CUBITAL SYNDROME

INTRODUCTION

Cubital tunnel syndrome is compression or irritation of the ulnar nerve in a tunnel on the inside of the elbow (where your ‘funny bone’ is). The ulnar nerve provides sensation to the little finger and part of the ring finger, and power to the small muscles within the hand.

SYMPTOMS

Cubital tunnel syndrome symptoms usually include pain, numbness, and/or tingling. The numbness or tingling most often occurs in the ring and little fingers. The symptoms are usually felt when there is pressure on the nerve, such as sitting with the elbow on an arm rest, or with repetitive elbow bending and straightening. Often symptoms will be felt when the elbow is held in a bent position for a period of time, such as when holding the phone, or while sleeping. Some patients may notice weakness while pinching, occasional clumsiness, and/or a tendency to drop things. In severe cases, sensation may be lost and the muscles in the hand may lose bulk and strength.

TREATMENT

– Changing the patterns of elbow use may significantly reduce the pressure on the nerve. Avoiding putting your elbow on hard surfaces may help, or wearing an elbow pad over the ulnar nerve and “funny bone” may help. Keeping the elbow straight at night with a splint also may help.

– When symptoms are severe or do not improve, surgery may be needed to relieve the pressure on the nerve. This can involve releasing the nerve, and moving the nerve to the front of the elbow.

Alai SMC

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