Conditions We Treat
Cubital Tunnel Syndrome
What Is It?
Cubital tunnel syndrome occurs when the ulnar nerve becomes compressed as it passes through the cubital tunnel along the inner side of the elbow.
This nerve provides sensation to the ring and little fingers and controls several hand muscles. Compression is often caused by prolonged elbow flexion, repetitive pressure, or anatomical narrowing.
Symptoms
- Numbness and tingling in the ring and little fingers
- Hand weakness or clumsiness
- Aching pain along the inner elbow
- Worsening symptoms with elbow bending
- Muscle wasting in advanced cases
Diagnosis
- Clinical tests such as Tinel’s sign, elbow flexion test, and Froment’s sign
- Nerve conduction studies and EMG
- Ultrasound or MRI in complex cases
Treatment
Conservative Options:
- Avoid prolonged elbow flexion or pressure
- Night splinting
- NSAIDs
- Physical therapy with nerve glides and posture training
Interventional Options:
- Ultrasound-guided nerve hydrodissection
Surgical Options:
- Ulnar nerve decompression or transposition for severe cases
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