
Head Spinning, Pain In Neck And Shoulder, Pins And Needles In Head, Dizziness. MRI Shows Wear And Tear

Thanks for the question.
There are two possibilities, which need to be considered in your case.First, it can be due to TIA or pinched nerve. TIA is transient ischemic attack, it occurs when there is momentary reduced blood supply to brain.This is just short of stroke kind of thing.Feeling in eye and on tongue make me more suspicious of TIA.
Secondly, since there is some wear and tear there is possibility of some nerve getting pinched and causing these symptoms.Pain along neck and shoulder favor this possibility.
I think ideal next step would be to get a neurology consultation.Doctor might want you to get MRI brain and angiography done.If needed doctor might also get a neurologist.
Please feel free to ask if there are further questions.
Regards.

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