Cervical Brachial Syndrome is diagnosed when someone has neck and/or arm pain originating from the brachial plexus. The brachial plexus is a group of nerves located in the region between the neck and shoulder on each side. This group of nerves send signals to the shoulder, arm and hands. The nerve roots that start this plexus of nerves are C3, C4, C5, C6, C7, and C8 + T1. Next these roots branch into trunks, divisions, and cords.
When there is clear impingement of nerves of the brachial plexus it is called Cervical Brachial Syndrome. The cervical part of the name refers to the fact that something in the cervical spine (the neck) is putting pressure on these nerves. These nerves not only communicate to vital organs of the body but go to the muscles, tendons, and ligaments.
Releasing the nerve pressure in turn releases inflammation and decreases muscle tension. This takes the pressure off the plexus, allowing adequate nervous system information and communication to the hands and arms.
Individuals with cervical brachial syndrome may complain of the following;
- Pain and fatigue of the wrist, forearm, shoulders, and neck
- A swelling sensation in the hands
- Tingling or prickling sensation
- Heaviness or numbness of the upper extremity
- Headaches
Pain is increased by activity and relieved by rest. However, it may also increase at night and produce sleeping difficulties.