ULNAR NERVE COMPRESSION (ULNAR NEUROPATHY)
If you suffer from Ulnar Neuropathy, please Schedule an appointment with one of our orthopedic specialists as soon as possible.
What is Ulnar Neuropathy?
Ulnar neuropathy occurs when pressure, stretching, or irritation affects the ulnar nerve, which runs from the neck through the arm and into the hand. This nerve provides sensation to the pinky and part of the ring finger and helps control several muscles responsible for hand movement and grip. Ulnar nerve irritation commonly develops around the elbow, where the nerve passes through a narrow area called the cubital tunnel. Pressure on the nerve can cause numbness, tingling, pain, weakness, or reduced grip strength in the hand and fingers.
What Causes Ulnar Neuropathy?
Ulnar neuropathy develops when pressure, stretching, or irritation affects the ulnar nerve, most commonly around the elbow or wrist. Repeated bending of the elbow, prolonged pressure, direct trauma, or repetitive arm movements can irritate the nerve and cause symptoms.
Common causes include:
- Prolonged elbow bending, especially during sleep
- Leaning the elbow against hard surfaces
- Repetitive elbow or wrist movements
- Direct blows or injuries to the elbow
- Elbow fractures or dislocations
- Arthritis or bone spurs that narrow the nerve’s pathway
- Ganglion cysts or other masses that place pressure on the nerve
Diagnosis of Ulnar Neuropathy
Hand and Wrist specialists may order tests such as a nerve conduction study and a test called electromyography. During an Electromyography procedure, specialists place electrodes into muscles and on the skin. With this, they measure the health of muscles and the nerve cells that control them. Following this step, they confirm the diagnosis, identify the area of nerve damage, and determine the severity of the condition. Cases of Ulnar Neuropathy typically do not require X-ray or MRI exams to diagnose.
Treatment Options for Ulnar Neuropathy
Mild Cases
Doctors often begin with conservative treatment for mild ulnar neuropathy. Activity modification, rest, and avoiding prolonged elbow bending or direct pressure can reduce irritation around the nerve. A nighttime elbow splint can help keep the elbow in a more comfortable position during sleep. Physical therapy may also improve nerve mobility, flexibility, and strength. Doctors may recommend medications to help manage pain and inflammation.
Severe Cases
Persistent or severe nerve compression may require surgery when conservative treatment fails or when significant weakness, muscle wasting, or nerve damage develops. During surgery, a surgeon may release the ulnar nerve from surrounding pressure or move the nerve to a new position that reduces tension and compression. After surgery, physical therapy can help restore strength, coordination, and hand function. Early treatment can help prevent permanent nerve damage and improve recovery.
If you would like to speak to a Texas-Based Orthopedic Specialist, give us a call at 817-697-4038, or contact us online. Telemedicine appointments are also available.
