(Keywords: SLIPPED DISC ARM PAIN, arm pain, slipped disc in neck, tingling in arms and hands )

Pain radiating from the neck into the arm is common at the Chiropractic Coalface, but the true slipped disc in neck producing pain and tingling in arms and hands is fortunately relatively uncommon.

It's an extremely painful condition, and a deep ache in the arm is one of the noteworthy features, and it's often worse at night.


The Intervertebral Disc (= between the vertebrae) is made of two parts.

  1. ANNULUS FIBROSIS ... a very thick tough ligament-like ring of fibres which contains the
  2. NUCLEUS PULPOSIS ... a gel-like material that keeps the vertebrae apart, whilst giving them mobility.

The gel is essentially a liquid, and liquids are incompressible. When the neck is moved the bubble of gel bulges into the surrounding ring-like annulus which distorts to accommodate the nucleus. That's all quite normal anatomy.

The annulus fibrosis consists of about six layers, criss-crossed to make a very tough ring to support the nucleus pulposis.

However, in the slipped disc in neck the gel ruptures through one or more layers of the annulus fibrosis. Initially there is just pain in the neck, but the disc will swell and then may cause arm pain.


If the slipped disc arm pain is significant then you will often get relief by placing your arm on or above your head, or sleeping with your hand under your head. Raising the arm takes the stretch off the nerve, bringing relief.

If raising the arm INCREASES the pain and tingling in the arm then we are probably talking about a THORACIC OUTLET SYNDROME most likely, rather than a slipped disc in the neck.


Another sign of slipped disc arm pain is that rotating your head to the side of the painful arm, and then looking up, immediately produces pain and tingling not just in the neck, but in the arm too.

When this happens you must take it seriously. It's a very serious condition and if you neglect it, the chances of spinal surgery are relatively high.

The seriousness is that the arm becomes numb, and may become weak. The triceps is the most commonly affected muscle. Press ups will be difficult... the arm becomes lame.


Your chiropractor will stretch out first your good arm, and then the naughty arm. In the true slipped disc arm pain, the naughty arm will feel very tight and painful in the lower arm. This is a test you could do at home... but be careful, when it's strongly positive it can be very painful and, injudiciously done, could aggravate the condition:

Cervical compression tests

There are various test, placing axial compression on the head and neck in different positions, looking to provoke the pain in the arm. Cervical compression test ...

A variation is Spurling's test. Does turning to the side of pain, and then looking up produce lower neck pain, and more significantly, pain or tingling in the arm?


Your chiropractor will test the reflexes, look for sensory changes and test for weakness in the arm. This is a serious condition and needs to be taken seriously, both by you, and by those treating you.

Controversial, this may make me a few enemies, if your chiropractor doesn't do a proper examination, and just wants to click your neck or, for that matter, your medical doctor just wants to give you anti inflammatory drugs without examining you, then I recommend you decline treatment, and go elsewhere. This is not a condition to be treated by those who are out of their depth, or want to take short cuts.

The most common muscle affected by slipped disc arm pain is the triceps which straightens the elbow. Try doing some pressups. Does the affected arm tire much more quickly?


Research does not confirm that traction ON ITS OWN will relieve a slipped disc in neck, or help reduce the pain and tingling in arms and hands, but my experience is that as an adjunct to chiropractic care it is very helpful. But that is just an opinion, based on my experience, and not confirmed by research. HOME TRACTION UNIT


One of the first nasty signs of slipped disc in neck is various nerve-like symptoms that radiate down your arm. Not that this necessarily implies a slipped disc neck pain.

A Cervical Facet syndrome for example, can easily mimic a slipped disc in neck. So too can worn joints of Luschka in the neck, usually caused by an injury to the neck, such as an old whiplash that wasn't properly attended too. CHIROPRACTIC HELP Whiplash and the joints of Luschka ...

So too a large cervical rib can cause pain and tingling in arms and hands, mimicing a slipped disc arm pain condition. See in the graphic below how the cervical rib passes through the interscalene triangle, along with the brachial plexus and the Subclavian artery?


Your chiropractor will have to work out what works best for your slipped disc in neck. Usually a gentle cervical adjustment is in my book the treatment of choice, but it has to be done very skillfully and carefully.

And sometimes manipulation just doesn't seem to help, and may even increase the pain. Then your chiropractor will have to try this and that. Axial traction often helps, working on the scalene muscles, ice, acupuncture, electrical modalities... this is a difficult condition and you may well have to be patient. It will take at least six weeks to heal.


Mr G is a 42 year old weight lifter. He had an old lifting injury to his shoulder and neck. Suddenly, two months previously, whilst doing a pull down, he developed severe neck and arm pain... a separate page will be built with this case history. SLIPPED DISC IN NECK ...


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Interesting challenges of the day

1. Mrs D, a 78 year old woman has very severe sacroiliac joint pain, and even more severe cramps in her right leg. There are two problems; she is on two diuretics but no slow K. Taking her temporarily off one diuretic and adjusting the SIJ brought 50 percent relief within four days. 

2. Mr S, a 48 year old man, has right low back pain, groin pain and a numb feeling in his lower leg when he sports. For six months he's been off football. He too has two problems; a very treatable lumbar facet syndrome and a very serious blocked artery in the groin; it's called intermittent claudication. Smokers beware.  

3. Mr S looks like the leaning tower of Pisa; he has a slipped disc at L5 making him lean towards the opposite side. It's called the postero lateral disc hernia; we'll fix it, but he has to stop for a week or two. Antalgias are serious so take them seriously. 

4. Mrs V too has  two conditions; a chronic low grade sciatica giving her an ache in the right leg, and a threatening Morton's neuroma. She's glad I'm back in Holland; chiropractic fixed it before, and we'll fix it again. 

5. Mrs W is one of the lucky ones, says her doctor. I agree. He says only 40% of patients with lumbar stenosis have a successful operation. We fixed a nasty slipped disc three years ago, but it came back two years later; the surgeon did a fine job but she has a weak ankle now giving her subtalar joint pain; it's routine stuff. 

6. I myself had an acute exacerbation of a femoral nerve lesion last year. One immediate treatment of the new strain by my colleague has fixed the pain in the lower back, but there's some residual numbness in the lower leg; no soaring tomorrow alas.

7. This lady is a 86 year old woman with a 63 scoliosis. Chronic lower back has been her lot in life but she's well pleased with chiropractic and comes for chiropractic help once a month; some conditions you can never cure.

8. She is an 78 year old woman, is doing remarkably well with a bad sciatica. But over 200 pounds she is not losing weight; in fact, gaining despite my suggestions. She's high risk for a stroke. I have referred her to a dietician to crack the whip.

9. A 61 year old man with upper cervical pain yesterday; it's not severe but also not getting better of its own accord. He's afraid it may turn very acute as when I treated him three years ago. Since then it's been fine. 

10. A 64 year old woman has had scheuermanns disease; it's left her with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment provides she come every six weeks or so for maintenance treatment.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.

13. Mrs B has had one of the nastiest of conditions; vertigo caused by a disturbance in the inner ear. Falling repeatedly and vomiting she consulted her doctor but medication didn't help. After two sessions of the Epley manoeuvres she was 50 percent better. After two weeks 75 percent improved. No longer vomiting all falling. She's not enjoying the Brandt Daroff home exercises.

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?

Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.

You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.

Brachial plexus

Arm pain

1. Shoulder

Frozen Shoulder

Rotator cuff

"My thumb, forefinger and middle finger went weak after cuff surgery."

"Hello John, I take it you've been back to the surgeon.

It's probably temporary inflammation of the median nerve, but of course could be worse... I'm afraid I don't think chiropractic has anything to offer at this stage.

Once everything has healed up, if you don't get the strength back, or your fingers remain numb and tingly, then I'd consult a local chiro to see if there is also a problem in your neck or the first rib.

Dr B"

Letter from reader looking for advice.

2. Elbow

Elbow pain

3. Wrist

How bad is your arm shoulder hand pain?