 [ Symptoms ] i am off from work can not use my hand pain in arm can i return to work [ Disease ] hi it seems that the nerves in your neck and back may be inflammed or compressed in the spine thtis usually occurs in slipped discs or neuropathies this cannot be confirmed on blood investigations but a mri of the concerned spine needs to be done to assess the extent of nerve compression take anti inflammatory tablets hot fomentation local analgesic gelssprays will help avoid using pillows or lifting anything heavy thanks