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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.
Treatment options for a pinched nerve include: 1  Rest. Your doctor will likely recommend that you rest your neck until your symptoms improve. 2  Medication. Anti-inflammatory drugs or other medications can help relieve the pain of a pinched nerve. 3  Physical therapy.