Brief Answer: Suspected cervical Radiculopathy with compression of nerves of neck spine and require x-ray neck. Detailed Answer: Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services. I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems. It is suspected that you experiencing a condition known as cervical radiculopathy. This affect the nerves of neck spine (also called cervical spine) Based on your age, you might have herniated disc in cervical spine (young) or degenerative osteoarthritis where spur is compressing the nerve. It typically occurs after heavy labor and lifting. Due to compression of nerves, you are experiencing tingling and numbness in arms. If I were your treating physician, I would first order an x-ray first. If something comes up, an MRI can be done next to look for the cause. MRI can show in detail look of spine and help in managing the patient. Following are recommendations for you: •Diclofenac K 50mg two times per day for pain. •Pregabalin 75mg two times per day can be helpful in tingling and numbness. These should be used for 10 days. •You shall also need physiotherapy which will aid in improving condition. Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change treatment options. So keep a follow up to see how you doing. Regards! Dr. Ali Raza