Los Angeles Hand Surgeon

Avosant
  
Home
About us
Our Services
Testimonials
Appointments
Contact us
 
Learn More
Animal and Human Bites
Arthritis at Base of Thumb
Brachial Plexus Injury
Carpal Tunnel Syndrome
Congenital Hand Differences
Cubital Tunnel Syndrome
De Quervain's Tendonitis
Dupuytren's Disease
Extensor Tendon Injuries
Fireworks Accident
Flexor Tendon Injuries
Ganglion Cysts
Hand Fractures
Hand Infections
Kienböck's Disease
Nail Bed Injuries
Nerve Injuries of the Hand
Osteoarthritis of the Hand
Prosthetics and Amputation
Reflex Sympathetic Dystrophy
Replantation
Rheumatoid Arthritis
Scaphoid Fractures
Scaphoid Non-Union
Tendon Transfer Surgery
Tennis Elbow
Thumb Sprains
Trigger Finger
Vascular Disorders
Wrist Arthroscopy
Wrist Fractures
Wrist Sprains


Diagnosis Model
Hand Diagnosis Model

Appointments

Call our offices at:
(310) 274-3481
(800) 964-0404

Beverly Hills
9301 Wilshire Boulevard
Suite 406A
Beverly Hills, California 90210



Insurance
 
INSURANCE & WORKERS' COMPENSATION ACCEPTED!
We accept most types of insurance providers and specialize in the treatment of workers' compensation injuries to the hand and upper extremity.





Cubital Tunnel Syndrome


Causes of Cubital Tunnel Syndrome
Symptoms including Pain, Numbness, or Tingling
Diagnosis & Medical Conditions
Non-Surgical & Surgical Treatments

Inside the elbow, in the area commonly called the "funny bone," the ulnar nerve runs under a bump of bone, the medial epicondyle. If this nerve, which is directly next to the bone and can be pressed against it, receives enough pressure, the way the nerve works can be disturbed. When this happens, numbness, tingling, and pain can be felt in the elbow, forearm, hand, and even all the way down to the fingers. This condition is known as cubital tunnel syndrome.

Cubital Tunnel Syndrome


Causes of Cubital Tunnel Syndrome
The pressure that disturbs the ulnar nerve can come from a variety of sources. The placement of the nerve, right next to the bone and lacking much padding, means that any pressure that is put on the bone is also felt by the nerve. You can sometimes glimpse this condition if you lean the inner part of your elbow against a table and feel your arm fall asleep. If the pressure is kept up, you may feel pain. If this happens repeatedly, the numbness and pain may last longer each time and can eventually become permanent.

In some people, the ulnar nerve may click as it goes back and forth over the bony bump when the elbow is bent and straightened back out. If this keeps happening, the nerve may become irritated. The ulnar nerve can also receive pressure if the elbow is bent for a long time and is stretched across the medial epicondyle; this can happen when sleeping. Sometimes the pressure comes from a thickening of the nerve's connective tissue or from differences in how the muscle over the nerve at the elbow is shaped. When the pressure on the nerve is large enough and keeps up for a long time, cubital tunnel syndrome can result.

Back to the Top


Symptoms of Cubital Tunnel Syndrome
If someone has cubital tunnel syndrome, they usually feel pain, numbness, or tingling in the ring and little fingers. The feelings are greater when the elbow is resting on an arm rest or when the elbow is repeatedly bent and straightened. The symptoms of cubital tunnel syndrome are often felt when the elbow is kept in the same position for a long time, such as when sleeping or holding a telephone.

Some people with cubital tunnel syndrome notice that their pinch is weaker or may occasionally be clumsy and drop things often. If the syndrome is bad enough, the hand muscles can lose size and strength and the numbness may become more extensive.

Back to the Top


Diagnosis & Medical Conditions
Cubital tunnel syndrome is determined by your hand doctor, who will check how your symptoms are distributed and what their pattern is. This involves checking the strength of your muscles and whether there is any loss of feeling. Your hand surgeon will also see how sensitive the ulnar nerve is to tapping or bending. You may also be checked for other medical conditions such as diabetes or any thyroid disease.

Elbow Pain

To confirm the diagnosis, you may be asked to have an electromyography (i.e., an EMG test) or a nerve conduction study (i.e., an NCS). These studies indicate the severity of your condition.

Back to the Top


Non-Surgical & Surgical Treatments
If the EMG/NCS tests show that the nerve isn't under a great deal of pressure, the symptoms of cubital tunnel syndrome can sometimes be reduced without surgery. The pressure on the nerve can be reduced by changing how the elbow is used. For example, you may be asked to refrain from resting your elbow on hard surfaces so as to ease your symptoms.

If the symptoms can't be reduced or eliminated and are too severe, a hand surgeon may suggest that surgery is the only method to eliminate the pressure. Sometimes the surgery involves shifting the ulnar nerve to the front of the elbow, and this treatment can reduce the pressure on the nerve as well as the tension it may be under. Other treatments involve placing a layer of fat under or inside the muscle and over the nerve or trimming the bony bump.

The process of recovery from surgery will depend on your particular course of treatment. Hand and wrist strength may take several months to return, and the numbness or tingling in the ring and little fingers may disappear quickly or slowly. If the cubital tunnel syndrome was extremely severe, the symptoms may continue, even after surgery.

Back to the Top



 
 

 
We serve the following cities within Los Angeles, which are in close proximity to our offices:
Agoura Hills, Brentwood, Canoga Park, Century City, Chatsworth, Culver City, Glendale, Granada Hills, Hollywood, Los Angeles, Marina Del Rey, North Hollywood, Northridge, Rancho Park, Reseda, Santa Monica, Sherman Oaks, Studio City, Tarzana, Valencia, Van Nuys, West Hills, West Hollywood, West L.A., Winnetka, Woodland Hills