Cubital tunnel syndrome
Cubital tunnel syndrome describes a constellation of symptoms that results from increased pressure in the bony canal in the elbow containing a motor sensory nerve. The cubital tunnel is comprised deep grooves in the humorous and ulnar bones and fibrous ligaments. The only structure that travels through the cubital tunnel is the ulnar nerve. Increased pressure due to repetitive flexion and extension of the elbow can increase the pressure in this finite space overtime. The result is pain and/or weakness in the hand from ulnar nerve compression. The most commonly described symptoms are numbness and tingling and weakness of the grip. Like carpal tunnel at the wrist, cubital tunnel compression, if diagnosed early can be treated with complete resolution of symptoms. Alternatively long standing disease can lead to irreversible muscle loss and nerve damage.
The diagnosis is made by certain findings on history and physical examination. Electromyographic and nerve conduction studies can be used to confirm the diagnosis.
Treatment should be offered on a continuum based on severity of symptoms and potential for resolution of the problem. Extension elbow bracing, physical therapy and antiinflammatory therapy are among the non-operative modalities available. Surgical release/ decompression of the carpal tunnel can be done both open or endoscopically when appropriate.
We would be happy to discuss all of the options. For an appointment contact the office. The main office is located at 11 Peekskill Hollow Road in Putnam Valley, New York and the office number is 845 – 526 – 2080.