Conversation: The conversation between human and AI assistant.
[|Human|] hi my sister had a masectomy in april but has mentioned that she has pain in her back and neck for the last few days she will be having a week of tests then starting chemo in 2 weeks is there any reason why she is having those pains? I am getting worried because after her op the doctor said she did not require chemo because he had got all the cancer....not sure why she needs chemo then she was grade 3 aggressive type could you please clarify for me the pain she is experiencing
[|AI|]  Here if your sister have got malignant cancer then it is possible that it has spread till spinal level or nearby to spinal level which is disturbing the nerves coming from spine or disturbing the soft tissue nearby spine and so that it is paining. However the conformation will be done only with pat scan. Now chemo is usually recommended after removal of any cancer with operation also to kill the remaining cancer cells from the body. It can be chemo or radio therapy based on your doctor diagnosis and treatment planning. Apart from this the neck pain could also be a region of muscle weakness as spinal level. Here I suggest let her go with pat scan of entire body and if there is no sign of spreading of cancer cells till spinal level. Then you can ask her to take physiotherapy treatment and follow spinal exercises. This will help to relax as well strengthen the spinal muscles and soft tissues. This pain also could be related to spinal disc problem at cervical level but for this you can discuss in detail. With or tho and if nonissue at disc level and spinal curve level. Follow physiotherapy management. Take care.