Cervicobrachial syndrome

What is cervicobrachial syndrome?

A cervicobrachial syndrome is a group of symptoms manifesting pain in the neck and tingling in the hands. It is caused by compression of the brachial plexus (group) of nerves that exit the cervical spine, extend to the shoulder, along the arm, and end up in hand. 

Most often it occurs in patients with sedentary types of jobs due to the long-term unfavorable position of the neck during the working day. IT specialists, administrators, economists, lawyers, managers are some of the most common professions where this syndrome occurs frequently. 

Causes of cervicobrachial syndrome can be:

  • disc protrusion in the cervical spine
  • degenerative changes of the cervical spine
  • whiplash injury to the cervical spine
  • wrong adaptation of posture
brachial plexus
cervicobrachial syndrome symptoms

Symptoms and diagnosis of cervicobrachial syndrome


  • pain in the neck and the complete area of the cervical spine
  • pain that increases during activity
  • pain that intensifies during the night and interferes with sleep
  • stiffness and reduced mobility of the cervical spine
  • tingling in the hands
  • weakness in the hands
  • losing power in the hands
  • things falling out of hands
  • headaches



  • medical history - to determine whether there is an old injury or deficit in the cervical spine area
  • EMNG - is a diagnostic procedure in which the conduction of nerves of the brachial plexus is tested 
  • X-ray - is used to examine potential vertebral fractures, tumors, and bone irregularities in the cervical spine
  • MRI or CT - is used for the examination of soft tissues, i.e. to check for the existence of nerve compression, disc herniation, or any other degenerative changes
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Physical therapy and rehabilitation

Goals of physical therapy in cervicobrachial syndrome:

  • reduce / eliminate pain in the cervical spine and along the arm
  • reduce / eliminate tingling in the hands
  • restore optimal arm and hand strength
  • improve the patient's sleep quality
  • removing the possibility of things falling out of hand
  • get rid of painful headaches
Types of therapy and their action:
  • dry needling - serves to release the muscles of the neck and shoulders, increase the mobility of the cervical spine, reduce pain in the neck and arms area, and stimulate tissue regeneration
  • chiropractic - works by instantly increasing mobility in the cervical spine area and allowing the patient to freely perform rehabilitation exercises, and also improves nerve conduction of the brachial plexus by reducing nerve compression
  • mobility exercises - they increase flexibility and mobility in the cervical spine and neck and shoulder muscles
  • strength exercises - restore strength and normal function of the neck, shoulders and arms
dry needling treatment of cervicobrachial syndrome

Frequently asked questions about cervicobrachial syndrome:

With a quality and thorough approach to the physical therapy, which includes close cooperation between physiotherapist and a patient, this problem can be solved very effectively and long term. 

The physiotherapist eliminates the patient's initial symptoms and deficits related to cervicobrachial syndrome while the patient is obliged to exercise regularly in order to maintain the effects of the therapy and strengthen the muscles.

If you have pain in the neck and cervical spine, tingling, and weakness in the arms that lasts longer than a couple of weeks, it's time to visit us!

The longer you wait, the longer it will take for your problem to be solved.

If you exercise regularly and follow all the instructions that we gave you after successfully completing therapy, the problem should not return, or at worst it could occasionally return in a much milder form and then it will be much easier and faster to solve.

Feel free to attach the report of a specialist doctor
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