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Thank you Dr. Coreman for your time. It is very much appreciated that you offer your assistance to the online community through this forum

She is able to recreate the pins and needle sensation in her upper left back with her neck and shoulder position. If she puts her head down or slouches the sensations slowly comes on. If she raise her neck, shrugs shoulders back, or raises her arms up the sensation diminishes.

With the fact that position is effecting the symptoms, is it safe to conclude that this is a mechanical nerve compression issue as opposed to other nerve disorders (such as MS)?

Would it benefit to do conservative therapy such as physical therapy program?