Cubital tunnel syndrome is a condition that occurs when the ulnar nerve, which runs along the inner side of your elbow, becomes compressed. This nerve, often referred to as the "funny bone," is responsible for sensations in the pinky and ring fingers. When it is compressed, it can cause numbness, tingling, and pain in the arm, hand, and fingers. Simple activities like typing, holding objects, or bending your elbow can become painful or uncomfortable. Early diagnosis and treatment are essential to prevent permanent nerve damage.

Causes of Cubital Tunnel Syndrome

• Prolonged Elbow Pressure: Leaning on the elbow for long periods can compress the nerve within the cubital tunnel.
• Elbow Injuries: Fractures, dislocations, or other trauma to the elbow can lead to swelling or bone spurs that pinch the ulnar nerve.
• Anatomical Variations: Some individuals may have a naturally narrower cubital tunnel, increasing the likelihood of nerve compression.
• Posture: Poor posture while sleeping or sitting can stress the elbow and exacerbate nerve compression.

Symptoms of Cubital Tunnel Syndrome:

• Numbness and tingling in the pinky and ring fingers
• Weak grip strength or difficulty holding objects
• Pain that radiates from the elbow to the hand
• A "clumsy" feeling when using the affected hand

Diagnosis and Treatment

Cubital tunnel syndrome can develop for various reasons, including repetitive elbow bending, direct injury, or pressure on the nerve. If left untreated, symptoms may worsen over time. The diagnosis of cubital tunnel syndrome typically involves a physical examination, which may include nerve conduction studies or imaging tests to assess the degree of nerve compression.

Treatment Options

For mild to moderate cases, treatment may involve conservative methods such as:

• Wearing a brace or splint: A brace can help keep the elbow straight, especially at night, reducing pressure on the ulnar nerve.
• Physical therapy: Specific exercises can improve flexibility and relieve tension on the nerve.
• Anti-inflammatory medications: These may be recommended to reduce swelling and alleviate discomfort.

For more severe cases or when conservative treatments fail, surgery may be necessary to relieve the pressure on the ulnar nerve. Two common surgical procedures include:

1. Ulnar Nerve Transposition: This surgery involves repositioning the ulnar nerve to prevent it from being compressed in its original location.
2. Cubital Tunnel Release: This procedure involves enlarging the cubital tunnel, creating more space for the ulnar nerve to pass through without pressure.

Why Choose Princeton Orthopaedic Associates?

At Princeton Orthopaedic Associates, our board-certified, fellowship-trained surgeons are experts in diagnosing and treating cubital tunnel syndrome. We stay at the forefront of advancements in orthopaedic care, ensuring that our patients receive the most effective treatments available. Whether you need conservative care or surgical intervention, we will develop a personalized treatment plan that fits your needs and lifestyle.

When to Seek Help

If you’re experiencing symptoms of cubital tunnel syndrome that do not improve with rest or home treatments, it’s essential to consult an orthopaedic specialist. Delaying care can result in further nerve damage and long-term issues with hand and arm function. Our team at Princeton Orthopaedic Associates is here to help you regain mobility and reduce pain.