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CUBITAL TUNNEL SYNDROME

Cubital tunnel syndrome is compression or irritation of the ulnar nerve in a tunnel on the inside of the elbow (where your 'funny bone' is)

CUBITAL TUNNEL SYNDROME

Symptoms & Causes

Symptoms

Numbness or tingling of the little and ring fingers are usually the earliest symptom. It is frequently intermittent, but may later become constant. Often the symptoms can be provoked by leaning on the elbow or holding the elbow in a bent position (e.g. on the telephone). Sleeping with the elbow habitually bent can also aggravate the symptoms. 

In the later stages, the numbness is constant and the hand becomes weak. There may be visible loss of muscle bulk in severe cases, particularly noticeable on the back of the hand between the thumb and first finger, with loss of strength and dexterity.


Causes

Most cases arise without an obvious cause, but the tunnel can be narrowed by arthritis of the elbow joint or by an old injury. 

Treatment

Treatment

Avoid or modify any provocative activity where appropriate. For example, wear a headset for using the telephone; avoid leaning on the inside of the elbows or wear protective pads. Excessive bending of the elbow at night can be minimised by a folded towel wrapped around the elbow, or by a splint provided by a therapist. These manoeuvres may be curative in early cases.

Surgery to decompress the nerve is required in severe cases, or in those that do not respond to the non-surgical treatments above. Surgery frequently improves the numbness, but its chief objective is to prevent the progressive muscle weakness and wasting that tends to occur in severe untreated cases. Several operations are used, including simple, opening of the roof of the tunnel (decompression), moving the nerve into a new location at the front of the elbow (transposition) and widening the tunnel by removing some of its bony floor (medial epicondylectomy). 

 

WHAT IS THE OUTCOME?

The outcome depends upon the severity of the compression being treated. Numbness frequently improves, though the improvement may be slow. Surgery generally prevents worsening of the muscle weakness, but improvements in muscle strength are often slow and incomplete. 

In the mild cases, you can expect there to be full resolution of symptoms in most cases, the more severe the case the less predictable the long-term outcome in regard to the nerve function fully recovering. 

Consultations & Clinic Info

Consultations, Clinics, Directions and Accommodation

Live outside Hull & East Yorkshire? Here's some useful information if you need to travel and stay over as part of your Cubital Tunnel Syndrome surgery procedure.

Mr Riaz's patient support team will arrange with you which of the three main (Hull, Grimsby & Doncaster) clinics your consultation and cosmetic surgery procedure will take place. We have detailed below useful information for each of the locations, which will assist you during your cosmetic surgery journey.

Mr Riaz's Patient Support team can be contacted during office hours on 01482 841228 & 01482 841229.


Spire Hospital

Lowfield Road
Anlaby
Hull & East Riding
HU10 7AZ
01482 841228

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St Hugh's Hospital

St Hugh's Hospital
Peaks Lane
Grimsby
DN32 9RP
01472 898725

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Park Hill Hospital

Thorne Road
Doncaster
South Yorkshire
DN2 5TH
01302 553355

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Related Hand Procedures

DUPUYTREN'S DISEASE

Dupuytren’s disease (also referred to as dupuytren's contracture) is a common condition that usually arises in middle age or later and is more common in men than women.

GANGLION CYSTS

Ganglion (mucous) cysts are the commonest type of swelling in the hand and wrist.

TRIGGER FINGER / THUMB

Trigger finger is a painful condition in which a finger or thumb clicks or locks as it is bent towards the palm.

CARPAL TUNNEL SYNDROME (CTS)

Carpal tunnel syndrome (cts) is a common condition that causes a tingling sensation, numbness, and sometimes pain in the hand and fingers.


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