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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.
Conservative treatment to get neck pain relief from a pinched nerve can use one or more of the following: 1  Rest for no more than 48-72 hours, followed by slow introduction of light activity. 2  Application of cold/heat packs. 3  Neck stretches to reduce swelling and increase range of motion aids recovery. 4  Low impact strengthening exercise.