Thumb and index finger to arm pain may be mainly a neuropathic pain, which suggests that the possible patient has cervical spondylosis. Numbness or pain in the thumb and index finger is mainly caused by damage to the nerves of the thumb and index finger and the median nerve, while the pain in the arm may be caused by cervical spondylosis compression of the nerve roots, which is mainly dominated by the compression of the cervical five nerve roots, which results in nerve root damage. This condition can also cause pain in the thumb or index finger of the hand. If the patient has the symptom of thumb to index finger to arm pain, it is recommended to confirm the diagnosis through MRI, and symptomatic treatment can be taken for mild symptoms; for more serious symptoms, surgery should be carried out. In addition, patients should also pay more attention to strengthen the neck exercise in daily life, avoid working for a long time, pay attention to keep warm, and rest frequency should be about ten minutes for every hour of work.