Hand Numbness & Arm pain

Hand numbness and arm pain, tingling or weakness can prevent normal functions of daily life. Learn more about how the arms, hands and fingers can be affected and the solutions for these problems.

what are arm pain and hand numbness?

Hand numbness , arm pain & upper limb weakness (or other sensation changes into the arms, hands or fingers) can be challenging. Arm sensations changes are typically experienced as numbness, tingling, weakness, cramps or pain into the arm, hands and/or fingers

It can be due to carpal tunnel syndrome or shoulder injuries, but is most commonly caused by radiculopathy in the neck (cervical spine), which damages the nerves to the shoulder and arm.

Arm pain or hand numbness are not a medical conditions themselves, but rather a symptom of another problem (in the same way a fever is a symptom of a problem, such as infection).

Chiropractic has great results helping patients with arm problems (including pain and numbness), especially for those who have already seen medical doctors or physiotherapists with minimal improvements.

arm pain arm numbness arm weakness singapore chiropractic

why does it happen – arm pain & hand numbness?

Due to the location of the symptoms, many physicians assume the problem starts locally, such as in the surrounding muscles or other parts of the arm. This lead to treatments and procedures to treat those local structures, such as carpal tunnel surgery or shoulder surgery. In some cases pain medications or nerve blocks were used to inhibit the painful pathways. These procedures can offer short-term relief, but will not help long-term without addressing the cause

Arm pain & Hand numbness causes?

Various disease conditions cause arm pain, hand numbness or arm weakness, including:

Pinched nerves

This is technically termed a Radiculopathy. This is when the nerves get compressed by the surrounding structure, such as the bones, joints or ligaments. This may start after an injury or without any history of trauma. The nerves can be pinched anywhere along the path the nerve follows, including the neck, shoulders, arms and hands. The neck is the most common place for the nerves to be pinched, which can result in  pain, numbness, weakness or tingling into the arm down to the fingers. This may also be accompanied with other symptoms such as stiff neck, headaches, fatigue, dizziness or sleep problems

Rotator Cuff injury

This arises from either a trauma to the shoulder or to a progressive overuse, especially in older patients. If it is a single trauma, this is commonly a sports injury, such as when throwing or overhead movements with weight training. In older patients, rotator cuff injuries may be a result of progressive exertion damaging the small muscles that support the shoulder (rotator cuff) coupled with poor posture over a number of years. This will usually be accompanied with a dull ache into the affected shoulder. 

Sprains or Tendonitis

This would be another form of injury or trauma but may happen anywhere in the arms or hands and not just the shoulder. This can be from a particular incident or repetitive overuse (RSI). In tendonitis, the tendon becomes inflamed and may be tender to palpation or feel hot to touch. There may also be swelling for either sprains or tendonitis.

Learn more about What Causes Stiff Neck and Neck Pain, here. 

These conditions can be associated with difficulty in normal activities, reduced time exercising or engaging in sport, poor sleep, irritability and difficulty working. Other associated symptoms may include: headaches, light headedness or giddiness, a feeling of fullness in the ear and even hearing loss. Vertigo can also be linked to:

What about hand tremors?

Hand tremors are unintentional movement of the hands. This presents as hand shaking or hand trembling. Tremors are usually caused by problems with areas of the brain that control movements, particularly at the brainstem, located in the upper neck.

This may be as action tremors or resting tremors. They may start less obvious and worsen over time. This may lead to a difficulty in lifting items, carrying, hobbies, work and activities with their children. Tremors can accompany arm pain and numbness, especially when left untreated. 

Current treatment includes medication but doesn’t get to the underlying cause of hand tremors.

Numbness in fingers & Tingling sensation?

The nerves from the neck supply all parts off the shoulder, arm and hands. They then pass down to the fingers, with different fingers indicating different parts of the arm or neck which may be injured. Think of  the nerves like train tracks, but instead of trains running along the tracks, it is information going from the brain (controlling the limb, such as movements or to heal injuries) or to the brain (reporting changes and sensations in the arm, such as feelings or pain).

If these pathways are broken down, it is not just arm pain or hand numbness that occurs. It can also be numbness in the fingers or a tingling sensation in the fingers. This numbness or tingling in the fingers (as well as pain or weakness), may not affect all the fingers but only certain ones, such as the thumb or the small pinky finger.

This numbness in the fingers can result in clumsy movements and increased incidence of accidents. A tingling sensation in the fingers can become annoying and make it difficult to perform normal tasks. Both a tingling sensation or numbness in the fingers can be a sign of a problem in the neck, especially if there has been no trauma or injury in the rest of the arm. This may start from poor postures or old traumas to the neck.

Triggers for Arm Pain & hand numbness

For many cases of hand pain or arm numbness there is a physical trigger. This could be a fall, whiplash, injury, car accident or other insult to the neck, head, arm or hand. This damages the nerves (especially in the upper neck) making them more susceptible to producing symptoms, including those in the upper limb. Once there has been this injury, there can be triggers, such as:

Stress –numbness, weakness, tingling and pain in the arm or hand can follow times of higher stress. In these instances the brain works hard on the stressful event and arm symptoms can result.

Specific head movements – moving the head in certain ways can pinch the nerve in the neck which control the arm and hand, triggering an attack. This can also happen after injuries to the neck or head.

Medications – while these may not cause arm symptoms, they may trigger the pre-existing problem. 

Exercise & Exertion – whether the nerve is being pinched or a muscle has been damaged, exercise can worsen the problem by incurring more damage onto the already injured nerves.

Read about how to Identify and Relieve Stress, here. 

Hand numbness and arm pain diagnosis? 

For most patients with arm symptoms, the first visit is to the GP and then a possible referral to a physiotherapist or possibly an orthopaedic surgeon.

Tests may include CT scans, MRI’s and nerve conduction studies. The doctor or physiotherapist will first exclude serious problems. If nothing is found the treatment options are fairly limited, with the only option being exercises, stretches or possibly surgery depending on the cause.  

This may offer some temporary relief but wont correct the cause, particularly if it is due to a pinched nerve in the neck.

Once serious diseases have been ruled out, there should be a thorough assessment of the upper neck, where the brain-stem and cranial nerve centres are located (the nerves which pass into the arm and hand).

Learn more about Posture here.

For pinched nerves, the focus must be on the brain stem and nerve system to fix the problem and give a long term solution.

Current Arm Pain and Hand nubness treatment

Commonly this is treated by medicines, such as anti-inflammatories or pain killers, which can be helpful in some cases, for the short term. However, if the cause is rooted in the nerve system this will only help to temporarily relieve the symptoms

Where the armpain and hand numbness are chronic (long term) the treatment must assess and treat any underlying problems in the nerve system.


Arm pain exercises

Depending on the type of arm pain, there are some exercises that can be helpful, such as see n in the video above


How can chiropractic help Arm pain & hand numbness?

Research shows that a misalignment, known as a Subluxation, in the upper neck will put pressure on the brainstem. This leads to interference in the cranial nerve centres. These cranial nerves supply all control for the shoulder, arms, hands  and fingers. When damaged, this can result in a lack of feeling, such as weakness or numbness, or an increase, such as tingling, cramps or pain. If the dizziness is worsened by the position of the head this is particularly indicative of an Upper Cervical Subluxation. Upper Cervical Chiropractic care is particularly effective at helping arm pain and hand numbness, as it specialises in the upper neck where the cranial nerve centres are located.


At Vitality Chiropractic we perform unique nerve tests and are the first to use this treatment technique for the upper neck, especially good as treatment for arm pain and hand numbness. This removes interference at the brain stem and restores normal functionChiropractic patients experience less pain, better strength and sensation, returning to normal activities, such as work and playing with their children.


Click Here to Read Reviews or Hear Testimonials from our patients.


Call 8438 9550, email help@vitalitychiropracticcentres.com or fill in your information below to book your appointment.

Related Articles
Blog Posts
What is the Cause of Meniere’s Disease?

Meniere’s Disease is a problem in the inner ear, but how does it start? Read on to find out how this starts and what you can do to treat it

Read More →
Vertigo & Dizziness
Do You Have These Vertigo Risk Factors?

If you’ve just experienced your first vertigo attack, or if you’ve been living with a chronic vertigo-causing condition, you’ll want to read on to identify …

Read More →

Want help with your hand numbness or arm pain?

Fill in your details below or contact 8438 9550 and we will help you to schedule a Complimentary, no-obligation call with the best Chiropractor in Singapore to discuss your case.
We can help.

guide to headaches migraines vitality chiropractic singapore

Meditation is scientifically proven to help with stress

Claim Your FREE Beginner's Guide to Meditation!

Your Guide is on the way!

Scroll to Top