<s>[INST] hi, i got hurt at work in 1995 and was a machinist, got hurt on my machine and resulted in 4 surgerys on my hand and a pronator result which my muscle was taken out and i was in therapy for 2 years after that and then gradually after a few years started back working which no job last for me from complications. i am a housewife and i do a lot around the house and in the yard and sometimes i willl get maybe 4 or 5 months of work a year, but now i am experiencing low back pain and in the middle of my back and my hand and arm i had surgery on is beginning to stay swollen quite often my fingers are beginning to slant and sometimes i don t know if the pain in my hand is coming from my bones shifting or the nerves, sometimes it is extremely painful. my doc put me on skelaxin800mg. and i have been diagnoised with scatia, does this have anything with my nerve damage spreading and i also haves what looks like cysts on all my fingers or could they be tumors? [/INST] highly unlikely to be tumers however you are suffering from multiple discs on your cervical vertebra also the swellings could be finger clubbing from reduced blood flow due to your previous hand injury or apraxia from your nerve compression </s>