Ulnar neuropathy at the elbow is the second most common entrapment neuropathy after carpal tunnel syndrome. If you’re experiencing elbow pain, tingling in your fingers, or weakness in your hand, you might be dealing with ulnar nerve entrapment, also known as cubital tunnel syndrome. At The Orthopaedic & Pain Practice, our goal is to help you relieve your pain and regain function of your hand, wrist, elbow, or shoulder. Let’s explore the various treatment options available for elbow nerve pain treatment, offering specific, actionable information to help you understand your condition and take the next steps toward recovery.
Understanding Ulnar Nerve Entrapment
Ulnar nerve entrapment occurs when the ulnar nerve, which runs along the inside of your elbow, becomes compressed or irritated. This can happen due to a variety of factors, including:
- Leaning on your elbow for extended periods
- Fluid buildup in the elbow
- Arthritis in the elbow or wrist
- Activities involving repetitive bending and straightening of the elbow
Symptoms of ulnar nerve entrapment can include:
Non-Surgical Elbow Nerve Pain Treatment Options
In many cases, non-surgical treatments can effectively manage ulnar nerve entrapment. We always explore conservative treatment first and consider surgery only if necessary. Here’s a look at some common non-surgical approaches:
Rest and Activity Modification
The most effective first step is often to stop or modify the activities that are causing your symptoms. This might involve:
- Avoiding leaning on your elbow
- Taking frequent breaks during activities that require repetitive elbow movements
- Using healthy body and wrist alignment
Splints and Braces
Wearing a splint or foam elbow brace, especially at night, can help keep your elbow straight, limiting movement and reducing irritation.
Elbow Pads
An elbow pad can protect against chronic irritation from hard surfaces, providing a cushion and reducing pressure on the ulnar nerve.
Medications
Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help lower pain and inflammation.
Occupational and Physical Therapy
Working with an occupational or physical therapist can help you strengthen your arm and hand, improve flexibility, and learn nerve-gliding exercises. These exercises help the nerve slide through the proper “tunnels” in the wrist and elbow. During your initial physical therapy session, your physical therapist will give you tips on how to rest your elbow and how to do your activities without putting extra strain on your elbow.
Other Therapies
Additional treatment options that may provide relief include soft tissue massage, ice massage, and acupuncture.
Surgical Elbow Nerve Pain Treatment Options
If non-surgical treatments haven’t eased your symptoms or if there is obvious muscle damage, your doctor may suggest surgery. The goal of surgery is to remove pressure from the nerve. Surgical options include:
- Cubital Tunnel Release: This procedure increases the size of the cubital tunnel to give the nerve more room.
- Ulnar Nerve Anterior Transposition: This moves the ulnar nerve so that it doesn’t stretch over the bony parts of the elbow joint.
- Medial Epicondylectomy: This removes the bump on the inside of the elbow joint, which takes pressure off the ulnar nerve.
Post-Surgical Care and Outlook
Following surgery, physical therapy is typically recommended to regain your arm and hand strength. You might also need to wear a splint for a few weeks to ensure proper elbow healing. Long-term care includes avoiding trauma to your elbow and modifying activities to prevent further irritation.
Personalized Care at The Orthopaedic & Pain Practice
At The Orthopaedic & Pain Practice, we understand that elbow pain can significantly impact your daily life. That’s why we offer personalized care, tailoring treatment plans to your specific needs and condition. We explore conservative treatment options first and consider surgery only when necessary.
If you’re ready to find relief from elbow nerve pain and regain function in your arm and hand, we’re here to help.