Restoring Function. Embracing Life.
Cubital Tunnel Specialist in Singapore
Dr Bryan Wang
Consultant Orthopaedic Surgeon
Trusted Orthopaedic Surgeon | Fellowship-trained in Canada | With over 15-years of experience
What is Cubital Tunnel Syndrome?
Cubital tunnel syndrome is a condition that affects the ulnar nerve as it passes through the cubital tunnel, which is a narrow passage on the inside of the elbow. The ulnar nerve is responsible for providing sensation and controlling certain muscles in the hand and forearm. When the ulnar nerve becomes compressed or irritated at the cubital tunnel, it can lead to a range of symptoms. Here's an overview of cubital tunnel syndrome.
Some of the causes for cubital tunnel syndrome include:
Prolonged or repeated bending of the elbow.
Pressure on the elbow, such as leaning on the elbow for extended periods.
Anatomical variations that cause the nerve to be more vulnerable to compression.
Previous injuries to the elbow.
Medical conditions like arthritis.
What are the symptoms?
Numbness and tingling in the ring and little fingers. Weakness in the hand, particularly with gripping or pinching.
Pain or discomfort in the elbow region. Difficulty extending the fingers fully or controlling fine movements. Symptoms may be worse during activities that involve prolonged elbow flexion.
How to Diagnose?
A physical examination by a healthcare provider, often an orthopaedic specialist or a neurologist.
Nerve conduction studies to assess the nerve's function and determine the extent of compression.
Cubital Tunnel Treatment
What are my Treatment options?
If you have any of the symptoms above, it is advisable to see an orthopaedic specialist for further assessment. The appropriate treatment is decided after assessment and a collaborative discussion based on your needs. They can be broadly divided into conservative (non-surgical) and surgical options.
Conservative Treatment
Non-surgical measures will usually be recommended first if you have not had any prior treatment for your cubital tunnel syndrome. Majority of patients do well with non-surgical management. Some of these treatments include:
Avoiding activities that exacerbate symptoms.
Using elbow pads or cushions to reduce pressure on the nerve.
Wearing a splint at night to keep the elbow in a straight position.
Physical therapy to improve strength and flexibility.
Surgical Treatment
Surgery may be recommended if conservative treatments don't provide relief or if the condition is severe.
Surgical options include:
Ulnar Nerve Transposition: The ulnar nerve is repositioned from behind the medial epicondyle (funny bone) to a new location in front of it, relieving pressure on the nerve.
Cubital Tunnel Release: The cubital tunnel is opened to create more space for the nerve, reducing compression.
