There are many clinical conditions affecting the upper extremity that can be treated with great success using neural therapy according to Huneke. Here, too, careful medical history taking and a thorough clinical examination are of decisive importance. In addition to a symptom-oriented examination (e.g. elbow pain), findings of the spine should always be assessed, and an examination for active myofascial trigger points should be performed. Imaging studies (e.g. MRI) are often already available as findings or, if necessary, are ordered by the neural therapy physician.

As in the lower extremity (see there), one of the greatest challenges is distinguishing between radicular symptoms (usually caused by pressure on a spinal nerve root, e.g. in a herniated disc) and pseudoradicular complaints. This distinction is important because otherwise treatment may miss the true underlying cause, and potentially unnecessary surgical procedures with associated risks may be performed.

Typical indications (selection) include:

• Acute or chronic periarthritis humeroscapularis
• Partial or complete frozen shoulder
• Subacromial bursitis
• Impingement syndrome and supraspinatus syndrome
• Calcific shoulder (“calcified shoulder”)
• Glenohumeral osteoarthritis
• Acromioclavicular (AC) joint osteoarthritis
• Tennis elbow and golfer’s elbow (lateral and medial epicondylitis of the humerus)
• Carpal tunnel syndrome (including post-surgical cases)
• Rhizarthrosis (thumb basal joint osteoarthritis)
• Unclear pain of the hand
• Tendon sheath inflammation (tenosynovitis)
• Trigger finger (stenosing tenosynovitis)
• Finger polyarthrosis (Heberden’s and Bouchard’s nodes)
• Sudeck’s disease (Morbus Sudeck / complex regional pain syndrome, CRPS types 1 & 2)
• All painful conditions following surgery