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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 A pinched nerve can cause symptoms like pain, numbness, tingling, or weakness along the path of the pinched nerve. 2  Most people improve from a pinched nerve with rest, ice, medication, or physical therapy.  Weakness or wasting of the muscles from a pinched nerve can suggest permanent nerve injury.