π§ What is Cubital Tunnel Syndrome?
Cubital Tunnel Syndrome is a condition where the ulnar nerve (a major nerve in the arm) becomes compressed or irritated as it passes through the cubital tunnel β a narrow space on the inside of the elbow (your “funny bone” area).
π Where is the Ulnar Nerve?
- The ulnar nerve runs from your neck β shoulder β down your arm β through the elbow β into the ring and pinky fingers β
- It controls sensation and some hand muscle movements
β οΈ Causes
- πͺ Repeated elbow bending or prolonged elbow pressure
- π₯ Trauma to the elbow (bumping the “funny bone”)
- π Sleeping with a bent elbow
- π§° Occupations involving repetitive elbow use
- 𦴠Bone spurs or arthritis
β Symptoms
- π§ Numbness or tingling in the ring and pinky fingers
- β‘ Shock-like pain in the elbow or forearm
- π Weak grip or clumsiness in the hand
- π½ Worsens when elbow is bent (e.g., phone use, driving)
- β Hand muscle wasting (in severe or chronic cases)
π©Ί Diagnosis
- π¨ββοΈ Clinical exam (tapping the nerve causes tingling = Tinelβs sign)
- π Nerve conduction studies (to check signal speed)
- π§² MRI/Ultrasound (to view structural issues if needed)
π οΈ Treatment Options
π’ Non-surgical:
- π§€ Elbow splint (especially at night)
- π§ Ice and anti-inflammatory meds
- π¦ Activity modification (avoid pressure on the elbow)
- π§ββοΈ Nerve-gliding exercises (physical therapy)
π΄ Surgical (if severe or persistent):
- π§ Ulnar nerve decompression (release pressure)
- π Nerve transposition (move nerve to a safer location)
- 𦴠Removal of bone spurs (if needed)
β±οΈ Recovery
- Mild cases: π Weeks to months with non-surgical care
- Surgery: π§ Rehab starts soon after; full recovery in a few months
π‘οΈ Prevention Tips
- ποΈ Donβt sleep with your elbows bent tightly
- π§€ Use padding if leaning on elbows at a desk
- π§ Stretch and strengthen arm muscles
- βΈοΈ Take breaks from repetitive elbow-bending tasks