It indicates cervical disc syndrome or spodylosis developed or developing. Nerves supplying to upper limbs are emanating from cervical vertebral region of spinal cord and which nerve is being pressurized and which filaments of that nerve are effected determines the area which is experiencing pain. Basic Treatment or management is the same for releasing the pressure from nerves - may be in any area of vertebral column. In remote possibility of hand pain as specified by you, some tendens may have been affected but then there should be no link with arm pain. Cervical spondylosis management by collar support or traction, if required, is what needed at orthopaedician or physiotherapist. Pain killers are only temporary remedies. Hope this answers your question.