###Human: I have severe neck and shoulder pain with numbness and tingling. Please help. ###Assistant: Hello. It would have been better if you had included the MRI and X-ray films or at least the report as I believe it is your cervical spondylosis that may be the cause of your current symptoms. I will recommend you to do neck strengthening exercises, shoulder elevation exercise, and take Pregabalin tablets for nerve pain along with Duloxetine and take antiinflammatory tablets for a couple of weeks to see the response. As your are getting twitching and this may be viral in nature or may be myoclonus. I will not to ignore that and perhaps see a neurologist at the next opportunity.