Dr Monisha Mallik

Upper Extremity Pain Treatment in
NYC for Shoulder, Arm & Hand Relief

Shoulder, Elbow, Wrist & Hand Care That Restores Strength, Mobility, and Confidence

Upper extremity pain can quietly take over your day. Reaching overhead, lifting a bag, typing at your desk, gripping a subway pole, holding your phone, or working out can start to feel limited, sharp, or unstable. Sometimes pain is localized to one joint. Other times it radiates from the neck into the shoulder, down the arm, or into the hand with tingling or weakness.

At our NYC chiropractic clinic, we treat upper extremity pain using a root-cause, movement-based approach that combines manual therapy, soft-tissue work, and targeted rehabilitation. Rather than chasing symptoms, we assess how the shoulder blade, rib cage, neck, posture, breathing patterns, and grip mechanics work together. This is especially important in New York City, where long desk hours, stress, training volume, and repetitive use patterns often create the exact conditions that produce chronic strain.

Why Upper Extremity Pain Happens

Upper extremity pain is rarely just a “joint problem.” In most cases, it is the result of overload, compensation, or nerve irritation that builds over time. Common drivers include repetitive strain, postural fatigue, old injuries, limited thoracic mobility, weak scapular control, and poor movement coordination between the shoulder, elbow, wrist, and hand. The shoulder depends on scapular stability and rib cage motion. The elbow depends on wrist mechanics and forearm tissue quality. The wrist and hand depend on nerve mobility, grip patterns, and how your upper body holds tension. When any one part of this chain stops functioning well, other areas compensate. That compensation becomes pain. Our goal is to identify where the chain is breaking and correct the mechanics that keep feeding symptoms.

Symptoms We Commonly See

Upper extremity pain can show up in many forms, and the details matter. Some people experience sharp pain with specific movements, while others feel constant tightness or weakness that doesn’t improve with rest.

Symptoms may include:

  • Pain with lifting, reaching, pushing, pulling, gripping, or typing
  • Clicking, catching, or instability in the shoulder or elbow
  • Forearm tightness or “burning” with repetitive use
  • Wrist stiffness, weakness, or pain during loading
  • Hand pain, numbness, tingling, or reduced dexterity
  • Pain that worsens with desk posture or stress
  • Radiating symptoms suggesting nerve irritation from the neck or shoulder

Because nerve irritation can mimic joint injury, we assess whether symptoms are mechanical, soft-tissue driven, nerve-driven, or a combination.

Common Conditions We Treat

Upper extremity pain often falls into recognizable patterns. We regularly help patients dealing with:

  • Rotator cuff strain, shoulder impingement, or scapular dyskinesis
  • Frozen shoulder tendencies and mobility loss
  • Tennis elbow (lateral epicondylitis) or golfer’s elbow (medial epicondylitis)
  • Forearm overuse and repetitive strain injuries
  • Wrist tendon irritation, stiffness, or load sensitivity
  • Hand pain and grip weakness from tissue restriction or nerve tension
  • Postural overload syndromes creating recurring neck-to-arm tension

We also evaluate cervical spine mechanics, since neck restrictions often drive shoulder and arm discomfort.

How We Evaluate Your Upper Extremity Pain

Your first visit starts with understanding your story — what movements trigger symptoms, what your work and training demands are, how long the pain has been present, and whether you’ve noticed weakness, tingling, or radiating discomfort.

From there, we assess your mechanics using a movement-based lens: shoulder blade control, thoracic mobility, rib cage position, breathing patterns, grip strategy, nerve mobility, and any compensations your body is using to “get through” the movement.

This evaluation is a critical part of Personalized Chiropractic Care NYC and allows us to treat not just the painful joint, but the system behind it.

Upper Extremity Pain

Symptoms We Commonly See

Upper extremity pain can show up in many forms, and the details matter. Some people experience sharp pain with specific movements, while others feel constant tightness or weakness that doesn’t improve with rest. Symptoms may include:

  • Pain with lifting, reaching, pushing, pulling, gripping, or typing
  • Clicking, catching, or instability in the shoulder or elbow
  • Forearm tightness or “burning” with repetitive use
  • Wrist stiffness, weakness, or pain during loading
  • Hand pain, numbness, tingling, or reduced dexterity
  • Pain that worsens with desk posture or stress
  • Radiating symptoms that suggest nerve irritation from the neck or shoulder region

Because nerve irritation can mimic joint injury, we assess whether symptoms are mechanical, soft-tissue driven, nerve-driven, or a combination.

Common Conditions We Treat

Upper extremity pain often falls into recognizable patterns. We regularly help patients dealing with:

  • Rotator cuff strain, shoulder impingement, or scapular dyskinesis
  • Frozen shoulder tendencies and mobility loss
  • Tennis elbow (lateral epicondylitis) or golfer’s elbow (medial epicondylitis)
  • Forearm overuse and repetitive strain injuries
  • Wrist tendon irritation, stiffness, or load sensitivity
  • Hand pain and grip weakness related to tissue restriction or nerve tension
  • Postural overload syndromes that create recurring neck-to-arm tension

We also evaluate whether your symptoms are related to cervical spine mechanics, since neck restrictions often drive shoulder and arm discomfort.

How We Evaluate Your Upper Extremity Pain

Your first visit starts with understanding your story: what movements trigger symptoms, what your work and training demands are, how long the pain has been present, and whether you’ve noticed weakness, tingling, or radiating discomfort.

From there, we assess your mechanics using a movement-based lens: shoulder blade control, thoracic mobility, rib cage position, breathing patterns, grip strategy, nerve mobility, and any compensations your body is using to “get through” the movement. This helps us identify what’s truly driving pain and create a plan that matches your daily demands.

This evaluation is a critical part of Personalized Chiropractic Care NYC and allows us to treat not just the painful joint, but the system behind it.

Symptoms We Commonly See

Upper extremity pain can show up in many forms, and the details matter. Some people experience sharp pain with specific movements, while others feel constant tightness or weakness that doesn’t improve with rest.

Symptoms may include:

  • Pain with lifting, reaching, pushing, pulling, gripping, or typing
  • Clicking, catching, or instability in the shoulder or elbow
  • Forearm tightness or “burning” with repetitive use
  • Wrist stiffness, weakness, or pain during loading
  • Hand pain, numbness, tingling, or reduced dexterity
  • Pain that worsens with desk posture or stress
  • Radiating symptoms suggesting nerve irritation from the neck or shoulder

Because nerve irritation can mimic joint injury, we assess whether symptoms are mechanical, soft-tissue driven, nerve-driven, or a combination.

Common Conditions We Treat

Upper extremity pain often falls into recognizable patterns. We regularly help patients dealing with:

  • Rotator cuff strain, shoulder impingement, or scapular dyskinesis
  • Frozen shoulder tendencies and mobility loss
  • Tennis elbow (lateral epicondylitis) or golfer’s elbow (medial epicondylitis)
  • Forearm overuse and repetitive strain injuries
  • Wrist tendon irritation, stiffness, or load sensitivity
  • Hand pain and grip weakness from tissue restriction or nerve tension
  • Postural overload syndromes creating recurring neck-to-arm tension

We also evaluate cervical spine mechanics, since neck restrictions often drive shoulder and arm discomfort.

How We Evaluate Your Upper Extremity Pain

Your first visit starts with understanding your story — what movements trigger symptoms, what your work and training demands are, how long the pain has been present, and whether you’ve noticed weakness, tingling, or radiating discomfort.

From there, we assess your mechanics using a movement-based lens: shoulder blade control, thoracic mobility, rib cage position, breathing patterns, grip strategy, nerve mobility, and any compensations your body is using to “get through” the movement.

This evaluation is a critical part of Personalized Chiropractic Care NYC and allows us to treat not just the painful joint, but the system behind it.

How We Treat Shoulder, Elbow, Wrist, and Hand Pain

We combine hands-on care with movement retraining so your relief is not temporary. Treatment may include Manual Therapy & Rehab, gentle chiropractic care when appropriate, and corrective exercises designed to restore strength and coordination across the entire upper body chain.

Myofascial Therapy

Manual & Soft Tissue Therapy

Hands-on treatment is often essential for upper extremity pain because restrictions in fascia and muscle tissue can alter joint mechanics and irritate nerves. Our Soft Tissue Therapy NYC approach may include myofascial release, targeted mobilization, and muscle release techniques to reduce overload in the shoulder, chest, neck, forearm, and hand structures. This is especially effective for desk-related strain, repetitive use injuries, and pain patterns that keep returning despite rest.

Services List

Active Release Techniques (ART) and Tissue Release Work

Upper extremity symptoms are frequently driven by adhesions and overactive tissue in the forearm, shoulder girdle, and deep stabilizers. ART helps identify and resolve restrictions that limit motion and trigger pain during gripping, lifting, and reaching. It can be particularly helpful when tendon irritation, forearm tightness, or shoulder compensation are part of the picture.

Services List
Cupping therapy

Chiropractic Adjustments and Joint Mobility Restoration

When joint restrictions contribute to your pain, especially in the cervical spine, thoracic spine, ribs, shoulder, or elbow, gentle adjustments may be used to restore motion and reduce irritation. This supports better mechanics for overhead movement, posture, and shoulder blade positioning and is often an important component of Chiropractic Treatment NYC for upper-body issues.



Services List

Movement-Based Rehabilitation and Postural Retraining

Lasting improvement comes from retraining how the upper body moves. We build a plan that strengthens scapular stability, improves thoracic rotation and extension, restores shoulder mechanics, retrains forearm load tolerance, and improves wrist/hand coordination. We also address desk posture habits and stress-driven tension patterns that keep pulling the body into overload. This approach reflects Movement-Based Chiropractic NYC and is designed to make your body resilient again, not dependent on constant treatment.

Services List

Who This Service Helps

This care is ideal for individuals who experience:

Whether you’re an athlete, desk worker, parent, musician, or simply trying to move through NYC without pain, your plan should match your real life.

Why This Approach Works

Upper extremity pain improves when we treat the entire chain: tissue quality, joint mobility, nerve tolerance, posture, breathing mechanics, and movement coordination. By combining hands-on therapy with corrective movement strategies, we help reduce pain while restoring function.

This is the foundation of Holistic Assessment & Treatment NYC—care that connects the dots between your symptoms and the mechanics that created them, so you can return to your routines with confidence.

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Evidence-Based Techniques
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Real Experiences. Real Relief.

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Frequently Asked Questions

A movement and orthopedic assessment helps determine whether your symptoms are primarily local (shoulder/elbow/wrist/hand) or referred from the cervical spine or nerve irritation patterns.

Yes. We commonly treat desk-related shoulder tension, forearm overuse, and wrist/hand discomfort using soft-tissue therapy and movement retraining.

Yes. These symptoms can be related to nerve irritation. We assess nerve mobility, tissue restriction, and spinal mechanics to determine the driver.

Yes. You’ll receive a personalized plan that supports long-term change and reduces recurrence.

Many patients notice early relief within 1–3 visits, depending on severity and how long symptoms have been present. Long-term results improve with consistency.

Book Your Upper Extremity Assessment

If you’re dealing with shoulder, elbow, wrist, or hand pain that limits your work, training, or daily movement, schedule a visit today. We’ll identify the root cause, reduce pain, and help you return to confident movement with a personalized plan.

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hello@drmonishamallik.com

Hours of Operation:

Monday 1 pm - 6 pm
Wednesday 11 am - 6 pm
Thursday 2 pm - 6 pm
Tuesdays by request

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