Methods Of Treating Cubital Tunnel Syndrome

Ulnar Nerve Decompression Surgery

A surgical procedure is recommended when nonsurgical therapies are not improving symptoms. The ulnar nerve decompression surgery is a procedure that goes through the elbow where the ulnar nerve passes through. The region around the elbow contains several passages that run through connective tissues and muscle, which can compress the ulnar nerve. A surgeon has to go in and remove anything compressing the nerve.

In this procedure, a three- to four-inch incision is made along the side of the elbow deep enough to get to the ulnar nerve. The surgeon will trace the nerve through the different passages to relieve pressure. The ulnar nerve goes across the entire region surrounding the elbow during the procedure. The connective tissues and skin are closed with stitches. After the surgery, the patient's arm is wrapped in a loose bandage. They also have to keep their arm elevated to prevent swelling for the first twenty-four to forty-eight hours. Stitches are removed within ten to fourteen days.

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Rehabilitation Therapy

A patient's recovery depends on the type of elbow surgery they received. If their arm is wrapped with a soft, loose bandage, they probably only had their medial epicondyle removed. This type of surgery allows them to start rehabilitation therapy sooner.

Rehabilitation starts with full range of motion exercises, and patients have to gradually work their way up to strengthening and stretching exercises. However, it is important to be careful and not overdo it too soon. Patients usually can participate in an active physical therapy program six weeks after surgery. The program shows them how to use their muscle power with full range of motion exercises. They also will start strengthening their hand and forearm with special putty. The exercises consist of stretching and squeezing the putty. They allow patients to work their muscles without overstraining their tissues. The physical therapy program will help their elbow get back to doing regular everyday tasks. It will show patients how to do the tasks without putting extra stress on their elbow.

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