What would cause paresthesia in right face/arm when massaging ache in top neck/skull base? no news back from spine x-ray last week. should i worry about aneurysm/tumors? always achy. dr says anxiety.

Likely but maybe not: Neurologically, it wouldn't happen. A rare form of thoracic outlet syndrome could cause the hand symptoms. This can be tested for in the office by your doctor. Nerves to the right face do not run through the neck. Spine xrays will not be helpful. A careful neurologic exam of the affected hand and face during the symptoms will tell the tale clear enough.

Don't cont massage!: The massage is manipulating your spinal cord and/or cranial nerves! please do not continue that until you have seen a physician and possibly undergo a film study (x-ray, mri, etc)! unlikely tumor or aneurysm if that makes you feel better. Please take my advice!