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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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  • Very professional - 03/30/17
  • 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
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • very helpful staff - 01/16/17
  • every thing was really great - 10/19/17
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • very good team work, best clinic - 06/21/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Thank you! - 03/08/17
  • 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
  • thank you - 02/09/17
  • 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
  • excellent! dr & staff! - 06/14/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • :) - 06/01/17
  • 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
  • Great staff. - 05/02/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • 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
  • an experience beyond expectation - 10/06/17
  • Great staff and speedy process! - 04/14/17
  • Great Appoitnment - 05/11/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • 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
  • :) - 05/11/17
  • Luis was great as well. - 01/04/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • very impressed with the whole experience. - 02/28/17
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • great job! - 03/20/17
  • thank you - 10/16/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • 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, 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
  • Awesome experience. Luis rocks! - 04/06/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • The staffs here was GREAT!!!! - 06/21/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • thank you for helping me - 02/03/17
  • 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
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • 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
  • Very efficient practice - 10/19/17
  • 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
  • Great work. - 02/03/17
  • always outstanding service! - 04/12/17
  • Love the Doctor and his staff. - 02/08/17
  • no complaints hand is coming along very well - 11/06/17
  • Outstanding service and results - 10/30/17
  • joel was also my assistant but everything was great - 03/07/17
  • 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
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • 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
  • all excellent care - 07/12/17
  • 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
  • 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
  • thank you, you all were very helpful - 03/03/17
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • 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










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