When these approaches haven’t helped or if the nerve is very compressed, surgery is the next step. In some cases, hand therapy may be recommended to improve nerve movement to reduce irritation. Ibuprofen can be taken to reduce swelling, or steroid injections can also help relieve discomfort. Also, avoiding leaning on the elbow when it’s bent and avoiding tasks that require repetitive elbow movement can help reduce the symptoms. Bracing the elbow to prevent it from bending, especially at night, can be helpful. The initial treatments for cubital tunnel symptoms are conservative. Repetitive motions that require constant bending of the elbow can also contribute. However, existing health conditions like arthritis of the elbow or an injury or fracture can both contribute to the development and worsening of cubital tunnel syndrome. The cause of cubital tunnel syndrome is unknown. When left untreated, muscle weakness can occur and sensation may be lost. Symptoms may worsen when the elbow is held bent for a long time, like while talking on the phone, driving or sleeping. These are most noticeable in the ring and small fingers, and pain may fluctuate around the elbow. In some cases, the connective tissue that covers the nerve or variations in the muscle structure around the elbow can also place extra pressure on the nerve.Ĭubital tunnel syndrome is diagnosed when symptoms are serious enough to interfere with the normal nerve function. This stretches the nerve too much, and causes painful symptoms. Sometimes this can happen during the night while sleeping. The ulnar nerve can also be irritated from spending long periods holding the elbow in a bent position. When the nerve is repeatedly rubbed against the bone, inflammation develops. Depending on how the nerve is positioned, it might snap back and forth over the joint as the elbow is moved. The result is a pins-and-needles sensation, numbness or tingling. This closeness puts extra pressure right on the nerve. The ulnar nerve travels right next to the bone at the elbow, and there is very little cushion between the bone and the nerve. The Institute of Reconstructive Plastic Surgery of Central Texas helps men and women from Austin, Round Rock and throughout Texas restore hand and wrist functionality with reconstructive surgery. Because these symptoms can be similar to those of carpal tunnel syndrome, it’s important to consult your doctor before self-treating your condition.Ĭontact us online today to learn more about your cubital tunnel treatment options. Late-stage cubital tunnel syndrome can cause the ring and pinky fingers to visibly curl up, which may be a sign that surgery is needed. Symptoms can include numbness or a tingling sensation that travels up through the arm. Symptoms of cubital tunnel syndrome, also referred to as ulnar nerve entrapment, often affects the ring and pinky fingers.
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