thanks for the reply. mov to the same side precipitates the symptoms. he is 45 yrs old. however i feel that he may have somatic referred pain from Wikipedia reference-linkfacet joint that causes the pain in his neck with compression of the c5/6 nerve root that causes pain in the c,5,6 dermatome pattern with paresthesia affecting the median nerve. the problem with radicular pain is that it usually is described as a shrap, shooting pain not a deep ache