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Acupuncture treatment for a pinched nerve in the upper back Sections A pinched nerve in the upper back often presents with symptoms of numbness, tingling, sharp pain and twitching in the shoulders, upper arm and/or the upper back.
1 Medication. 2  Anti-inflammatory drugs or other medications can help relieve the pain of a pinched nerve. 3  Physical therapy. 4  In some cases, a physical therapist may help you perform heat or ice therapy, electrical stimulation, cervical traction, massage, and exercises to relieve some of your symptoms.