Expert Care for Cubital Tunnel Syndrome Near Alexandria, VA

Cubital tunnel syndrome is a potentially disruptive condition caused by compression of the ulnar nerve, which controls movement and feeling in the hand. The compression occurs in the cubital tunnel, a narrow passageway where the ulnar nerve passes behind the bony prominence of the elbow (medial epicondyle). Within these tight quarters, the ulnar nerve is susceptible to pressure from nearby tissues, such as bones, muscles and ligaments, and possibly bone spurs and ganglion cysts. Additionally, certain activities, such as leaning on the handlebars of a bicycle during a long ride, can exert direct pressure on the ulnar nerve.

Symptoms and Impacts

Cubital tunnel syndrome can cause pain, numbness and burning sensations in the ring and small fingers, leading to a loss of strength and fine motor function in the hand. The symptoms tend to worsen whenever the elbow is bent or pressured, which can increase the strain on the ulnar nerve.

The Diagnostic Process

An accurate diagnosis of cubital tunnel syndrome is essential to ensure effective treatment. At Nirschl Orthopaedic Center (NOC) near Alexandria, Virginia, our experienced elbow specialists use a comprehensive diagnostic process, which typically involves a discussion about the symptoms, a physical examination and potentially an electromyography (EMG) or nerve conduction study (NCS) to assess the function of the ulnar nerve.

Conservative Therapies

Initial treatment for cubital tunnel syndrome is usually conservative and may incorporate:

• Activity modifications to avoid pain-inducing hand positions and movements
• An elbow pad worn during certain physical activities
• An elbow splint worn during rest and sleep
• Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management

Surgical Options

While nonsurgical treatments are often effective for cubital tunnel syndrome, surgery may be considered as a last resort for addressing severe or persistent discomfort. Surgical treatment options may include:

• Medial epicondylectomy – A surgeon removes a small portion of the medial epicondyle to allow the ulnar nerve to glide more smoothly through the cubital tunnel during movement.
• Ulnar nerve transposition – A surgeon creates a new tunnel in front of the medial epicondyle and repositions the ulnar nerve to pass through it instead of the cubital tunnel.

Consult With an Elbow Specialist at NOC

For a more thorough understanding of cubital tunnel syndrome and personalized care, contact Nirschl Orthopaedic Center at (703) 525-2200 today to schedule an appointment with an experienced elbow specialist at our state-of-the-art orthopedic facility near Alexandria, VA.