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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.
Apply ice and heat. A pinched nerve is often accompanied by swelling, and swelling can compress the nerve even further. To help reduce swelling and increase circulation, rotate between periods of using ice and heat on the area of the pinched nerve, which is a method called hydrotherapy.