Does C5 and C6 cause shoulder pain?
Patients with C5 or C6 radiculopathy complain of shoulder area pain or shoulder girdle weakness. Typical idiopathic neuralgic amyotrophy (INA) is also characterized by severe shoulder pain, followed by paresis of shoulder girdle muscles.
C5-C6 (C6 nerve root): Pain, tingling, and/or numbness may be felt in the thumb side of the hand. Weakness may also be experienced in the biceps (muscles in the front of the upper arms) and wrist extensor muscles in the forearms. The C5-C6 disc is one of the most common to herniate.
c5-c6 is one of the most common levels for a cervical disc herniation to occur. A c5-c6 herniated disc can affect the nerves that control the muscles in the arms, neck, shoulders, hands as well as the head, eyes, ears, or thyroid gland.
Nerve roots C3 through C8 all pass through a specific part of the shoulder. If a cervical nerve root becomes compressed or irritated in the neck, it can cause pain and symptoms that radiate along the path of the nerve into the shoulder, arm and/or hand.
C5 provides sensation to the upper part of your upper arm down to your elbow. Cervical nerve 6 controls the extensor muscles of your wrist and is involved in the control of your biceps. C6 provides sensation to the thumb side of your forearm and hand.
Both prescription and over-the-counter (OTC) medications are used to help relieve C5-C6 vertebral and nerve pain. Common medications include non-steroidal anti-inflammatory drugs (NSAIDs), pain-relieving medication such as opioids and tramadol, and/or corticosteroids.
From the lateral cord, C5, C6, and C7 supply the pectoralis major and minor muscles, via the lateral and medial pectoral nerves, as well as the coracobrachialis, brachialis and biceps brachii, via the musculocutaneous nerve. The musculocutaneous nerve provides sensation to the skin of the lateral forearm.
If the C5 and C6 discs are bulging, they only cause pain about 50 percent of the time, but this condition can lead to a straightened neck; this leads to tension on the spine, known to cause numbness, pain, and tingling throughout the upper body.
It may take 4 to 6 weeks to get back to your usual activities.
Spondylosis. Spondylosis (degeneration) of the C5-C6 vertebrae and intervertebral disc occurs at a higher rate compared to other cervical vertebrae. 3. Spondylosis usually results in the formation of bone spurs (osteophytes), eventually leading to stenosis or narrowing of the intervertebral foramina or spinal canal.
Can degenerative disc in neck cause shoulder pain?
The most common and obvious symptoms of cervical degenerative disc disease are neck pain and a stiff neck. When one of these conditions presses on one or more of the many nerves running through the spinal cord, you also can develop pain, numbness, or weakness radiating down your shoulder, arm, and hand.
It has been reported that cervical radiculopathy may occur along with arm pain in 99% of patients, sensory changes in 85%, and neck pain in 80% of cases [9]. In C5–C6 radiculopathy, the pain usually radiates to the upper trapezoidal area, the deltoid region, and the lateral portion of the arm [10, 11].

The Arm Squeeze Test may be useful to distinguish cervical nerve root compression from shoulder disease in case of doubtful diagnosis. A positive result to this test may lead to cervical etiology of the shoulder pain.
Arm Squeeze Test is a clinical test used to distinguish cervical nerve root compression from shoulder disease in case of doubtful diagnosis. Nerve compression syndrome is typically agitated when the middle third of the upper arm is squeezed or compacted.
Common Symptoms and Signs Stemming from C6-C7
Pain from the neck radiating to the shoulder down to the middle finger. Numbness in the palm, index finger, and middle finger. Weakness in the upper arm, forearm, elbow, and wrist; affecting the motion of these regions.
A C6 spinal cord injury affects the cord near the base of the neck. Injuries to this area of the spinal cord can result in loss of sensation or function of everything in the body from the top of the ribcage on down, including all four extremities.
Majority of cervical disc herniation (90%) occurs at C5-6 and C6-7 [4] and mainly occurs in the middle and elderly age groups [6]. The patients may present with the chest pain or subscapular pain which is usually known as cervical angina [5].
The optimal sleeping position for a herniated disc is on your back. Lying on your back keeps your spine in a neutral position so you have less chance of pinching the nerve. For added comfort, nestle a small pillow or rolled-up towel under your knees and lower back.
The C5 C6 spinal motion segment is located in the lower portion of the cervical spine and consists of C5 and C6 vertebrae, and the anatomical structures connecting them. This segment helps provide neck flexibility, supports the upper cervical spine and head, and protects the spinal cord and nerve pathways.
The C5-C6 vertebrae are located in the lower portion of the cervical spine (upper back and neck). The role of the intervertebral discs is to provide cushioning between the individual vertebra of the spine, to help evenly distribute force throughout the spine, and to facilitate spinal flexibility.
How do you permanently get rid of cervical pain?
- ice and heat therapy.
- exercise, stretching, and physical therapy.
- pain medication.
- corticosteroid injections.
- muscle relaxants.
- neck collar.
- traction.
- antibiotics if you have an infection.
The C6-C7 disc is 6th cervical disc near the lower part of the neck, near the top of the shoulders. The nerve root that would be affected by the C6-C7 disc herniation controls the arms, the shoulders, the heart, the lungs, and more.
A few methods to control this pain are: Medication. Both over-the-counter (OTC) and prescription medications are used to treat pain stemming from C6-C7. Nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, tramadol, and/or corticosteroids are a few examples of pain-relieving medications that may be used.
- Pain.
- Numbness.
- Tingling or a “pins and needles” feeling.
- Muscle weakness.
- Weakened reflexes.
Most cases of cervical herniated disc pain can be successfully managed with nonsurgical treatments, such as over-the-counter pain medications, physical therapy to strengthen and stretch the neck, ice or heat packs, and/or activity modifications to avoid painful movements until the pain has subsided.
If the patient has numbness of the middle finger, the C7 nerve is always affected. If the first two fingers, the thumb and index fingers, are affected, then C6 is the culprit. But, if the last two fingers, the ring and pinky fingers, are affected, then C8 is the problem.
Here are three signs that your back and neck is signaling that it's time to make that call. Numbness in your arms or legs, or your hands or feet. Tingling, in the same locations as the numbness. Weakness in your arms or legs.
After Surgery
Most patients will remain in the hospital for one to two days. The surgical site in your neck will be sore for a few days. You will be encouraged to walk as soon as you are able as this will help speed your recovery. You may need to wear a soft or rigid collar for four to six weeks.
If back or neck pain caused by degenerative disc disease doesn't respond to medication or therapeutic injections, NYU Langone doctors may recommend a surgical procedure. Surgeons may remove some or all of a damaged disc, take pressure off a pinched nerve, or eliminate movement between the bones of the spine.
The degenerative process of the spinal disc may start gradually or suddenly, but progresses over 2 to 3 decades from severe and at times even disabling bouts of pain to a state in which the spine is restabilized and the pain is diminished.
Can arthritis in the neck cause shoulder pain?
You may have arthritis or nerve-related neck pain if pain: Radiates to your shoulder blade, or close to or on the side of your neck. Electric-like, stabbing, burning or tingling. Radiates down past your elbow or even into your hand.
The axillary nerve starts in your neck and extends to your shoulder. It causes movement and sensation in your shoulder and the back of your upper arm. Injuries to this nerve can affect your ability to rotate your arm or lift it.
Many patients with cervical disc degeneration complain of a stiff or inflexible neck. Others have severe pain, numbness, tingling or weakness in the neck, shoulders, and arms as the nerves in the neck become pinched or irritated. The pain usually worsens with movements such as bending or turning the neck.
Your treatment options for cervical disc degeneration
Targeted exercises through physical therapy. Weight loss. Anti-inflammatory medications or injections. Heat and cold therapies.
MRI scans which show soft tissues, such as nerves and discs, are generally preferred over CT scans which show bony elements. Advanced imaging can show exactly which nerve or nerves are being pinched and what is causing the nerve to be pinched.
How to Instantly Relieve Nerve Pain in Your Neck and Arm - YouTube
In some cases, pain from a C4/C5 and C5/C6 herniated disc can cause pain to radiate down through the neck. The pain may continue through the shoulders, arms, and hands. Tingling, numbness, and weakness are also common symptoms of a cervical herniated disc.
Patients with C5 or C6 radiculopathy complain of shoulder area pain or shoulder girdle weakness. Typical idiopathic neuralgic amyotrophy (INA) is also characterized by severe shoulder pain, followed by paresis of shoulder girdle muscles.
Orthopedic Specialists provide expert treatment for acute or chronic pain of the back, neck, spine, shoulder, elbow, wrist, hip, knee, foot and ankle.
Shoulder Abduction Sign | Cervical Nerve Root Pathology - YouTube
What causes cervical radiculopathy flare ups?
A common cause of radiculopathy is narrowing of the space where nerve roots exit the spine, which can be a result of stenosis, bone spurs, disc herniation or other conditions. Radiculopathy symptoms can often be managed with nonsurgical treatments, but minimally invasive surgery can also help some patients.
Magnetic resonance imaging (MRI) is the most common imaging study used when checking for cervical radiculopathy because it shows nerves and other soft tissues, such as herniated discs, so clearly.
It is reported that painful shoulder impingement may occur in up to 24% of patients with cervical radiculopathy.
C5-C6 (C6 nerve root): Pain, tingling, and/or numbness may be felt in the thumb side of the hand. Weakness may also be experienced in the biceps (muscles in the front of the upper arms) and wrist extensor muscles in the forearms. The C5-C6 disc is one of the most common to herniate.
From C5 and C6, the upper and lower subscapular nerves supply the upper and lower portions of the subscapularis. The lower subscapular nerve also innervates the teres major.
Both prescription and over-the-counter (OTC) medications are used to help relieve C5-C6 vertebral and nerve pain. Common medications include non-steroidal anti-inflammatory drugs (NSAIDs), pain-relieving medication such as opioids and tramadol, and/or corticosteroids.
The C5 C6 spinal motion segment is located in the lower portion of the cervical spine and consists of C5 and C6 vertebrae, and the anatomical structures connecting them. This segment helps provide neck flexibility, supports the upper cervical spine and head, and protects the spinal cord and nerve pathways.
From the lateral cord, C5, C6, and C7 supply the pectoralis major and minor muscles, via the lateral and medial pectoral nerves, as well as the coracobrachialis, brachialis and biceps brachii, via the musculocutaneous nerve. The musculocutaneous nerve provides sensation to the skin of the lateral forearm.
Spondylosis. Spondylosis (degeneration) of the C5-C6 vertebrae and intervertebral disc occurs at a higher rate compared to other cervical vertebrae. 3. Spondylosis usually results in the formation of bone spurs (osteophytes), eventually leading to stenosis or narrowing of the intervertebral foramina or spinal canal.
The most common and obvious symptoms of cervical degenerative disc disease are neck pain and a stiff neck. When one of these conditions presses on one or more of the many nerves running through the spinal cord, you also can develop pain, numbness, or weakness radiating down your shoulder, arm, and hand.
How serious is a bulging disc C5 C6?
If the C5 and C6 discs are bulging, they only cause pain about 50 percent of the time, but this condition can lead to a straightened neck; this leads to tension on the spine, known to cause numbness, pain, and tingling throughout the upper body.
It may take 4 to 6 weeks to get back to your usual activities.
The C5 dermatome covers the outer part of the upper arm down to about the elbow. C6 helps control the wrist extensors (muscles that control wrist extension) and also provides some innervation to the biceps. The C6 dermatome covers the thumb side of the hand and forearm.
The C6-C7 disc is 6th cervical disc near the lower part of the neck, near the top of the shoulders. The nerve root that would be affected by the C6-C7 disc herniation controls the arms, the shoulders, the heart, the lungs, and more.
The C5-C6 vertebrae are located in the lower portion of the cervical spine (upper back and neck). The role of the intervertebral discs is to provide cushioning between the individual vertebra of the spine, to help evenly distribute force throughout the spine, and to facilitate spinal flexibility.
A C6 spinal cord injury affects the cord near the base of the neck. Injuries to this area of the spinal cord can result in loss of sensation or function of everything in the body from the top of the ribcage on down, including all four extremities.
If back or neck pain caused by degenerative disc disease doesn't respond to medication or therapeutic injections, NYU Langone doctors may recommend a surgical procedure. Surgeons may remove some or all of a damaged disc, take pressure off a pinched nerve, or eliminate movement between the bones of the spine.
The degenerative process of the spinal disc may start gradually or suddenly, but progresses over 2 to 3 decades from severe and at times even disabling bouts of pain to a state in which the spine is restabilized and the pain is diminished.
Majority of cervical disc herniation (90%) occurs at C5-6 and C6-7 [4] and mainly occurs in the middle and elderly age groups [6]. The patients may present with the chest pain or subscapular pain which is usually known as cervical angina [5].
The Arm Squeeze Test may be useful to distinguish cervical nerve root compression from shoulder disease in case of doubtful diagnosis. A positive result to this test may lead to cervical etiology of the shoulder pain.
Is there a nerve that runs from neck to shoulder?
The axillary nerve starts in your neck and extends to your shoulder. It causes movement and sensation in your shoulder and the back of your upper arm. Injuries to this nerve can affect your ability to rotate your arm or lift it.
You may have arthritis or nerve-related neck pain if pain: Radiates to your shoulder blade, or close to or on the side of your neck. Electric-like, stabbing, burning or tingling. Radiates down past your elbow or even into your hand.