Cubital Tunnel Syndrome
Cubital tunnel syndrome is a condition that affects the nerve on the inner side of the elbow, the ulnar nerve (funny bone nerve). As the ulnar nerve travels down the arm into the forearm it passes through a (cubital) tunnel at the inner elbow surrounded by bones and ligaments. These bones and ligaments that make up the cubital tunnel do not allow for much swelling or inflammation to occur about the nerve. When an inflammation or swelling does occur the nerve may become pinched and lead to symptoms. Direct pressure/trauma over the nerve, repetitive elbow activities or subluxation of the nerve (slipping of the nerve in and out of the tunnel) can lead to cubital tunnel syndrome. Symptoms invariably cause numbness to the ring and pinky finger, especially during the night and upon wake in the morning. Often numbness may be accompanied by aching pain. Tapping of the nerve at the elbow can cause an electrical shock sensation down into the pinky finger. Occasionally, patients will also notice weakness in the hand with grip. The diagnosis of Cubital tunnel syndrome can be made by physical examination by a physician and reliably confirmed with nerve testing.
Recommendations:
- Consult a physician if you think you have cubital tunnel syndrome
- Acute treatment starts with reduction of inflammation - RICE regimen (Rest, Ice, Compression, and Elevation).
- Rest, avoidance of overuse and decreasing the offending activity is fundamental in the treatment of Cubital tunnel syndrome
- Stretch before, during, and after an activity, to allow for more joint mobility.
- Use Elbow Support, Elbow Pads and Elbow Night Braces