Pain from the neck into the shoulder, arm or hand can be referred from cervical structures or involve a nerve root. The pattern of pain, tingling, numbness and weakness helps determine what needs to be examined.

Key points

  • Note whether symptoms reach the hand or specific fingers.
  • Report persistent numbness, grip weakness or loss of dexterity.
  • Observe whether neck position changes the arm symptoms.
  • Shoulder conditions can also produce upper-arm pain and need differentiation.

What a physiotherapy assessment can add

A physiotherapist can assess neck movement, upper-limb strength, sensation and relevant nerve-related tests while checking for findings that need medical referral.

Practical next steps

Use a position and activity level that keeps symptoms manageable while the cause is being assessed. Avoid forceful self-manipulation when neurological symptoms are present.

When to seek medical care

Urgent assessment is appropriate for rapidly progressive weakness, major trauma, severe unremitting symptoms, walking or balance changes, or other signs suggesting significant neurological involvement.