San Francisco Chiropractor and Chronic Neck Pain Doctor Comments:
We have been treating patients with neck and arm pain for over 15 years now at our San Francisco Back and Wrist Pain Center. Often times, patients with arm and hand pain think they have carpal tunnel syndrome (CTS) or tendinitis, when the source of the symptoms is actually coming from the neck. This is very common. I mean...who wouldn't think the problem was where the symptoms are?
Well...anyone that treats a lot of cervical disc herniations or upper extremity conditions would know that the nerves that innervate or control the arms and hands, originate in the cervical spine (neck).
It's not uncommon for a patient to receive a diagnosis of CTS from a general practitioner or nurse case manager...just because they have hand/wrist or arm pain.
Anyway, a good chiropractor will always check the neck to the fingertips on both sides when checking a patient that presents with neck, shoulder, arm, or hand pain. This would be considered the standard of care.