<s>[INST] I have some twinge like pains in my upper back. Like a pinched nerve but they are shorter pains that come and go. It almost feels like pins and needles but worse. Of course working with my shoulders and arms aggravates it, but I have Type 1 diabetes and am wondering if it may be a symptom of nerve damage. [/INST] Welcome to ChatDoctorAfter going through your query I concluded that you there are having probably diabetic neuropathy. Neurotrophic agents such as Mecobalamine are of help. You should control your diabetes well. For pain relief you can take analgesic such as ibuprofen. Vitamin D3 level should be tested as it is important cause of back pain. If found low it can be supplemented. Vitamin B and C with be helpful in recovery. You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care. </s>