Neck and shoulder pain is frustrating on its own. But when that pain starts radiating down your arm, it may signal a deeper nerve issue that needs attention. If you’re dealing with discomfort that feels like burning, tingling, or sharp shooting pain, you might be experiencing a pinched nerve in the neck, a condition that affects many adults and can make everyday movement more difficult—but the right treatment can bring lasting relief.
Understanding the cause of this pain is the first step toward finding relief. At Orthopaedic & Spine Center of the Rockies (OCR), our team of fellowship-trained spine and orthopedic specialists can help you identify the source and guide you through personalized treatment.
What Causes Radiating Neck and Shoulder Pain?
Pain that starts in the neck or shoulder and travels down the arm is often linked to nerve compression, also known as cervical radiculopathy. This happens when a nerve in the cervical spine (neck area) becomes inflamed or pinched, usually due to one of the following:
- Herniated disc: A damaged spinal disc can press on nearby nerves
- Degenerative disc disease: Age-related disc wear can reduce the space between vertebrae
- Bone spurs (osteophytes): Bony growths can form from arthritis and compress nerves
- Spinal stenosis: Narrowing of the spinal canal puts pressure on nerves
In each case, the nerve irritation can lead to radiating pain, tingling, or numbness that affects the arm, hand, or fingers.
Common Symptoms of a Pinched Nerve in the Neck
If you’re unsure whether your symptoms match, here are the most frequent signs of nerve pain in the neck and shoulder:
- Sharp or burning pain from the neck into the shoulder, arm, or hand
- Numbness or tingling in the fingers
- Muscle weakness in the arm or grip strength
- Pain that worsens with certain movements, like looking up or turning your head
- Soreness or stiffness in the neck and upper shoulder area
The pattern of symptoms often depends on which nerve root is affected. For example, a pinched C6 nerve may cause pain that radiates into the thumb, while a C7 issue may impact the middle finger.
Diagnosing the Cause of Arm and Neck Pain
At OCR, diagnosis starts with a detailed history and physical exam. We may recommend:
- Imaging tests, such as an MRI or X-ray, to evaluate the spine
- Nerve conduction studies (EMG) to assess nerve function
- Spinal exam to identify specific movements or positions that trigger symptoms
Getting an accurate diagnosis is essential. Not all arm pain is caused by neck issues; shoulder conditions like rotator cuff injuries or thoracic outlet syndrome can present similarly.
Treatment Options: From Conservative to Advanced
Most cases of radiating pain from a pinched nerve improve without surgery. OCR’s multidisciplinary approach means you can access all your care in one place—imaging, therapy, pain management, and spine surgery if needed.
Non-Surgical Treatment
- Activity modification and rest
- Physical therapy focused on posture, core strength, and cervical stability
- Anti-inflammatory medications (NSAIDs)
- Cervical traction or bracing
- Epidural steroid injections to reduce nerve inflammation
Many patients find relief within a few weeks or months using these approaches. Our Physical Medicine & Rehabilitation (PM&R) specialists help guide this phase of care.
When Is Surgery Needed?
Surgery may be considered if:
- Pain is severe or unrelenting
- You experience progressive weakness or muscle atrophy
- Non-surgical care hasn’t helped after several months
The most common procedures include anterior cervical discectomy and fusion (ACDF) or cervical disc replacement, both of which relieve pressure on the affected nerve.
When to See a Spine Specialist
If you’ve had sore arm and neck pain for more than a few weeks, especially if it’s affecting sleep, work, or movement, it’s time to seek care. Prompt treatment can prevent long-term nerve damage and help you return to an active, pain-free life.
Meet our fellowship-trained shoulder disorder specialists and get a diagnosis tailored to your needs.
Request an appointment
Find Relief at Orthopaedic & Spine Center of the Rockies
With clinics across Fort Collins, Loveland, Greeley, Longmont, Lafayette, and Westminster, OCR provides expert care for spine and nerve conditions. Our board-certified specialists offer both conservative and surgical solutions tailored to your needs.
You don’t have to live with radiating pain. OCR can help you reclaim your mobility. Request an appointment today and start your path to relief.