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the area you might rub when you say your “shoulders are tight.” This pain typically: Worsens with neck extension (looking up) or rotation Intensifies after prolonged sitting or computer work Creates a deep, aching sensation that can feel like muscle tension May be accompanied by audible clicking or grinding with neck movement The Ulnar Nerve Distribution: Ring and Pinky Finger Symptoms The hallmark feature of C8 nerve root compression is symptoms in the ulnar distribution