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What Causes Nerve Compression At The Level Of Elbow?

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Posted on Sat, 3 May 2014
Question: I have a pinched nerve in my elbow making my 5th finger totally numb. I had an EMG a few months ago. It showed some kind of tunnel syndrome. Could please tell me the name of what I have and what can be done for it?
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Answered by Dr. Dr. Ivan Romich (27 minutes later)
Brief Answer: Hi and welcome to HCM Detailed Answer: You are probably talking about "cubital tunnel syndrome" or Ulnar Nerve Entrapment and it means that there is nerve compression at the level of elbow and usually it goes with tingling in 4th and 5th finger of the affected arm. At the beginning and in mild cases the treatment is conservative. It means that you need to avoid pressure on elbow,avoid leaning on your elbows and keep iarm straight while sleeping. sometimes also splints can be used. Antiinflammatory mediciens and steroid injections are also possible treatment modalities,but if there is constant numbness as you say then surgery may be the only option. The procedure is not complex and results are great. Ulnar nerve is repositioned during procedure and it helps to remove compression on the nerve. WIsh you good health. Feel free to ask. Regards When symptoms are severe or do not improve, surgery may be needed to relieve the pressure on the nerve. Many surgeons will recommend shifting the nerve to the front of the elbow, which relieves pressure and tension on the nerve. The nerve may be placed under a layer of fat, under the muscle, or within the muscle. Some surgeons may recommend trimming the bony bump (medial epicondyle). Following surgery, the recovery will depend on the type of surgery that was performed. Restrictions on lifting and/or elbow movement may be recommended. Therapy may be necessary. The numbness and tingling may improve quickly or slowly, and it may take several months for the strength in the hand and wrist to improve. Cubital tunnel symptoms may not completely resolve after surgery, especially in severe cases.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13886 Questions

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What Causes Nerve Compression At The Level Of Elbow?

Brief Answer: Hi and welcome to HCM Detailed Answer: You are probably talking about "cubital tunnel syndrome" or Ulnar Nerve Entrapment and it means that there is nerve compression at the level of elbow and usually it goes with tingling in 4th and 5th finger of the affected arm. At the beginning and in mild cases the treatment is conservative. It means that you need to avoid pressure on elbow,avoid leaning on your elbows and keep iarm straight while sleeping. sometimes also splints can be used. Antiinflammatory mediciens and steroid injections are also possible treatment modalities,but if there is constant numbness as you say then surgery may be the only option. The procedure is not complex and results are great. Ulnar nerve is repositioned during procedure and it helps to remove compression on the nerve. WIsh you good health. Feel free to ask. Regards When symptoms are severe or do not improve, surgery may be needed to relieve the pressure on the nerve. Many surgeons will recommend shifting the nerve to the front of the elbow, which relieves pressure and tension on the nerve. The nerve may be placed under a layer of fat, under the muscle, or within the muscle. Some surgeons may recommend trimming the bony bump (medial epicondyle). Following surgery, the recovery will depend on the type of surgery that was performed. Restrictions on lifting and/or elbow movement may be recommended. Therapy may be necessary. The numbness and tingling may improve quickly or slowly, and it may take several months for the strength in the hand and wrist to improve. Cubital tunnel symptoms may not completely resolve after surgery, especially in severe cases.