Doctor insights on:
Best Cubital Tunnel Syndrome Treatment
I have cubital tunnel syndrome. I can't get into see the dr before xmas so am wondering how best to help myself. It's worse at night.?
Keep elbow straight: The ulnar nerve runs through this tunnel and when bent, it squeezes on the nerve causing your pain/tingling down to your hand/fingers (more 4th+5th fingers). Thus, keeping your elbow straight and avoid resting the back/inside of elbow on bed/couch/chair. Wearing elbow sleeve may help. Otc motrin/aleve and maybe vitaminb6 can help with pain/numbness. Good luck. ...Read more
This is entrapment or compression at the level of the elbow of the ulnar, nerve. Occurs along course of nerve somewhere between the arcade of Struther's down to the flexor carpi ulnaris. Results in numbness of little finger and half of ring finger, and weakness of intrinsic muscles of the hand. Most common level of compression is at ...Read more
Depends: Early on cubital tunnel syndrome can be treated with activity modifications (avoid excessive elbow flexion and external compression on the medial elbow). Nerve gliding exercises can help in some mild cases as can oral steroids. Ultimately, only surgery can decompress or take the pressure off the nerve. ...Read more
Surgery: Treatment options for cubital tunnel can include therapy and splint, however, if there is significant nerve symptoms and nerve studies document severely limited nerve function or ultrasound demonstrates significant swelling then surgery may be a better option. This can be performed endoscopically with a minimal incision and quick recovery, . ...Read more
Cubital tunnel is: Compression of the ulnar nerve at the elbow. Findngs include numbness in the little and part of the ring finger, numnbess on the back of the hand on the little finger side, weakness of the small hand muscles, weakness of the flexor tendon to the little and ring fingers and to a strong tendon on the inside of your wrist. The degree, extent, severity of these findings and actual symptoms varies. ...Read more
Main symptoms of it::
1: pain in the arm or starting in the elbow area ; radiating, either to the little/ring fingers (sometimes to middle one as well), or going up towards the shoulder/neck are;
2: numbness/tingling affecting the same area, ie, arm, 4/5th fingers, wrist on the little finger side;
3: weakness in the hand;
4; waking up with numbness/tingling ;
5: in severe cases, atrophy of muscles over the inner hand. ...Read more
Ulnar nerve compress: This is entrapment or compression at the level of the elbow of the ulnar, nerve. Occurs along course of nerve somewhere between the arcade of Struther's down to the flexor carpi ulnaris. Results in numbness of little finger and half of ring finger, and weakness of intrinsic muscles of the hand. Most common level of compression is at level of medial epicondyle. ...Read more
Depends on surgery: I assume you are talking about Cubital tunnel release. There are a few options for treatment including endoscopic and open surgery. I perform an endoscopic release and allow immediate motion and return to activity at 1 week. The open procedures use a larger incision and either simply release the tunnel or move the nerve to a new location. These procedures require a longer recovery up to 6 weeks. ...Read more
Yes: But listen to your body. If the pain comes back you need to back off on wheat you are doing. ...Read more
How long can symptoms from cubital tunnel syndrome last before it's considered permanent damage to the Ulnar nerve?
It's not the duration of the symptoms, it's the severity. If there is a lot of weakness in moving the fingers together and apart for example, there is a motor deficit, and that indicates a need to be aggressive.
It is handy to test this by placing a card between the fingers and ask someone to pull it out. There should be some resistance there. With weakness, the card falls out right away. ...Read more
What to do if I have cubital tunnel syndrome do you know of any physiotherapy exercises that could help my condition?
Bad design: The ulnar nerve is exposed to the outside world as it crosses the cubital tunnel in the elbow. Avoid those plastic chairs with rigid arm rests and done put any pressure on the nerve. Sometimes physiotherpy helps. Often times however surgery is needed to translocate the nerve to a safer (protected by bone) area in the elbow. There is also something called a shelf epicondylectomy procedure. ...Read more
What is cubital tunnel syndrome caused by being on the computer about 7 hours a day could that cause cubital tunnel syndrome?
Here is a copy of my answer to another user with the same question:
contrary to popular belief, most cases of carpal tunnel syndrome are "idiopathic, " that is, we don't know the cause. Cubital tunnel syndrome is similar. It is compression of the ulnar nerve at the inside of the elbow. Similar to the carpal tunnel, there is a bony base--the medial epicondyle of the humerus--and a ligamentous roof--osborne's ligament.
Why nerves get compressed is still a mystery. However, there are certain things to avoid once you have cubital tunnel syndrome. A tightly flexed elbow, such as when talking on a small cell phone or doing hair and make up, stretches the nerve around the bone. Leaning on the elbows can pinch the nerve more and make symptoms worse. At night, avoid sleeping with the elbows bent or resting on the inner elbow.
Some people have a known cause, such as an old fracture that causes the medial elbow to be longer and therefore stretch the nerve (cubitus valgus). Some people have ulnar nerves that jump out of the groove (subluxate). Others have had a direct impact that injured the nerve.
Most people don't need surgery for cubital tunnel syndrome. It tends to respond well to physical therapy with nerve glides--exercises designed to move the nerve through its tunnel. However, if there is constant numbness or you develop weakness, the nerve may need to be released or moved to a location where it is less likely to be compressed. ...Read more
Hi, I have just been told I have cubital tunnel syndrome in my right elbow and would like to know more about treating it please? Nicola
The treatment for cubital tunnel syndrome is aimed in reducing and alleviating the presenting symptoms. Here are the following interventions for cubital tunnel syndrome:
Nonsteroidal anti-inflammatory drugs
These can help in alleviating the pain and inflammation that took place in the affected area
Avoidance of trauma to the "funny bone" area where he ulnar nerve is. ...Read more
Could use your help docs! My fiance has cubital tunnel syndrome on both her elbows. I was just wondering what she will have to go through?
Sometimes surgery: Cubital tunnel syndrome is a fairly common condition where the ulnar nerve gets compressed on the inside of the elbow. Severe forms require surgery to decompress or move the nerve. Less severe forms often improve with conservative treatment. This condition is usually aggravated by sleeping with the elbows bent. Conservative treatment involves a splint to keep the elbow straight at night. ...Read more
Does cubital tunnel syndrome go away it's been 15 months from the first time I was told I had this & again yesterday doc said lets do 6weeks of pt.?
Depends: If you are having constant symptoms for over a year, it probably will not resolve. If your symptoms are intermittent, it may resolve. ...Read more
Variable: See your surgeon.Get a more detailed answer ›
Seek medical care: Cubital tunnel is compression of the ulnar nerve behind the inside of the elbow. Any activity that keeps the elbow bent can compress the nerve. The symptoms start with a funny feeling in the arm then intermittent numbness of the little and part of the ring finger starts. This can wake one at night. If ignored one can develope permanent numbness and hand weakness. See a hand surgeon. ...Read more
Exam and EMG/NCV: Cubital tunnel syndrome can usually be reliably diagnosed with a comprehensive history and physical exam. Electrodiagnostic studies such as emg/ncv can provide objective supportive data. If there is a mass or tumor (not a common cause) sometimes imaging studies: xray, mri, or ultrasound can be used. ...Read more
Cubital tunnel often can be managed conservatively especially if electromyography reveals that there is minimal pressure on the ulnar nerve
mild cases of cubital tunnel syndrome often respond to physical therapies and brcing
in cases where splinting doesn't help or nerve compression is more severe, about 85% of patients respond to some form of surgery to release pressure on the ulnar nerve. ...Read more
Numbness, pain: Typically cubital tunnel syndrome will manifest as numbness and/or tingling in the small finger and the ulnar or outside half of the ring finger. More advanced cases can cause pain about the medial elbow, weakness and clumsiness in the hand and eventually muscle wastig in the hand. ...Read more
Depends...: Cubital tunnel syndrome (ulnar nerve entrapment @ elbow) is the 2nd most common peripheral nerve comp. Of the upper extremity (carpal tunnel synd. Most common). U may try nsaids, sleeping in an elbow ext. Brace @ night (a bit cumbersome) and avoid bumping elbow, etc and time. If no improvement ulnar nerve release w/ or w/o transposition yields good results in> 90% of patients. Best of luck! ...Read more
Not uncommon: Cubital tunnel syndrome is the second most common compressive neuropathy of the upper extremity. While it is not rare, it is not as common as carpal tunnel syndrome. Both present differently with cubital tunnel syndrome more commonly causing numbness and tingling in the small finger and 1/2 of the ring finger. In more advanced cases, there can be loss of coordination and muscle in the hand. ...Read more
Carpal tunnel: Sorry I answered re carpal tunnel.Get a more detailed answer ›
What do you suggest if my fiance has to have cubital tunnel syndrome on both her elbows. I was just wondering what she will have to go through.?
Medial epicondylecto: Find an orthopaedic surgeon who treats ulnar nerve compression at the elbow. I personally prefer to do a medial epicondylectomy and neurolysis of the ulnar nerve at the elbow. Many methods exist including transfer of the ulnar nerve, but over the last 30 years I have had great results without any recurrence. ...Read more
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