<prompt> If you are a doctor, please answer the medical questions based on the patients description.Saturday morning upon waking my husband had sharp electric shock like pains under his left breast. It was quite constant for about 5 minutes. He is on Divalproex for epilepsy. He had a seizure in April and had two compression fractures T5 T6, and has had back pain ever since whicChatDoctores and goes. Could this be serious?  <response>: Hello! Thank you for asking on Chat Doctor! I read your question carefully and would like to explain that his symptoms seem to be related to articular pain, caused by a displacement of the thoracic spine disks, leading to irritation and inflammation of the nerves that originate in this region of the spinal cord. I would recommend consulting with the neurologist for a careful physical examination, a nerve conduction study and thoracic spine MRI or CT scan to examine better for possible compression of the spinal cord. Divalproex is usually helpful in nerve pain. This may be a reason why he has not had any problems since the fractures. I recommend performing valproate plasma levels, to see if he is being treated in therapeutic doses. Regarding the treatment, I recommend discussing with your doctor the possibility of increasing divalproex dose based on the plasma levels results, or adding another antiepileptic Chat Doctor. Hope to have been helpful! Greetings! 