Ulnar Nerve Decompression

What is ulnar nerve decompression, and why might it be needed?

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Ulnar nerve entrapment is a common nerve compression condition that can cause pain, weakness, and numbness in the hand and wrist. Ulnar nerve decompression surgery is a minimally invasive procedure that can provide relief to patients suffering from this condition. 

If you are experiencing symptoms of ulnar nerve entrapment, contact us today to schedule an appointment with our experienced orthopedic surgeons at OrthoNeuro. Our skilled hand, wrist, and elbow specialists in Columbus, Ohio can provide a comprehensive evaluation and determine if ulnar nerve decompression surgery is an appropriate treatment option for you.

Contact us today to schedule an appointment and take the first step toward living a pain-free life!

What Is Ulnar Nerve Decompression?

Ulnar nerve decompression is a surgical procedure used to treat ulnar nerve entrapment or compression—a condition that occurs when the ulnar nerve passing through the elbow is compressed or pinched, causing pain, numbness, and weakness in the hand and fingers.

The ulnar nerve is one of the major nerves in the arm and travels from the neck to the hand, passing through several narrow passages and tunnels along the way. The most common location of ulnar nerve compression is at the elbow, where it passes through a narrow tunnel called the cubital tunnel.

What Can an Ulnar Nerve Release Surgery Accomplish?

Ulnar nerve release surgery, also known as cubital tunnel release surgery, is a surgical procedure that aims to relieve pressure on the ulnar nerve as it passes through the cubital tunnel in the elbow. 

This procedure can accomplish various goals, including reducing pain, tingling, and numbness in the hand and fingers, improving grip strength, and restoring normal function to the affected limb.

Who Is a Candidate for an Ulnar Nerve Decompression Surgery?

A candidate for ulnar nerve decompression surgery is someone who has been diagnosed with cubital tunnel syndrome. Cubital tunnel syndrome is a condition in which there is pressure on the ulnar nerve as it passes through the cubital tunnel in the elbow. This can cause pain, numbness, tingling, and weakness in the hand and fingers.

Ulnar nerve decompression surgery may also be considered for individuals who have a history of trauma or injury to the elbow that has resulted in nerve compression, or for those with chronic conditions such as arthritis that can cause pressure on the ulnar nerve.

In some cases, individuals with carpal tunnel syndrome, a condition in which there is pressure on the median nerve in the wrist, may also benefit from ulnar nerve decompression surgery. This is because the ulnar nerve passes through the wrist and can be affected by the same conditions that cause carpal tunnel syndrome.

What Happens During an Ulnar Nerve Decompression Surgery?

During ulnar nerve decompression surgery, the surgeon will make an incision in the skin over the elbow and locate the ulnar nerve. The surgeon may then perform an ulnar nerve transposition, which involves moving the nerve to a new location to relieve pressure.

In some cases, the surgeon may simply release any tight tissue around the nerve to allow it to move more freely. This can help to relieve pressure on the nerve and reduce symptoms such as pain, numbness, and tingling in the hand and fingers.

Once the ulnar nerve is decompressed, the surgeon will close the incision and apply a dressing. The patient may need to wear a splint or brace to protect the elbow and limit movement while the nerve heals.

Ulnar Nerve Surgery Recovery

Immediately following an ulnar nerve surgery, the patient’s arm may be immobilized with a splint or brace to protect the elbow and allow the nerve to heal. The patient may also be instructed to keep the arm elevated to reduce swelling and promote healing.

In the days and weeks following surgery, the patient will need to attend follow-up appointments with their doctor to monitor their progress and remove any sutures or staples. The patient may also be referred to a physical therapist who can guide them through physical therapy exercises to help regain strength and mobility in the affected arm.

The recovery time for ulnar nerve release surgery can vary depending on the individual patient and the extent of the surgery. However, most patients can expect to return to normal activities within 4-6 weeks following surgery.

During the recovery process, it is important for patients to avoid activities that could place excessive strain on the affected arm, such as heavy lifting or repetitive motions. Patients should also avoid smoking, as smoking can impair healing and increase the risk of complications.

Overall, with proper care and attention, most patients can expect to have a successful recovery following ulnar nerve release surgery. Patients should follow their doctor’s instructions closely and report any unusual symptoms, such as increased pain or swelling, to their doctor immediately.

What Are the Possible Risks of an Ulnar Nerve Release?

While ulnar nerve release surgery is generally safe and effective, there are some potential risks and complications that patients should be aware of before undergoing surgery.

One of the primary risks associated with ulnar nerve release surgery is nerve damage. The ulnar nerve passes through a narrow tunnel of tissue behind the medial epicondyle of the elbow. The surgeon may need to manipulate the nerve during the surgery to relieve pressure. This manipulation can sometimes cause temporary or permanent nerve damage, resulting in symptoms such as weakness, numbness, tingling, or loss of sensation in the hand or fingers.

Another risk of ulnar nerve release surgery is infection. Whenever the skin is cut, there is a risk of bacteria entering the body and causing an infection. While rare, infections can be serious and require additional medical treatment.

Overall, while ulnar nerve release surgery can be an effective treatment for ulnar nerve compression, patients should be aware of the potential risks associated with the procedure. Patients should discuss these risks with their doctor and carefully consider the benefits and risks before deciding to undergo surgery.

Get Help with Your Pain Today

If you are experiencing pain, numbness, or tingling in your hand or fingers, it may be a sign of ulnar nerve compression. At OrthoNeuro, we offer ulnar nerve release surgery as a treatment option to relieve pressure on the nerve and alleviate symptoms.

Our experienced surgeons use the latest surgical procedures and techniques to ensure a safe and successful procedure. Contact us today to schedule a consultation and learn more about how ulnar nerve release surgery can help improve your quality of life!

Hand, Wrist, and Elbow Specialists

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