Hand & Wrist Center of Houston Home If you suspect broken bones, dislocated joints, lacerated tendons, lacerated nerves, infection, or have an open wound below the elbow, then call us immediately.
 
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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  • Great staff. - 05/02/17
  • Thank you! - 03/08/17
  • :) - 06/01/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Great work. - 02/03/17
  • 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
  • The entire team at the Hand and Wrist Center is outstanding. They made the recovery so smooth and comforting from the courteous receptionists, excellent occupational therapist, attentive medical assistants, and brilliant doctor. Thank you! - 03/31/17
  • Great Appoitnment - 05/11/17
  • very impressed with the whole experience. - 02/28/17
  • The staffs here was GREAT!!!! - 06/21/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Awesome experience. Luis rocks! - 04/06/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • thank you for all you have done! I recommend you foranyone that is having any problems via hand wrist. Amazing surgon and doctor!!! - 02/01/17
  • all excellent care - 07/12/17
  • thank you - 02/09/17
  • Staff is always friendly and helpful. I will definitely recommend this office. Dr. Henry is a very skilled surgeon and went out of his way to make sure I understood my procedure and the rehabilitation process. - 03/24/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Great Appoitnment - 05/11/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Very professional - 03/30/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • very helpful staff - 01/16/17
  • Great staff, Great Doctor, Great surgery, recovery, and follow up. Thank you for the time and attention with helping me through the entire process. I felt very comfortable and safe with the entire process. - 02/10/17
  • Very knowledgeable about the possible procedures the could be preformed! Dr. Henry is a very honest person and I appreciate that in a man more than anything. He gave me truth and not what I wanted to hear! Thanks - 04/04/17
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • some of the most friendly staff and the doctor always explained the information in a manner in which I could understand which always made it very helpful. will definitely recommend this location to family and friends. - 05/31/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • joel was also my assistant but everything was great - 03/07/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Thank you for the hard work and excellent care. If ever I need this type of care again I will be knocking on your door. I've already recommended your services to others. Thanks Again! - 03/07/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • Had a wonderful experience overall. Breaking my arm was tough but the staff here was always very, kind and helpful. Especially Dr. Henry, Mary, Karen, Luis, Joel, Teresa and David. I'll miss them all but hopeful won't have to see them any time soon :)Thank you! - 05/04/17
  • We have had the best experience here. The staff has always accommodated us and since Tyler is only 10, they always go out of their way to make sure we are comfortable. I have and will continue to recommend Dr. Henry and his staff to anyone I know. Thanks! - 02/28/17
  • excellent! dr & staff! - 06/14/17
  • Love the Doctor and his staff. - 02/08/17
  • Luis was great as well. - 01/04/17
  • very good team work, best clinic - 06/21/17
  • The doctor was very informative and provided me with a solution quickly and I really appreciate that in this day and age. This is an awesome institution. - 03/02/17
  • always outstanding service! - 04/12/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • very good at explaining how I should take care of my thumbs and always answered any question I had regarding my health issue I was very pleased with my visit and the care I got at both visits - 03/07/17
  • Great staff and speedy process! - 04/14/17
  • thank you for helping me - 02/03/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • :) - 05/11/17
  • great job! - 03/20/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • thank you, you all were very helpful - 03/03/17










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