Lately my left arm and only my left arm has

Patient : Lately my left arm and only my left arm has a pinching feeling my hands and finger tips are tingling as if they were asleep this feeling happens all day long without stopping my ring finger and pinky hurt when I make a fist. When I wake up I have an imense pain in my arm that feels like a bad cramp for like 5 minutes, it keeps getting worse day by day.
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