Conversation: The conversation between human and AI assistant.
[|Human|] I am 31 years old. I am a male. I keep having shooting pains from right shoulder down to hand. Then the pain stays and gets worse. It becomes harder to move my thumb. Every muscle in arm and hand is in so much pain I can t sleep. It gets so back my joints hurt that I can t close my hand. What might my problem be. I don t take drugs or alcohol and I smoke cigarettes on occasion. No other mess of any kind.
[|AI|]  Hello may need proper clinical examination and investigations. You may need routine hologram, random blood sugar, serum calcium, vitamin D and B12 estimation, X-ray of cervical spine (AP/Lateral view). You may also require MRI of cervical spine. Only MRI can assess nerve root compression etc. which may be the reason for your symptoms. Treatment depend upon clinical symptoms and investigation reports. Get well soon. Take Care Chat Doctor.