ULNAR NERVE ENTRAPMENT (CUBITAL TUNNEL SYNDROME)

October 24, 2019

Paul Nielsen, MD

Orthopaedic Surgeon

What Are the Symptoms of Ulnar Nerve Entrapment?

• Numbness or tingling in the hand is the most common symptom
  • Especially the small and ring fingers
• Many patients notice the symptoms at night, when resting their elbow on a hard surface, and with heavy use 
• Some patients notice weakness in their hand
• Pain and aching on the inside of the elbow is common

What Causes Ulnar Nerve Entrapment?

• The ulnar nerve is compressed or “pinched” as it passes through a tight area on the inner part of the elbow
• This nerve gives feeling to the small and ring fingers
• Sleeping with the elbow bent often pinches the nerve, causing night-time symptoms
• Swelling, scar tissue, inflammation and injuries can compress the nerve and cause symptoms

What Are the Treatment Options for Ulnar Nerve Entrapment?

• Splints or padding to keep the elbows straight at night can sometimes help decrease symptoms
• NSAIDs such as ibuprofen, naproxen or meloxicam can help with pain and swelling
• Injections are not used for ulnar nerve entrapment
• Surgery can include an ulnar nerve release to take the pressure off the nerve
  • This can often be performed as a minimally invasive procedure for a faster recovery

What Is Recovery Like After Surgery?

• Patients normally are in a soft dressing for a few days after surgery
  • Sutures are removed 10-14 days after surgery
• Light use of the arm is encouraged immediately after surgery
  • Heavy use of the arm is allowed about a month after surgery
• Hand therapy is usually not required
• Most patients regain normal feeling and function of their hand quickly
• It is uncommon for patients to require a re-do surgery

More questions about ulnar nerve entrapment or numbness in your arm? Schedule an appointment with Dr. Nielsen today by calling New West at 308-865-2570. No referral required.