I have severe pain in my arm, i did have a vertebral artery tear and was treated but the pain has returned, i have severe tingling and numbness?

Please clarify: A vertebral artery dissection would be very unlikely to cause the symptoms you describe. Sounds more like a cervical radiculopathy. You need to provide more information. If you don't know, you need to clear this up with your doctor. A lost of people post questions here that are of trivial importance. This isn't one of those. Get the facts.