CUBITAL TUNNEL SYNDROME

If you suffer from chronic pain or weakness related to cubital tunnel syndrome, don’t hesitate to Schedule an appointment with one of our orthopedic specialists.

What is Cubital Tunnel Syndrome?

Cubital tunnel syndrome develops when pressure, stretching, or irritation affects the ulnar nerve as the nerve passes through a narrow space called the cubital tunnel behind the inner side of the elbow. The ulnar nerve carries sensation from the little finger and part of the ring finger while also controlling several muscles that help with hand movement and grip. Repeated elbow bending, prolonged pressure, swelling, or previous elbow injuries can increase pressure around the nerve and interfere with normal nerve function.

People with cubital tunnel syndrome may experience numbness, tingling, burning, or aching around the inner elbow, ring finger, and little finger. Symptoms often worsen when patients keep the elbow bent for long periods, such as during sleep, phone use, or driving. As nerve compression continues, patients may develop weaker grip strength, reduced hand coordination, or difficulty performing tasks that require precise finger movements. Severe or long-lasting nerve compression can cause muscle wasting in the hand and lasting weakness.

Diagnosis for Cubital Tunnel Syndrome

Specialists diagnose ulnar nerve compression by reviewing symptoms, medical history, and elbow movement. During a physical examination, the specialist checks sensation in the ring and little fingers, tests hand and grip strength, and evaluates tenderness or nerve irritation around the inner elbow. Specialists may also perform nerve conduction studies and electromyography (EMG) to measure nerve function and identify the location and severity of compression. Imaging, such as X-rays or ultrasound, can help identify structural problems around the elbow that may contribute to nerve compression and guide treatment decisions.

Treatment Options for Cubital Tunnel Syndrome

Treatment for cubital tunnel syndrome depends on symptom severity and nerve damage. For mild cases, patients can avoid prolonged elbow bending and direct pressure, wear an elbow brace or splint during sleep, modify activities, and use physical therapy exercises to improve nerve mobility and reduce irritation. Specialists may also recommend anti-inflammatory medication to help manage pain and swelling.

For moderate or severe cases, upper extremity specialists may recommend surgery when symptoms persist, worsen, or cause significant weakness or muscle loss. Surgical options include cubital tunnel release, which creates more space around the ulnar nerve, and ulnar nerve transposition, which moves the nerve to a new position that reduces tension and pressure. Patients typically follow surgery with rehabilitation to restore strength, movement, and hand function.

If you would like to speak to one of our Upper Extremity Specialists, give us a call at 817-697-4038, or contact us online. Telemedicine appointments are also available.