Hi. my name is khurram pervaiz. I am a shoulder, elbow and hand specialist with the Orthopedic Associates of Central Maryland and I work at Howard County General . There are several nerves around the elbow. There is the ulnar nerve, the radial nerve and the median nerve.
The one that’s most commonly affected is the ulnar nerve, the nerve that crosses the inside of the elbow. This nerve can travels through a tunnel and when the tunnel gets narrow the condition, also known as cubital tunnel syndrome can give you pain, numbness and tingling from the elbow radiating down into the hand.
So the ulnar nerve is the main nerve on the inside of the elbow, also known as the funny bone. So, when one would hit their elbow on something hard and you get a numbness and tingling in your little finger, you’ve essentially hit the ulnar nerve. This condition.
Can sometimes be confused with carpal tunnel syndrome. in fact the symptoms can overlap. I frequently see patients with both carpal and cubital tunnel syndrome having a pinched nerve around the wrist as well as around the elbow. This is why it’s important for you to be evaluated by.
An upper limb specialist, somebody that specializes in treatment of such conditions. Frequently, a nerve test also known as an EMG or a nerve conduction study is necessary to assess the severity of the nerve compression around the elbow. Symptoms of cubital tunnel syndrome are nerve compression around the elbow, are.
Frequently pain on the inside of the elbow that radiates down into the little finger and half of the ring finger. It can give you numbness and tingling. A lot of my patients tell me it wakes them up in the middle of the night, bothers them when they’re driving. This has also been coined as cellphone elbow because when you hold a cell phone up to your ear.
And you have your elbow bent for a long period of time people will have numbness and tingling in the little finger. That can be one of the early signs of cubital tunnel syndrome. An EMG or a nerve conduction study is a specialized test frequently done by somebody that specializes in nerve conduction studies.the arm.
Um. physicians that train in something like this can be physical medicine and rehab specialists or neurologists. Cubital tunnel syndrome in the early stages can be treated with rest,.
Carpal Tunnel Syndrome Splinting Options
Hi im matti palo and i am a board certified orthopedic surgeon and i just wanna take a moment to discuss treatment options for Carpal Tunnel Syndrome and in particular splinting The American academy of Orthopedic Surgeons recommends either a local cortisone shot or a trial of wrist splinting before considering surgical intervention.
Now what’s a trial a trial is at least three weeks Of wearing a wrists splint that keeps ideally the wrist in the neutral position So I want to talk about some of the options available out there For wrist splinting now this is a overthecounter brace and it has what we call.
A palmer spar now this is designed to keep the wrist in a slightly extended position and there’s really only two its a good splint really only two problems with it One is the spar is on the palm side so if your actually trying to wear this at work or during activities of daily living it’s a little bit difficult because.
This spar can get in the way particularly with typing or anything that requires gripping which unfortunately a lot of daytime activities do require gripping so thats the only problem with this other than that its a good brace and the spar is a little bit malleable A little more malleable than I would like It is a plastic spar.
So you’re not able to actually bend it into a i straight position which is the neutral position the ideal position we want the wrist is in neutral like this and so when we have the wrist cocked up were actually can exacerbate the symptoms of carpal tunnel syndrome now the problem with the neutral position and one of the reasons why.
Every splint out there is not in the neutral position is because it’s not as efficient to grip with the hand in the neutral position we actually grip better with our hand back and you can actually test this By grabbing something you will notice if you keep your wrist back you have a lot more strength so.
Sometimes you might have to take the brace off or loosen a brace in order to generate a grip strength you might need so again two things with this brace the spars on the on the bottom on the palm side which can get in the way and it actually keeps the wrist in a slightly extended position so it’s not ideal for carpal tunnel syndrome.
But it’s better than nothing certainly now another common brace configuration is having a spar on the bottom the top or the sides this is actually a a brace for men you can tell by the camouflage and again this spar is in the way When your wearing it and the wrist is in The slightly extended position.