My nephew has multiple symptoms seemingly to do with nerves being impinged from neck, down to his hands...right hand thumb, forefinger and little finger numbness and not mobile; left hand cramping at unknown intervals with no warnings. He has had chest pain that has been evaluated and find no heart problems. Has a lot of pain in joints for last 10 years but has been evaluated by Rheumatologists for RA and told not apparently that or else possibly sero-negative. One Dr thinks the hands are carple tunnel, along with right elbow pain and wants him to undergo surgery for that. He is an RN with lots of experience in step-down unit from ICU and still has no clue what might be going on. He was sent to sports medicine drs, who had him do exercises for his neck that completely exasperated the chest and hand symptoms. Any ideas of some kind of systemic chronic disease? Nothing conclusive from any lab tests except a once positive HLA B27 but they say it isnt AS.