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Cubital Tunnel Syndrome

Cubital Tunnel Syndrome

You notice that the hand falls asleep mostly in middle of the night and you feel your pink is numb. This is typical in ‘Cubital Tunnel Syndrome’. It is the name of group of symptom that appears due to compression or irritation one of the main nerves of the hand called ‘Ulnar Nerve’ at the elbow. The nerve supplies the forearm and also to some part of the hand.

Cubital Tunnel Syndrome is almost the same as Carpal Tunnel Syndrome with some differences of symptoms’ appearance and site of entrapments. Ulnar nerve has a long route from its origin to the end and it can get compromised at many points. According to stats the ‘Cubital Tunnel Syndrome’ stands 2nd in ranking, Carpal Tunnel being the 1st in the list of ulnar nerve entrapments.  On its way to hand, it crosses right in the back of the inside elbow through a very small tunnel called cubital tunnel.  This is commonest site of all, for ulnar nerve to get irritated or compressed. This part of the elbow is also commonly called funny bone. One feels tingling or current running along the arm, when the bone is hit directly on funny bone. This happens because ulnar nerve is quite superficial at this site.

Men are its victim 3-8 times more than women, unlike carpal tunnel. Cubital Tunnel Syndrome is seen in people who are in habit of keeping their arm bent for prolong duration, as in sitting or lying down, while resting on the elbow. What takes place in cubital tunnel syndrome due to variety of reason is, the nerve function is compromised due to pressure and swelling. Due to this malfunction, in early or mild case, one, experiences numbness and tingling that might come and go or is not there all the time. Eventually the suffer starts noticing that even simple tasks done with hands are becoming difficult due to loss of power in hand and fingers (clumsy hands). In some it might be observed that some grooves appear in the palm. In most advance case the fingers get bend in ward (ulnar claw hand).

The people who come with cubital tunnel syndrome symptoms often have a history of

  • Some sort of arm injury/ trauma.
    •  direct
    • indirect
    • Elbow deformity;
      •  by birth or
      • acquired due to
        • fracture or dislocation
        • under lying condition like
          • diabetes
          • thyroid malfunction
          • arthritis
          • Habit of prolong elbow bending, like sleep with arm bent.
          • A job demand, for example over
            • over head throwers
            •  telephone operators
            •  Computer operators

There will be increased traction, friction and compression of the nerve at the elbow. These people over a period of time tend to face this situation. In some there will be

  • adhesions in the tunnel
  • increased musculature bulk
  • ligament thickening

Leading to increased pressure in the canal by swelling and nerve will be squeezed.

 

The important point in diagnosis is to establish the site of entrapment. This can be easily done on a thorough physical examination, targeting the elbow. Occasionally EMG and nerve conduction study is done for site confirmation.

The aim of the treatment is to reduce the irritation and swelling of the nerve. This can be done by altering the movement/s, which is/are the source. At times, elbow is put in splint for rest. Some exercises are recommended to strengthen the muscles around the elbow and also activity modification advised, so the nerve irritation is lessened. People with prolonged neglect have more serious outcome and surgery is suggested to relieve the nerve.

Anyone in Houston!  Suspecting or has been diagnosed to have cubital tunnel syndrome, come to ‘Walk in Chiropractic Associates’. We will help you get relief from the suffering and bring you back to the normal healthy living.

‘Walk in Chiropractic Associates’ is proud to have specialized and experienced chiropractors on its team. We toil to reach the root cause and plan a course to remove it. The goal is to eliminate the irritation at the earliest with long lasting relief. Our wellness clinic uses the latest therapies available for the conditions. Some of those are electric stimulation, ultra sound therapy, LLLT and many more. We have expert chiropractors who have specialized in diet based remedies as well.

You can call us on (713) 529-4808 or visit our site www.houstonchiropractor.us for further queries and to book an appointment. Our patient’s reviews are also available on our site. We are located at 2002 Binz Street, suite B, Houston, TX 77004.