapentin qd/ 90 mg cymbalta/ 200mg Celebrex. After one year both hands simultaneously had aggravated intense pain and swelling starting at thumbs to entire hand and elbows, feels muscle and joint related. I take 20 mg oxycodone just to keep my hands functional, they hurt so much?.Please consider helping me, my husband is a surgeon and even with our connections to the finest hospitals we havent gotten very far
[|AI|]  Hi, Thank you for posting your query. It is unfortunate that you have neuropathic pain, and in addition, severe musculoskeletal pan too. You would first require a detailed evaluation to establish the cause of pain. For this, you would need to see a rheumatologist. Pain and swelling in hands could be related to mixed connective tissue disease. This can be confirmed by blood tests and X-rays. There are good medications available to treat this condition. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/