Dr. Adolph Lombardi Jr.
Hip, Knee
Cubital Tunnel Release
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If you’re experiencing numbness, tingling, or weakness in your ring finger or hand, you might be dealing with cubital tunnel syndrome. Fortunately, a cubital tunnel release procedure can relieve pressure on the nerve and restore normal hand function.
At JIS Orthopedics, with locations in New Albany and St. Clairsville, OH, our experienced orthopedic specialists provide comprehensive care for compressive ulnar neuropathies like cubital tunnel syndrome. Call us today to schedule a consultation!
What is Cubital Tunnel Release?
Cubital tunnel release is a surgical procedure designed to relieve pressure on the ulnar nerve as it passes through the cubital tunnel at the medial epicondyle of the elbow joint. The ulnar nerve travels from the neck, through the cubital tunnel at the inside of the elbow, and down to the hand. When this nerve becomes compressed, it can cause numbness, tingling, or pain in the hand, especially in the ring finger and pinky.
During a cubital tunnel release procedure, the surgeon increases the space in the cubital tunnel by cutting its overlying tissue or moving the nerve to a less restrictive position. This reduces pressure on the ulnar nerve and prevents further nerve damage.
When is Cubital Tunnel Release Recommended?
Cubital tunnel release surgery is typically recommended if:
- Nonsurgical treatments did not resolve symptoms – Non-surgical treatments include bracing, anti-inflammatory medications, or physical therapy.
- Symptoms are persistent or worsening – If numbness, tingling, or weakness in the hand becomes severe or continuous, surgery may be necessary to avoid permanent nerve damage.
- Nerve conduction studies show nerve damage – Diagnostic tests like nerve conduction studies can assess the severity of ulnar nerve compression and help determine if surgery is required.
If left untreated, ulnar nerve entrapment can lead to muscle weakness and loss of hand function. If these symptoms are affecting your quality of life, your doctor may suggest a cubital tunnel release procedure to relieve pressure on the nerve.
How to Prepare for the Procedure
Proper preparation for a cubital tunnel release surgery ensures a smooth and safe experience. Here’s what to expect:
- Pre-Surgery Consultation – Your orthopedic specialist will discuss your medical history, perform a physical exam, and review any test results, like nerve conduction studies.
- Medications – You may be advised to avoid certain medications, like blood thinners, before the procedure.
- Fasting – If general anesthesia is used, you may need to avoid food and drink for several hours before surgery.
- Arrange Transportation – Since anesthesia will be used, you will need someone to drive you home.
Following these steps will help you feel prepared and confident on the day of your cubital tunnel release procedure.
What Happens During the Procedure?
A cubital tunnel release is an outpatient surgical procedure that typically takes about 20 to 40 minutes. Here’s what you can expect:
- Anesthesia – Local or general anesthesia is administered to keep you comfortable during surgery.
- Incision – A small incision is made on the inside of the elbow joint to access the cubital tunnel.
- Nerve Decompression – The surgeon carefully releases the connective tissue over the ulnar nerve, creating more space for it to move freely.
- Closure – The incision is closed with sutures, and a bandage is applied.
In some cases, the surgeon may move the ulnar nerve to a new position to reduce pressure further. This procedure is known as ulnar nerve transposition.
What Happens After the Procedure?
After a cubital tunnel release procedure, you’ll spend a short time in recovery before being discharged. Here’s what the recovery process looks like:
- Pain and Swelling – It’s normal to experience mild pain, swelling, and stiffness around the elbow joint. Over-the-counter pain relievers may be recommended.
- Immobilization – You may need to wear a splint or soft dressing to keep the elbow straight and protect the incision site.
- Physical Therapy – After the initial healing phase, you’ll begin physical therapy to restore flexibility, strength, and full range of motion in the arm.
- Return to Normal Activities – Most people can resume daily activities within a few weeks, although heavy lifting or repetitive arm movements should be avoided until cleared by your doctor.
Recovery time varies depending on the severity of the nerve compression and the specific surgical approach used.
What Are the Possible Complications?
While a cubital tunnel release is generally safe, like any surgical procedure, it comes with potential risks, including:
- Infection – Proper wound care reduces this risk.
- Bleeding – Some bleeding is normal, but excessive bleeding may require medical attention.
- Nerve Damage – Though rare, injury to the ulnar nerve or surrounding nerves can occur.
- Stiffness or Weakness – Temporary stiffness or muscle weakness is common but typically improves with physical therapy.
Your doctor will discuss these risks with you before the procedure and guide you on how to minimize them.
Benefits of Cubital Tunnel Release
A cubital tunnel release surgery offers several important benefits for people with ulnar nerve entrapment, including:
- Pain Relief – Relieve persistent pain and discomfort in the hand and elbow joint.
- Improved Hand Function – Restores grip strength and finger movement, especially in the ring finger and pinky.
- Prevent Further Damage – Early intervention can prevent permanent nerve damage, muscle wasting, and loss of hand function.
- Quick Recovery – The procedure is outpatient, and most people return to normal activities within a few weeks.
Get Relief with Expert Care from JIS Orthopedics
If numbness, tingling, or weakness in your hand is affecting your daily life, you don’t have to suffer. Our specialists at JIS Orthopedics offer expert care for cubital tunnel syndrome and related compressive ulnar neuropathies. With convenient locations in New Albany and St. Clairsville, OH, our team can provide you with effective treatment options, including cubital tunnel release surgery.
Don’t let ulnar nerve entrapment limit your activities. Contact us today to learn more about how a cubital tunnel release procedure can restore your hand function and improve your quality of life. Our experienced orthopedic team is ready to provide the care you need.
Medically reviewed by Dr. AJ Julka
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