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Doctor insights on: After Ulnar Nerve Transposition Surgery

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What can I do if my ulnar nerve is trapped in my elbow - help?

What can I do if my ulnar nerve is trapped in my elbow - help?

Ulnar Nerve: Are you referring to cubital tunnel syndrome where compression of your ulnar nerve is causing pain, tingling, numbness or weakness into the hand? Usually this can be treated by decreasing the amount of time you are in a flexed elbow position at work, in a car, and during sleep. A small knee pain on your elbow with the pad in the front will help you keep your arm straight at night. ...Read more

Nerve (Definition)

The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more


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What happens after ulnar nerve transposition surgery?

What happens after ulnar nerve transposition surgery?

Healing: Most ulnar nerve surgeries result in better strength and sensation, and are very beneficial. Recovery may be noticed as early as 4 weeks, but as late as 4-6 months, assuming no post-op complications. On occasion, hand therapy is very useful. ...Read more

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Is it possible that ulnar nerve transposition surgery ever slip back out of place?

Yes: It is unusual for that to happen, since the technique is designed to secure the nerve in position. Surgery is not an exact science, and sometimes bad things can happen. ...Read more

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What can I expect from submuscular ulnar nerve transposition surgery?

Ulnar nerve : The ulnar nerve can be released and moved in front of the elbow joint. It is usually maintained there in a pocket either on top of the muscle (subcutaneous), or beneathe the muscle (submuscular). To place the nerve submuscular, you have to detach some muscle, place the nerve beneath, and repair the muscle. Some additional pain initially, and a bit longer to heal with more restrictions. ...Read more

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Had ulnar nerve transposition surgery. 4/30 /14still numb from elbow to wrist, arm swells, told angry nerve? How long before it gets normal again?

Not ulnar nerve: Sounds like Thoracic Outlet Syndrome may be involved. Ulnar nerve does not affect the forearm - that is C8 nerve root. Thoracic Outlet syndrome can cause your arm to swell, if the blood vessels are involved. See a Neurologist that is well versed in Ulnar neuropathy, Neurogenic and Vascular Thoracic Outlet Syndrome... ...Read more

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Is it okay for my hand to be really swollen after ulnar nerve transposition?

Is it okay for my hand to be really swollen after ulnar nerve transposition?

Not really: Swelling from your elbow area surgery will migrate down to your hand. A little is ok, but it should not be severe. What also may happen is a tight wrapping around the elbow can make the hand get swollen. Either way, it's not good to have a swollen hand. It needs to get worked out. See your surgeon. ...Read more

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How serious is ulnar nerve entrapment surgery?

Open surgery: Any surgery around the nerves has risks and potential complications. Ulnar nerve surgery is a relatively common surgery done by neurosurgeons and nerve specialists. It involves identifying the nerve at the region of the elbow and freeing it up of any scar and adhesions. Sometimes, it is necessary to transpose it or move it slightly so that it is not as easily injured. ...Read more

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Could ulnar nerve transposition fail after many years?

Scar tissue: Many times scar tissue builds up over time and can cause the original surgery to fail. See the surgeon for your options or even consider nerve hydro-dissection injections from a sports medicine trained pain specialist. Sometimes platelet or even stem cell therapy can be helpful. ...Read more

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What can you tell me about ulnar nerve subluxation surgery?

What can you tell me about ulnar nerve subluxation surgery?

Safe procedure: An experienced hand surgeon merely moves the nerve out of harms way, under the skin, or under the muscle. In my experience, very successful and uncomplicated. ...Read more

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I have ulnar nerve entrapment when is surgery needed?

Depends: It really depends on how severe the entrapment is. Mild irritation at the elbow is treated with rest, steroid injections, and padding. If there is clinical weakness in the fingers that are's innervated by the ulnar nerve, then surgery is important to be done. ...Read more

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What is an ulnar nerve submuscular transposition like?

Longer recovery: There are 3 types of ulnar nerve repositioning for a ulnar nerve entrapment syndrome:

1. Simple decompression
2. Subcutaneous ulnar transposition
3. Submuscular ulnar transposition

transposition surgery means to change the position of, from around the elbow to in front. Simple decompression surgery is as effective as the transposition surgery in most cases, and has a quicker recovery time. ...Read more

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What are the risks of ulnar nerve transposition please?

What are the risks of ulnar nerve transposition please?

Ulnar nerve: Not dangerous if done by an expert hand surgeon. ...Read more

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Can you tell me about second surgery to relieve ulnar nerve entrapment?

Ulnar nerve: A second surgery for an ulnar nerve entrapment can sometimes be needed. While in most cases the entrapment can be relieved with one procedure there are situations where the nerve can re-scar in and need to be again released from the entrapment. ...Read more

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Please i would like surgery on ulnar nerve entrapment at the elbow. What should I know?

Please i would like surgery on ulnar nerve entrapment at the elbow. What should I know?

Talk to surgeon: Sounds like you know that this surgery may help you. You should consult a hand surgeon and discuss this further. ...Read more

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Dad: neuro diagnosed w/ ulnar nerve entrp., bad pain, tough to sleep at times. Pain on/off. Ortho surg. Said no surgery (decomp) yet... Next steps?

Ortho is right : The problem is going on for only a week (as noted in previous question). Conservative therapy can certainly help. Soft foam pad for elbow support helps reduce inadvertent compression. Limits night time flexion, can be done with towel wrap or a brace if not too rigid. Ultrasound guided block can provide additional diagnostic info and fast relief. ...Read more

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Had ulnar nerve transposition 11 months ago, still tingles and is tender sometimes. Got an ncv 8 months ago with really positive results.Is it normal?

Had ulnar nerve transposition 11 months ago, still tingles and is tender sometimes.  Got an ncv 8 months ago with really positive results.Is it normal?

It can be normal.: Since the nerve is moved or transposed at surgery, the traditional methods of testing (ncv) the nerve may be limited in reliability. Tenderness could be indicative of coexisting issues. The degree of nerve injury preoperatively will partly determine the eventual outcome. Nevertheless, full recovery may take up to 2 years or may never occur. ...Read more

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What are the causes of damage to the ulnar nerve from surgery?

What are the causes of damage to the ulnar nerve from surgery?

Often compression: During surgery, the arms and legs must be arranged in a fashion to prevent compression of the nerves. Since anesthetics are used during surgery, the arms and the legs can compress themselves if the surgery is a decent length. When nerves are compressed, numbness and weakness may follow. Stretching also may occur during surgery, this may also result in mild damage. ...Read more

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Will pillar pain 4 months post CTR surgery go away? I had extensive physio and ulnar nerve complications (still). Will I need a second surgery?

Will pillar pain 4 months post CTR surgery go away? I had extensive physio and ulnar nerve complications (still). Will I need a second surgery?

Probably not: Pillar pain months after surgery is not uncommon. You should discuss need for further intervention, besides conservative management, with your PCP in conjunction with the surgeon who operated on you. ...Read more

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Is an ulnar nerve transposition effective for cubital tunnel syndrome?

Is an ulnar nerve transposition effective for cubital tunnel syndrome?

Yes: Ulnar nerve transposition is equivalent to an ulnar nerve decompression operation for entrapment at the elbow. ...Read more

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Softball player w shoulder pain after coming back from ulnar nerve surgery. Symptoms: can't sleep on it, worse at night, constant pain, hard 2 move it?

Softball player w shoulder pain after coming back from ulnar nerve surgery. Symptoms: can't sleep on it, worse at night, constant pain, hard 2 move it?

Give it time: If the surgery was very recent, could be from your position on the operating table. If you are already back to playing softball, could just be getting used to playing again after a perios of non-use. Give it some time, it should get better on its own. Be sure to warm up before play and practice. If it persists, ask the doctor about it that the did nerve surgery. Hope this helps! ...Read more

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Right ulnar nerve transposition 9/30/2014. New bruising and swelling at wrist with severe [burning] pain down forearm into D4 & D5. Is this normal?

Right ulnar nerve transposition 9/30/2014. New bruising and swelling at wrist with severe [burning] pain down forearm into D4 & D5. Is this normal?

No: The bruising around the wrist may be the result of blood from the surgical site, slowly tracking down the forearm. If there is new numbness or weakness you should see your surgeon.
If the 4,5 burning is new, it might be from the swelling of forearm but does merit follow up the surgeon, if it persists. ...Read more

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Right-Ulnar Nerve Transposition 9/30/2014. Persistent elbow swelling. Severe pain down forearm to fingers. Swelling & new bruising anterior of wrist.

Talk to your surgeon: talk to the person who performed your surgery. He/she is the appropriate person to contact in this situation, not strangers on the internet. ...Read more

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Have cubitus valgus in left hand as a result of old fracture , one month back i treated with ulnar nerve transposition , can I treat my elbow angel?

Have cubitus valgus in left hand as a result of old fracture , one month back i treated with ulnar nerve transposition , can I treat my elbow angel?

Cubitus Valgus: when the elbow angle is such that the hand goes away from the body with the and facing forward as the arm is at the side, is not often corrected if it due to a boney injury. the late affect can be a so called tardy ulnar nerve palsy. After nerve transposition to attempt osteotomy would not be strongly advised but even then the issue is often cosmetic when no ligaments are truly involved ...Read more

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I have cubitus valgus in left hand as a result of old fracture , one month back i treated with ulnar nerve transposition , can i treat my elbow angel?

I have cubitus valgus in left hand as a result of old fracture , 
one month back  i treated with ulnar nerve transposition , 
can i treat my elbow angel?

Cubitus valgus elbow: Angulation can place "tension" on the ulnar nerve and result in what is at times referred to as a tardy ulnar nerve palsy. Transposition is recommended to relieve that tension on the nerve. If the fracture is very old it is usually not wise to treat the deformity now especially after or with nerve surgery but of course its never an absolute, speak to your surgeon about your concerns. ...Read more