Kross is very right about needing that MRI.'something' is actually compressing/impinging nerves up there in your c spine,you just really do need to find out what that something is.it would most likely show up on an MRI.i don't think(from what you just stated) you actually really do have anything like real carpal tunnel syndrome,just that the nerves that actually run from your c spine make it appear that way,since you do also have the nerve flow issue in your upper arms as well,you know what i mean?but you DO have a most definite impingment or compression going on up there that needs identifying before anything else is actually "done' as far as any surgery for carpal tunnel or anything else as this would NOT solve the real problem from its little base of operations up in your c spine.just obtain that MRI soon,preferably with contrast,it just helps highlight certain areas much more clearly.depending on just what is found upon that MRI would dictate any next steps for you.just speak with your doc.you really DO have to have this done just to find the real problem up there.good luck and please keep us posted on how things are going for you,K? Marcia