### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my doctor thinks my pain is caused by stress,,,I have seen my therapist and pyschiatrist...and they don[t believe this to be true,,however the insistant pain, itch,burn,sensitiviity of skin in my mostly my right arm... that plus numbness  and and tingling in my right hand.....the pain I experience is from my neck,back, shoulder...and chest pain under by breast(which I have had on and off for several years..which was said at be a digestive problem and have been taken Prilosec from the time that was diagnosed...it did help and I no longer have heartburn...but the chest pain remains and with the arrival of these other symtoms it seems worse. I have been seeilng my primary doctor for over a month for tryilng to find out if I can get some relief...and now have problem sleeping unless I take Vjicodin...which I do not want to ....due to its addictive nature. jOh, I have taken 3 advil at a timle and it only give partial relief but for a short time...I am turning 75 this month....I had my yearly check up in July...and all my test were filne...and I have been feeling fine...I care for toddlers 5 days a week for 4 hours each...and have had no problem carilng for them...until last week and athe pain got so bad I couldnt take it and care for the children as I know I shoul and CAN.  If you can shed any light on my dilemna.  You can get to feelingpretty desperate.  Jane Mulvaney

### output:

Hi from your detail description of the problem, I know you are having a very painful days and nights. I strongly believe that you have cervical spondylosis which is an age related problem due to bones getting thin and pressing on the nerve roots hence causing all types of pain. Along with painkillers (only when pain is severe) you also require physiotherapist and orthopedic opinion. They may take x-rays and MRI Scans to confirm it. Hope this guides you real ted to your problem and wish you all the best