Brief Answer: Can be due to cervical spondylosis. Detailed Answer: Hello, Headache with pins and needles in the left hand can be due to - -Prolapse of disc in cervical spine. -Cervical stenosis or narrowing of holes from where nerves exit. -Cervical spondylsis. -Stress. -Deficiency of vitamin B12. I would order X-ray of neck in lateral view or MRI scan. This will help me isolate the cause. Treatment includes 1. Use of cervical collar helps in immobilisation and brings relief. 2. Medical drugs like pain killers - acetaminophen/ibuprofen and muscle relaxants might be helpful. 3. Methylcobalamin supplements are also recommended for nerve compression symptoms. 4. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 5. Hot fomentation helps in relieving acute symptoms. 6. You can avoid using a pillow. As you try these measures, I also encourage you to consult an orthopedician for both evaluation and to avail stronger prescription medications (if over the counter medications are not helpful). I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

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