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C7 nerve root compression causes pain that radiates down the arm, particularly to the middle finger, along with weakness in the triceps muscle and potential loss of triceps reflex. Symptoms can also include neck, shoulder, and chest pain, numbness in the middle finger, and difficulty with activities like push-ups. This is a form of cervical radiculopathy, most often caused by a herniated disc or degenerative changes like arthritis, and it is a very common condition.