<s>[INST] I am a 59 yr old female with left arm numbness and tingling on and off throughout the last few days. I also take Cymbalta fir pays year, and also have some neck issues at times. Left arm numb approx 15-20 hrs. A day now. Should I see a neurosurgeon? [/INST] Hi, Thanks for your query. Due to compression of nerve root in cervical spine there is tingling numbness and pain associated with it. I will advise you to MRI cervical spine and consult neurosurgeon for better diagnosis. For these symptoms analgesic and neurotrophic like pregabalin and methylcobalaminmedication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care </s>