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This is commonly caused by a prolapsed intervertebral disk (slipped disk) pressing on the spinal root of a nerve or, more unusually, pressure from a clot, tumor, or even sitting awkwardly. It can be aggravated by coughing, sneezing, or bending. It is often preceded or accompaniedby lumbago, and sometimes by pins and needles and numbness.TreatmentBedrest on a firm mattress is advisable.Consult a qualified practitioner/therapist for:Hydrotherapy Alternating an ice or hot pack on the hase of the spine helps to relieve pain.Acupressure This can be extremely beneficial. Deep thumb pressure will be used.AcupunctureThe acupuncture technique known as moxibustion (localized heat) may be used to relieve pain.Osteopathy, Chiropractic, Massage, and HydrotherapyThe pressure applied through any of these manipulative therapies may be useful for reducing the pain of spasm.Tics, Twitching, Pins and NeedlesUncontrolled repetitive contractions of a muscle cause tics and twitching, such as shrugging the shoulders, screwing up the eyes, or a “nervous” cough. These often develop in children and may be a sign of psychological disturbance or a response to situations in which the child feels tensionPins and needles causes a prickly or tingling sensation and numbness, and is the result of a disturbance of the impulses through the nerves that carry sensation from the skin to the brain. This disturbance may be due to damage, irritation, or pressure on the nerves, and can be caused by something as simple as sleeping on an arm in an awkward way, or sitting or lying in one position for too long.TreatmentAlthough tics are often best left ignored, behavioral therapy can help discover the cause. Minor twitches and pins and needles, although irritating, need no attention.Consult a qualified practitioner/therapist for:Talking TreatmentPsychotherapy can help overcome tics caused by anxiety.