Mr S was presented to the clinic with right neck and shoulder pain as well as constant numbness over his ring and little finger. He also complained of gradual onset of weakness on the right hand. The clinical presentations were identical to the nerve root compression over the exit of his lower cervical spine. The patient was treated with shockwave therapy, passive physiological joint mobilisation and exercise therapy. Patient reported the effectiveness of shockwave in reducing his pain over his neck and shoulder. Joint mobilisation and sustained rotation home exercise were effective in reducing the compression at his cervical spine, thereby reducing his numbness in his arm. The patient is showing gradual improvement and has greater physical capacity to continue his current work.