Cubital Tunnel Syndrome

Cubital Tunnel Syndrome (CTS) is sometimes known as “funny bone” syndrome, but there is nothing funny about a traumatized Ulnar nerve

The Ulnar nerve is one of the three key nerves supplying sensation and power to the arm, wrist, and hand.

The Ulnar Nerve is positioned in a slightly vulnerable position in the Cubital Fossa, where it can become traumatized; even sitting and leaning elbows on armrests or a desk can be enough to do this.

Any intense physical activity that adds pressure to the nerve can cause CTS, sometimes including abnormal bone growth in the elbow region.

CTS (Ulnar Neuropathy) is a condition that is caused by compression to the ulnar nerve, often by connective tissue or bone but sometimes functionally by trigger points (especially in the Flexor Carpi Radialis and Ulnaris) muscles.

When a trigger point develops, the host muscle becomes shorter, thicker, and less efficient. Because muscles are made up of 75% water and water does not compress well, they become functionally swollen, which often leads to a taut band that can have further pressure effects on local tissues.

Any change in shoulder, wrist, or elbow mechanics over time may manifest in areas of tight muscles where trigger points may develop.

Women have a slightly different elbow anatomy to men. In men, the arms are straighter; women have a larger “carrying angle” to avoid bumping their hands into their wider pelvis.

Women also have 2-19 times more fat content on the inner elbow overlying the funny bone prominence (the ulnar coronoid process). This larger carrying angle seems to reduce the incidence of CuTS. CuTS is 3-8 times more common in men. 

Rehabilitation Exercises For Cubital Tunnel Syndrome

If you have cubital tunnel syndrome, you may be experiencing pain and numbness in your hand. These symptoms occur when the ulnar nerve is compressed inside the cubital tunnel. This nerve is the second most common nerve to be compressed in the arm. It is found near the ulna bone, and is used to provide sensation to the ring and pinkie fingers. A physical therapist can help you determine the cause of your symptoms and design a treatment plan that will improve your condition.

There are several at-home treatments that may help relieve your symptoms of cubital tunnel syndrome. Some of the common methods include exercise, ice and nonsteroidal anti-inflammatory medications. In addition, surgery is also an option. The goal of surgery is to alleviate pressure on the ulnar nerve, which can reduce symptoms.

Physical therapists have the ability to teach you how to perform exercises that will help your body heal. They can also teach you to avoid positions that can worsen your symptoms. For example, if you bend your elbow while sleeping or using your computer, you can rest your elbow on an armrest instead. Similarly, if you frequently sit in a low chair, you should avoid this position.

The most important aspect of cubital tunnel syndrome treatment is to avoid activities that aggravate your condition. This may mean not working or taking a break. Using a rigid elbow brace can help to reduce pain and swelling. Similarly, avoiding vibration-producing tools can also decrease your risk.

You should also avoid the use of vibratory devices and other tools that require you to flex your elbow. This can place unnecessary pressure on the ulnar nerve. To avoid these risks, you should also try to reduce your weight. While obesity has been linked to cubital tunnel syndrome, other risk factors are unknown.

Physical therapists can also teach you ways to prevent further injury to your arm. For example, if you are an athlete, you should make sure you do not over-exert yourself. Also, you should not use vibratory devices for long periods of time. Likewise, you should try to avoid positions that can increase the pressure on the ulnar nerve, such as bending your elbow for long periods of time.

Medication and Surgery

You can also use a steroid injection into the cubital tunnel to alleviate your pain. Alternatively, you may choose to have a medial epicondylectomy, which involves removing a part of the bump in your elbow. When a medial epicondylectomy is performed, the nerve will be less irritated. However, this method has the potential for further nerve damage.

Your therapist can also help you develop a customized postsurgical physical therapy program to help you regain your full range of motion. They can also assist you in developing a stretching program that is safe for you. By incorporating stretches into your rehabilitation routine, you can minimize your risk for further injury.

If you have cubital tunnel syndrome, the key is to do as much as you can to improve your condition. Although a physical therapist can help you achieve a successful outcome, it is up to you to practice what they have taught you. 

This blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.