Hand & nerve

Cubital tunnel syndrome

Ulnar nerve compression at the elbow: little and ring finger tingling.

What it is

The ulnar nerve runs behind the inside of the elbow, where it is easily compressed or stretched by prolonged bending. Left untreated for a long time it can cause lasting weakness in the small muscles of the hand.

How it usually presents

  • Tingling in the little and ring fingers, worse with the elbow bent
  • Pain on the inside of the elbow
  • Weak grip and clumsiness with fine tasks

How it is assessed

Examination of nerve function in the hand, with nerve conduction studies.

Treatment options

  • Elbow position advice and night splinting
  • Nerve decompression at the elbow
  • Transposition of the nerve in selected cases

Non-surgical treatment is considered first wherever it is reasonable. Which option suits you depends on your symptoms, your goals and what you want from treatment, which is exactly what we discuss in clinic.

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If this page sounds familiar, an appointment gives us the chance to confirm the diagnosis and go through your options together.

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