<s>[INST] I was in a vehicle accident last night and was hit from the rear while stopped. A few hours after the accident i developed pain in my right side and back of my neck, right arm and hand. My right hand is tingling and the my arm above the elbow is slightly burning. [/INST] Hello,In my opinion, if there is a history of alcohol or nicotine, use Duloxetine drug, once a day is useful.Thiamine supplement is also beneficial. Mild exercise for the arm would be very useful.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Gayathri </s>