Brief Answer: Most likely cervical Radiculopathy causing compression of nerves of neck spine and require MRI scan. 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. There are some deficiencies in your information regarding your age and occupation but I shall be able to throw some light on the condition your wife might be experiencing. She is most likely experiencing a condition known as cervical radiculopathy. This affect the nerves of neck spine (also called cervical spine) Based on age of your wife, she might have herniated disc in cervical spine (young) or degenerative osteoarthritis where spur is compressing the nerve. Patient usually does heavy labour and lifting. Due to compression of nerves, your wife is experiencing tingling and numbness in arms which typically improve by raising the arm. This worsen at night and usually hand is placed on head to relief. If I were your treating physician, I would first order an MRI can to look for the cause. MRI can show in detail look of spine and help in managing the patient. We regularly prescribe medications that improve the symptoms. Diclofenac K 50mg two times per day and pregabalin 75mg two times per day can be helpful in tingling and pain. These should be used for 10 days. Your wife also requires 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