unhappy mature gray hair man suffering from elbow pain

Cubital tunnel syndrome, which affects the ulnar nerve at the elbow, brings many patients to Long Island Spine Rehabilitation Medicine. We focus on diagnosing and treating spinal and musculoskeletal conditions, including those that cause hand and elbow pain. Our holistic approach aims to restore function and reduce discomfort, helping you regain a pain-free life. Our physiatrists, experts in physical medicine and rehabilitation, offer comprehensive treatment for cubital tunnel syndrome, including targeted therapy and interventions to alleviate symptoms and improve mobility.

What Causes Cubital Tunnel Syndrome?

Cubital tunnel syndrome occurs when the ulnar nerve, which runs along the inside of the elbow, becomes compressed or irritated. This can happen due to a variety of factors, including repetitive bending of the elbow, prolonged pressure on the elbow (such as resting it on hard surfaces), or anatomical variations that make the nerve more vulnerable. 

Activities like frequent phone use, leaning on the elbow, or sleeping with the arm bent can contribute to the development of this condition. Additionally, certain medical conditions, such as arthritis or previous elbow injuries, can increase the risk. Understanding these causes is essential in preventing and managing cubital tunnel syndrome effectively.

Recognizing the Symptoms

Recognizing the symptoms of cubital tunnel syndrome is crucial for early intervention. Common symptoms include:

  • Tingling or numbness: Often felt in the ring and pinky fingers, especially when the elbow is bent.
  • Hand weakness: Difficulty gripping objects or performing fine motor tasks, such as typing or buttoning a shirt.
  • Pain or aching: Typically felt on the inside of the elbow, which may radiate down the forearm to the hand.
  • Loss of coordination: Particularly in the fingers, making simple tasks more challenging.

These symptoms often worsen at night or after prolonged elbow flexion. If you notice persistent symptoms, it’s important to seek medical evaluation to prevent further nerve damage and explore appropriate treatment options.

Diagnosis of Cubital Tunnel Syndrome

Diagnosing cubital tunnel syndrome starts with a thorough physical examination, during which your doctor will assess symptoms like tingling, numbness, and hand weakness. The examination may include specific tests to evaluate the function of the ulnar nerve and pinpoint areas of tenderness or muscle atrophy. 

To confirm the diagnosis and determine the extent of nerve damage, additional tests such as nerve conduction studies or electromyography (EMG) might be performed. Imaging tests, such as X-rays or ultrasounds, can also be used to detect any structural abnormalities, like bone spurs or arthritis, that might be contributing to the nerve compression. Early and accurate diagnosis is essential to developing an effective treatment plan.

Treatment Options 

Treatment for cubital tunnel syndrome depends on the severity of your condition. For mild to moderate cases, conservative approaches are often effective, including:

  • Activity modification: Avoiding positions and activities that exacerbate symptoms.
  • Bracing: Wearing a brace to keep the elbow straight, especially at night.
  • Physical therapy: Engaging in targeted exercises to strengthen and stretch the muscles, reducing pressure on the ulnar nerve.
  • Medications: Using anti-inflammatory drugs to alleviate pain and swelling.

In more severe cases, or when conservative treatments do not provide relief, surgical options may be necessary, such as:

  • Ulnar nerve decompression: Relieving pressure on the nerve.
  • Ulnar nerve transposition: Repositioning the nerve to prevent further compression.

Our goal is to tailor the treatment to your needs, promoting recovery and restoring function.

How We Can Help

At Long Island Spine Rehabilitation Medicine, we provide comprehensive care for cubital tunnel syndrome tailored to your specific needs. Our team of experienced physiatrists focuses on non-surgical and minimally invasive treatments designed to reduce pain and improve nerve function. We offer personalized therapy programs that may include activity modification, bracing, and targeted exercises to relieve pressure on the ulnar nerve. For those with more advanced cases, we work closely with you to explore all treatment options, including surgical consultation if necessary. Our goal is to help you regain strength, mobility, and comfort, enabling you to return to your daily activities with minimal disruption and maximum relief.

Take the Next Step Toward Relief

At Long Island Spine Rehabilitation Medicine, we offer personalized care for cubital tunnel syndrome, focusing on non-surgical and minimally invasive treatments to relieve pain and restore function. Our dedicated team is here to help you regain comfort and mobility. Contact us today to schedule a consultation and start your journey to recovery.