<s>[INST] I HAVE PINS AND NEEDLES INMY RIGHT ARM, AND ACHES IN MY NECK AND SHOULDER BLADE AREA.  THIS HAS BEEN FOR ABOUT ONE MONTH NOW.  MY DOCTOR HAS LOOKED AT X RAYS AND CANNOT SEE ANYTHING SPECIFICALLY WRONG.  HE HAS GIVEN ME A LOW DOSE OF AMYTRYPTALINE TABLETS TO HELP.  WHAT DO YOU THINK? [/INST] HAI.pins and needle sensation Is due to some kind of neuropathy.  Might have a cervical disc problem, compressing on the nerves, tats y uh av that radiating pain with pins and needles. X-ray does not reveal this.u had to ho for a MRI cervical spine, which detects the problem, meanwhile u can go for relaxation physiotherapy exercises, soft neck collar, pls start with pregabalin tabs with methylcobalamine daily for pain, u feel good relief. Pls meet a neurophysician or neurosurgeon, he is the best person to solve the problem </s>