<s>[INST] I woke up 4 days ago with a stiff neck. it has now progressed to both sides and across the cervical to both shoulders. I also have a little numbness and tingling in my right hand fingers. the pain is dull and achy at rest and severe with certain movement. [/INST] Hi, as you mentioned your symptoms for me, it appears more of a pinched nerve. You can possibly undergo the MRI of the cervical spine which can help assist in ad Chat Doctor. Also a physical therapist can help by Therapeutic ultrasound therapy and TENS therapy for the pain relief. Later on doing exercise to strengthen the muscle to ease the compression from the nerve will work better. Exercises includes - static neck exercises, trapezius muscle Strengthening, upper limb and upper back strengthening. This exercises can be well understood and performed with special attention. Usually, people with this kind of symptoms recover with exercise at almost 99% success ratio. As it will be a slow and steady process for performing exercises it will still help to strengthen the muscle and decrease the symptoms with the grace of God I wish you a speedy recoveryRegardsJay In </s>