<s>[INST] I have been getting tingling / numbness in my right hand both upon waking and also when gripping items during the day. Today and yesterday I also had shooting pain along the lateral side of the arm between the elbow and shoulder. Please advise what can be done [/INST] Hi, as you mentioned your symptoms it appears to be a pinched nerve in the spine. Also, undergoing an MRI will help to find the extent of the soft tissue involved. Also, undergoing a physical therapy like ultrasound therapy and TENS therapy will help.undergoing the static exercises for neck and upper limb will help reduce the pain. Care in the initial stage is important. Also, you need to learn about the procedure of exercises and keep following it in long run. Maintenance is always a key to pain free life. With the grace of God I wish you a speedy recovery </s>