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CUBITAL TUNNEL SYNDROME


WHAT YOU SHOULD KNOW

Cubital Tunnel SyndromeCubital tunnel syndrome, also known as cell phone elbow, is better referred to as ulnar neuropathy at the elbow level. The usual cause is compression of the ulnar nerve by a tight band on the inside of the back of the elbow. In addition to pressure, stretch of the nerve around the elbow bones contributes to the problem. Other reasons for symptoms are an unstable nerve that moves too much over the edge of the bone or a nerve that is scarred from previous injury or surgery. Symptoms are made worse by positions of elbow flexion during daytime or nighttime and by direct pressure over the nerve.

MEDICAL HISTORY

Patients usually complain of a persistent ache in the region of the inside of the rear elbow. The pain may radiate towards the hand or the shoulder. Numbness and tingling appears in the ring and small fingers and sometimes can include the whole hand. Symptoms may be worse in the middle of the night and cause waking or in the morning. Driving, fixing one's hair and time at the computer are other problem activities. When severe patients may even lose coordination and drop things.

EXAMINATION

Pressure applied over the nerve at the elbow will recreate the pain, numbness, and tingling. The doctor will measure strength in the muscles (motor) and feeling ability (sensory) in the skin for specific areas serviced by the median nerve. In more advanced conditions, patients will demonstrate loss of motor and sensory functions.

ADDITIONAL TESTS

Electrical nerve tests provide actual numbers that tell the story of how well or poorly the nerve is conducting signals in the area of the elbow and if the muscles have sustained any damage as a result of prolonged nerve pressure.

TREATMENT OPTIONS

  NON-OPERATIVE SIMPLE OR ENDOSCOPIC RELEASE SURGICAL TRANSPOSITION
CONSISTS OF Ergonomic retraining and sleep positioning Simple release of the constricting bands over the nerve After simple release, the nerve is moved to the front of the elbow
FEATURES Therapists recommend changes to work habits Outpatient surgery, minimal incision Outpatient surgery, limited incision
ADVANTAGES Avoids surgery Minimally invasive option Addresses all causes for the problem
DISADVANTAGES Only effective in mild cases Only addresses compression not stretch reason for the problem More invasive than decompression with more scar formation

RECOVERY

Sutures come out in the office at 2 weeks after surgery. No splints are used. Immediate use of the hand and arm for everyday activities of living is encouraged right away. After simple decompression, there is minimal disruption of activities. Transposition surgery involves a more specific rehabilitation program with nerve stretching exercises and wound massage to prevent scar formation around the nerve. Return to heavy lifting activities takes several months.
 
 
 
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  • you were very good, thank you very much - 05/17/18
  • The staff is nice and everyone is up on the treatment. I feel confident that I am getting the best care and am glad I came here. - 10/30/17
  • The staff and the Dr. are very helpful and understanding .I have not yet seen a better staff like this office . I will recommend any one here . - 11/06/17
  • I was very impressed with how I was treated by the doctor as well as the Medical assistant. All my questioned were answered and I was treated with care and respect. Luis was Awesome! Doctor Henry was very informative. I will recommend him to friends and family - 06/09/17
  • Dr. Mark Henry is a true healer; the finest most competent doctor I've ever encountered. I am forever grateful to Dr. Henry and the entire staff for saving my finger and facilitating my complete recovery with grace and seriousness of intent. Thank you. - 01/10/18
  • I couldn't be more pleased with the level of service I received while in Dr. Henry's care. The level of detail in which my injury was explained and resolved, and the level of competency that was displayed throughout the healing was truly outstanding. - 01/30/18
  • Outstanding service and results - 10/30/17
  • great doctor - 05/23/18
  • MD was very thorough and spent a good amount of time with the patient (me). MD had good bedside manners which you do not see from a lot of doctors nowadays. He also made sure everything was understood and that I was given a chance to ask questions or address any concerns I had. Everyone was courteous and professional. Thank you for making mu visit a pleasant one. - 05/02/18
  • Dr. Henry and his staff are phenomenal. Dr. Henry has a gift for not only treating health issues extremely effectively, but he is extremely thorough and very efficient at communication and explaining everything he is doing and all of clearly outlining your options for future procedures. - 05/11/18
  • every thing was really great - 10/19/17
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • The staffs here was GREAT!!!! - 06/21/17
  • Very efficient practice - 10/19/17
  • every body was excelent - 01/09/18
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • best place for treatment of hand and wrist problems. Dr. Henry was recommended to me by a friend who is a medical care professional. - 10/06/17
  • no complaints hand is coming along very well - 11/06/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • I am really happy with my experience. I always knew what was going on and over time got to know the staff based on how many times I've been here. Most importantly, I feel I got the right treatment for my injury. - 10/19/17
  • thank you - 10/16/17
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • Dr. Henry is a tremendous doctor! - 05/22/18
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • With the severity of my injury I am amazed at how functional my wrist is with the amazing team work shown at the office. From the very start the service and care have been outstanding!! I can't thank everyone enough! - 02/23/18
  • Dr. Henry was able to salvage my hand to make it usable again. I have already sent my Father here and he no longer has any pain in his wrist. - 11/13/17
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • Very happy I came here for the surgery, etc. - 06/09/17
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  • an experience beyond expectation - 10/06/17
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • all excellent care - 07/12/17
  • Dr. Henry and his staff are amazing! I was able to get an urgent new patient appointment immediately with surgery that same afternoon. Dr. Henry does an excellent and thorough job explaining my injury and the healing process. Very impressed with his plan of early mobility and physical therapy, which helped restore my function back to normal within 8 weeks of surgery. I would 100% recommend Dr. Henry and his staff! Very pleased and grateful for his help. - 03/23/18
  • very good team work, best clinic - 06/21/17
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
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