Cubital Tunnel Syndrome Surgery & Treatment in NYC
Cubital tunnel syndrome treatment in NYC usually begins with anti-inflammatory medication to minimize pain and other symptoms. Taking frequent breaks during physical labor can also help prevent cubital tunnel syndrome symptoms from occurring while wearing a splint or brace can control pain overnight. If symptoms do not improve with conservative treatments, cubital tunnel syndrome surgery may be needed to release pressure on the ulnar nerve as it passes through the cubital tunnel. This can be done through ulnar nerve transposition or medial epicondylectomy, both of which are outpatient procedures that are performed under general or regional anesthesia.
Ulnar Nerve Transposition
Ulnar nerve transposition involves repositioning the ulnar nerve from its position behind the elbow to a new position in front of the elbow, either above or below the muscle. This severely reduces the pressure on the nerve, thus eliminating the pain. Recovery generally requires immobilization of the elbow for two to four weeks and rehabilitation exercises for three to four months afterward.
Medial epicondylectomy removes the medial epicondyle (the bony bump on the inner side of the elbow) to alleviate compression of the ulnar nerve. Cubital tunnel syndrome is a condition that causes pain and numbness in the outside of the hand and wrist as a result of compression or inflammation of the ulnar nerve, which allows for sensation of the little finger and half of the ring finger. Beginning in the side of the neck, the ulnar nerve travels all the way down the arm, including through the cubital tunnel which is located just inside the elbow. When the elbow is bent, the cubital tunnel can stretch and may irritate the nerve over time. This condition may develop as a result of a frequent bending of the elbow from lifting or reaching, as well as from direct pressure on the elbow over time.
Symptoms of Cubital Tunnel Syndrome
Patients with cubital tunnel syndrome may experience pain and numbness in the outside of the hand and wrist, especially after the elbow has been bent for a long period of time. Some patients may feel the sensation of an electric shock down the arm to the little finger. Dr. Mendoza can diagnose this condition through a physical exam and nerve conduction velocity test.