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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  • very helpful staff - 01/16/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • This was only a consult, but I felt that I was leaving with enough information and a plan on the next step needing to be taken. - 09/26/16
  • 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
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • At every interaction with your office: consultation with Dr. Henry, day of surgery, need for prescription refills, all follow-up visits, I felt comfortable, welcome, and well informed. On the day of my last visit, I am very optimistic about the function of my left hand. Thank you. - 09/07/16
  • thank you for helping me - 02/03/17
  • thank you, you all were very helpful - 03/03/17
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • I have never doubted I was in the best possible hands here. I cannot correctly express my gratitude. Thank you all very, very much for everything you've done for me. - 11/09/16
  • 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 friendly staff - 10/28/16
  • 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 gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • 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
  • The Doc is awesome and his staff is on their game, the wait can be a little long but you get that when you are dealing with elite care. - 09/19/16
  • 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
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Thank you! - 03/08/17
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • 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
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • 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
  • Thank you for the help. - 11/10/16
  • Great Appoitnment - 05/11/17
  • Love the Doctor and his staff. - 02/08/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Everyone is always nice - 12/14/16
  • Amazing services and results. Unique experience - 10/31/16
  • 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
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Very professional - 03/30/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • Thank you to everyone here with my surgery and healing process! I really felt comfortable with everyone on the staff and feel as though I came to the best place possible for my surgery. THANK YOU!!!! - 09/09/16
  • 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
  • Great staff and speedy process! - 04/14/17
  • great job! - 03/20/17
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • always outstanding service! - 04/12/17
  • Luis was great as well. - 01/04/17
  • Great Appoitnment - 05/11/17
  • Awesome staff.. - 09/26/16
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • I was impressed at how fast I was able to get an appointment. The staff was very helpful and the doctor was amazing! - 12/08/16
  • thank you - 02/09/17
  • joel was also my assistant but everything was great - 03/07/17
  • Great detailed information. - 11/03/16
  • Amazing Doctor and staff. - 11/16/16
  • great - 10/06/16
  • Everyone was great and very helpful. Our family really appreciates the medical attention my son received from his injury. Thank you so much. - 11/01/16
  • Wonderful work no issues - 11/17/16
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Dr. Henry and each and every one of the staff we met exhibited a spirit of excellence in every area. From the first visit we were comfortable and confident that we would be well taken care of. - 09/28/16
  • I am feeling so much better! My hands do not fall asleep and I do not drop things anymore. Yah! Thank you so much! - 09/16/16
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • :) - 05/11/17
  • Great work. - 02/03/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • I will definitely recommend your practice to my friends and family. Thank you very much for seeing me and for the very detailed explanation! - 10/14/16
  • Very happy I came here for the surgery, etc. - 06/09/17
  • ;) - 09/08/16
  • 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
  • Awesome experience. Luis rocks! - 04/06/17
  • 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
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • :) - 06/01/17
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • The staffs here was GREAT!!!! - 06/21/17
  • I enjoyed my visit - 11/14/16
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • Very pleased with the staff and Dr. Henry. Would highly recommend Dr. Henry to my family and friends in the future. Love this place!!! - 09/07/16
  • Great staff. - 05/02/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • 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
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • very good team work, best clinic - 06/21/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • 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 as always! - 10/11/16
  • Luis was very kind and helpful with all of my questions and concerns. He also assisted me with obtaining supplies for my brace and hand until I can get to therapy. - 10/21/16
  • 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
  • Dr. Henry has the best verbal skills I have witness on a physician; and, I have been a physician myself for decades! - 12/01/16
  • The staff was great. David was very helpful with my surgery scheduling and questions. Luis was fabulous when I needed help with changing my dressing. Joel was nice helping me with the undoing of the dressing. Great group to be a patient of. - 12/13/16
  • very impressed with the whole experience. - 02/28/17
  • excellent! dr & staff! - 06/14/17










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