He’s good at what he does and he’s compassionate. If persistent discomfort has left you considering surgery for your cubital tunnel syndrome, you can turn to the board-certified specialists at Louisville Orthopaedic Clinic for expert guidance about your next steps. Sometimes, surgery may be needed to relieve the pressure on the nerve. But more severe cases may require surgery to reduce pressure on the affected nerve. He and Carly listen to my concerns, act promptly and work hard to make this journey the best it can be. During the procedure, a part of the medial epicondyle (found in the arm) is removed. Ulnar nerve release surgery is a procedure for cubital tunnel syndrome – also known as ulnar nerve entrapment. I would highly recommend Dr. Yakkanti to anyone thinking about knee replacement! Dr. Yakkanti did my knee replacement in June. Its symptoms - numbness, weakness, tingling, and pain - are similar to carpal tunnel syndrome. He is an excellent surgeon with a great bedside manner. The BMC Connection. Exercises may help too. No matter which type of cubital tunnel surgery is performed, you will be fitted with a cast afterward, and you can start to gently use the hand again once the cast is removed. Services. She was very thorough and extremely friendly. Cubital tunnel syndrome (also known as ulnar neuropathy) is a nerve compression syndrome which affects the ulnar nerve that runs along the inside of the elbow. Cubital tunnel syndrome (ulnar nerve entrapment) occurs when the ulnar nerve becomes compressed by the cubital tunnel as it runs through the elbow. A splint, also known as a brace, is a rigid device that holds a body part in place so that it is unable to move. It is usually used as a treatment for a suspected fracture, sprain/ligament damage, or other injury. I have recovered nicely and plan to have my other knee replaced within the next year. During cubital tunnel release surgery, the ligaments that make up the “roof” of the tunnel are cut to take pressure off of the ulnar nerve. This procedure tends to work best when the nerve compression is mild or moderate. Rebecca took the time to listen to all of my issues and discuss a plan for additional treatment. Your surgeon will talk to you about options. It seemed to be a very busy day. 4130 Dutchman's Lane,Suite 300,Louisville 40207(502) 897-1794, 3605 Northgate Court,Suite 207,New Albany 47150(812) 920-0408, © 2020 Louisville Orthopaedic Clinic | Follow Us on Facebook, Surgery & Sports Rehab Therapy CDC Guidlines. A surgery performed to release the cubital nerve, which runs along the inside of the elbow. Your physician will ask you a series of questions and is likely to do a physical exam. In some cases, surgery may be done. The cubital tunnel is a narrow passageway of tissue located on the inside of the elbow, just under the boney bump that’s often referred to as the “funny bone.”. Doctor Lewis is my surgeon and I love him. Treatments for Cubital Tunnel Syndrome Bracing/Splinting. During the procedure, the ulnar nerve is moved to a new place that keeps it from stretching when the elbow is bent. I have always been impressed with her knowledge and bed side manner. Cubital tunnel syndrome -- also known as ulnar neuropathy -- is caused by increased pressure on the ulnar nerve, which passes close to the skin's surfa… In most cases, symptoms can be managed with nonsurgical treatments like changes in activities and bracing. Common areas for exercising include the hands, forearms, and neck. A single-fiber electromyography measures the electrical energy traveling between the brain and muscles. If you live in the New Albany area and would like to learn more about cubital tunnel syndrome surgery, contact our friendly team today to schedule an in-person or telemedicine appointment. Learn more about this procedure. Louisville Orthopaedic Clinic is led by seasoned orthopedic surgeons who utilize minimally invasive and muscle-sparing techniques when performing cubital tunnel syndrome surgery. A form of electromagnetic radiation with very high frequency and energy. So glad A friend told me to come see you guys! Depending on the medical condition being treated, activity modification may include: decreasing or increasing one's level of physical activity; added rest; beginning a new activity or exercise program; changing sleep habits; or modifying one's physical environment at home, in their vehicle, or at work. A series of exercises that encourage the nerves to glide normally as the joints are moved. One of the main nerves of the arm, the ulnar nerve travels from the neck to the fingers and is responsible for … The New Albany office of Louisville Orthopedic is full of terrific people who know what excellent customer service is about! The nerve may be moved to lie under the skin and fat but on top of the muscle, or within the muscle, or under the muscle. Numbness and tingling in the hand and fingers are common symptoms of cubital tunnel syndrome. Cutibal tunnel syndrome is a condition in which nearby tissue puts pressure on the nerve inside the cubital tunnel, a narrow space through which the ulnar nerve passes around the elbow. These are often used post-surgery or as part of a rehabilitation program after an injury. Skip to content. From the front desk to the lab, they are great. Therapy is sometimes needed after surgery, and the time it takes to recover can vary. Many cases of cubital tunnel syndrome can be effectively managed with conservative methods like bracing, anti-inflammatory medication, and a routine of nerve-gliding exercises. Boston Medical Center (BMC) is a 514-bed academic medical center located in Boston's historic South End, providing medical care for infants, children, teens and adults. This way, patients can experience a more rapid recovery and less post-operative discomfort. The most common symptom of cubital tunnel syndrome is numbness, tingling, and pain in the hand and/or ring and little finger, especially when the elbow is bent. An operation to treat patients with cubital tunnel syndrome, a condition affecting the inside of the elbow. In most cases, cubital tunnel syndrome and radial tunnel syndrome can be managed with conservative treatments. Since 1974, our independently owned practice has provided advanced surgical treatment to patients with orthopedic health concerns like cubital tunnel syndrome, and we’d be happy to provide the specialized care you need to feel your best. The ulnar nerve passes close to the skin's surface in the area of the elbow commonly called the "funny bone." This was my first time at Louisville Orthopaedic Clinic and I saw Melissa Parshall PA-C. The physical exam will including examining any specific areas of concern, especially as they relate to the reason for your visit to the office. This can involve releasing the nerve, moving the nerve to the front of the elbow, and/or removing a part of the bone. This prevents the nerve from getting caught on the boney ridge and stretching when the elbow is bent. Carly and Dr Goodin both have GREAT bedside manner and I feel I am in expert care with them. Cubital tunnel syndrome can be treated with rest and medicines to help with pain and inflammation. Less commonly, surgery may be performed to adjust the placement of the nerve or to remove a portion of surrounding bone. Ulnar nerve compression at the elbow is called "cubital tunnel syndrome." A class of medications, including but not limited to aspirin, naproxen, and ibuprofen, that are used for reducing pain and redness, swelling, and heat (inflammation) in arthritis and other painful inflammatory disorders. Treatment for severe cubital tunnel syndrome is usually surgery, which may involve repositioning the ulnar nerve, dividing a nearby ligament or shaving off a small amount of bone. Importance: Cubital tunnel syndrome is the second most common compressive neuropathy, affecting 6% of the population.Numerous different operations are performed globally to treat it; however, prior conventional (pairwise) meta-analyses have been unable to determine which procedure is associated with the best outcomes and fewest complications. Thank you. However, cubital tunnel syndrome surgery may be recommended to patients with disruptive symptoms that do not improve with conservative treatment. They relieve pressure on the nerves of the arm and help prevent stiffness in the arm and wrist. In some cases the nerve can be simply decompressed; in other cases the ulnar nerve must be moved to a different position about the elbow. X-rays are used to examine and make images of things such as the bones and organs inside the body.