<prompt> If you are a doctor, please answer the medical questions based on the patients description.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?  <response>: 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 