Conversation: The conversation between human and AI assistant.
[|Human|] I woke up and thought I had a bad kink in my neck on both sides also my arms hurt and over night last night three fingers on my left hand are going purple and also one finger on right hand and they are painful to close feel like I was stung nothing seems to improve I m also tired
[|AI|]  Hello, Due to compression of this nerve root there can be pain radiating to your arm. You may require spine x-ray. Diabetes and smoking leads to constriction of blood vessels leading to infection and weakness. So it is advisable to do color Doppler limb to see vascular status. For diabetic neuropathy you may need long term treatment in form of medication physiotherapy with TENS and anodyne therapy. For these symptoms analgesic and neurotrophic medication can be started. I will advise checking your it B12 and it D3 level. There is possibility of transient ischemic episode or stroke leading to purple fingers. You may need clinical examination to confirm neurological weakness, BP and other vital parameters. MRI brain will rule out stroke in case of suspicion. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care