Ulnar Nerve Entrapment (Cubital Tunnel Syndrome): Comprehensive Care at Palms Physiotherapy & Allied Health

What is Ulnar Nerve Entrapment?

The ulnar nerve runs from the neck, down the arm, and into the hand. At the elbow, it passes through the cubital tunnel, a narrow passageway of bone and soft tissue. Compression or irritation in this area can disrupt nerve signals, causing symptoms.

Symptoms of Ulnar Nerve Entrapment

• Numbness and Tingling: Commonly felt in the ring and little fingers.

• Pain: Discomfort around the inside of the elbow and sometimes extending down the forearm.

• Weakness: Difficulty gripping objects or performing fine motor tasks.

• Clawing of the Fingers: Severe cases may cause a claw-like deformity.

Causes and Risk Factors

Common Causes

• Elbow Pressure: Prolonged leaning on the elbow.

• Repetitive Elbow Bending: Activities requiring frequent flexion.

• Injury: Trauma or fractures affecting the elbow.

Risk Factors

• Workplace Activities: Jobs involving repetitive motions or elbow support.

• Medical Conditions: Diabetes, arthritis, or previous elbow injuries.

• Sports: Activities like throwing or racket sports.

Diagnosis of Ulnar Nerve Entrapment

Our thorough assessment includes:

1. Clinical Examination

   • Testing sensation, muscle strength, and reflexes.

2. Tinel’s Sign Test

   • Light tapping over the ulnar nerve to detect irritation.

3. Imaging Tests

   • Ultrasound or MRI: To visualize the nerve and surrounding structures.

4. Nerve Conduction Studies

   • Assessing the speed and strength of nerve signals.

Treatment Options for Ulnar Nerve Entrapment

Conservative Management

1. Activity Modification

   • Avoiding prolonged elbow flexion or pressure.

2. Ergonomic Adjustments

   • Adapting workspaces to reduce strain on the elbow.

3. Pain Relief

   • NSAIDs: Nonsteroidal anti-inflammatory drugs for swelling and discomfort.

4. Splinting

   • Night splints to keep the elbow slightly extended and reduce compression.

5. Physiotherapy

   • Nerve Gliding Exercises: To improve nerve mobility.

   • Strengthening Exercises: To enhance muscle support around the elbow.

   • Manual Therapy: To reduce soft tissue tension and improve joint mobility.

Surgical Management

For severe or persistent cases, surgery may be necessary to relieve pressure on the nerve. Common procedures include:

• Ulnar Nerve Decompression: Removing obstructions or expanding the cubital tunnel.

• Nerve Transposition: Relocating the nerve to a less compressive position.

Rehabilitation at Palms Physiotherapy & Allied Health

We offer individualized rehabilitation plans, including:

• Post-Surgical Recovery: Ensuring safe and effective healing.

• Gradual Return to Activity: Customized exercises to restore strength and coordination.

• Preventive Education: Strategies to minimize recurrence.

Preventing Ulnar Nerve Entrapment

• Avoid prolonged elbow pressure or repetitive motions.

• Maintain proper posture and ergonomics.

• Use padding or supports during high-risk activities.

Why Choose Palms Physiotherapy & Allied Health?

Our team of experienced professionals is dedicated to delivering evidence-based treatments for ulnar nerve entrapment. We focus on relieving symptoms, restoring function, and preventing recurrence.

Australian Resources for Ulnar Nerve Entrapment

• Healthdirect Australia – Nerve Compression Disorders
  https://www.healthdirect.gov.au/nerve-compression

• Better Health Channel – Peripheral Neuropathy
  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/peripheral-neuropathy

• Australian Physiotherapy Association – Elbow Pain
  https://australian.physio/elbow-pain

Contact Us Today

If you’re experiencing symptoms of ulnar nerve entrapment, the team at Palms Physiotherapy & Allied Health is here to help. Book an appointment at our Malaga or Noranda locations to start your recovery journey.