Cubital Tunnel Syndrome occurs when the ulnar nerve — one of the major nerves of the arm — becomes compressed or irritated as it passes behind the inner elbow through a narrow space known as the cubital tunnel.
This condition can cause pain, tingling, and weakness in the forearm, hand, and fingers, particularly the ring and pinky fingers.
At Dr. Burke Orthopedics, we specialize in diagnosing and treating nerve compression disorders with a focus on restoring function and preventing long-term nerve damage. Dr. Robert L. Burke and his team serve patients across Pearland, Houston, Friendswood, and Southeast Texas, providing targeted, compassionate orthopedic care.
The ulnar nerve runs from the neck through the shoulder and down to the hand. At the elbow, it passes through a narrow channel — the cubital tunnel — where it is particularly vulnerable to pressure or stretching.
Common causes include:
- Prolonged bending of the elbow (talking on the phone, sleeping with elbows bent)
- Leaning on the elbow for long periods (desk or armrest pressure)
- Repetitive elbow flexion from work or sports
- Elbow fractures or arthritis narrowing the tunnel
- Direct trauma to the inside of the elbow (“hitting your funny bone”)
Over time, chronic compression can impair nerve function, leading to pain, numbness, or muscle weakness in the hand.
Symptoms of Cubital Tunnel Syndrome often develop gradually and may include:
- Numbness or tingling in the ring and pinky fingers
- Pain or aching on the inner elbow or forearm
- Hand weakness, especially with gripping or finger coordination
- Difficulty typing, holding objects, or performing fine motor tasks
- Symptoms worsening at night or when the elbow is bent
In severe or prolonged cases, muscle wasting (atrophy) may appear in the hand.
Accurate diagnosis helps distinguish Cubital Tunnel Syndrome from other nerve conditions such as carpal tunnel syndrome or cervical radiculopathy.
Dr. Burke’s diagnostic process includes:
- Physical examination: Checking for tenderness along the inner elbow and testing nerve response.
- Nerve conduction studies (NCS): Measures the speed of electrical signals through the ulnar nerve.
- Electromyography (EMG): Evaluates muscle activity and nerve integrity.
- Imaging: X-rays or ultrasound may reveal bone spurs, swelling, or narrowing around the cubital tunnel.
This detailed evaluation allows Dr. Burke to tailor treatment precisely to your condition.
Non-Surgical Treatments
Many patients experience significant improvement with conservative care.
Dr. Burke’s approach focuses on relieving pressure from the nerve and preventing further irritation.
Treatment options include:
- Activity modification: Avoiding prolonged elbow flexion or resting on hard surfaces.
- Night splinting: Keeps the elbow straight during sleep to reduce nerve tension.
- Anti-inflammatory medications: To ease swelling and discomfort.
- Physical Therapy: Nerve-gliding exercises and muscle strengthening to promote flexibility and function.
- PRP Therapy: In select cases, regenerative therapy may aid in reducing inflammation around the nerve.
Surgical Treatments
If conservative care fails or nerve damage progresses, ulnar nerve decompression or transposition surgery may be recommended.
During surgery, Dr. Burke relieves pressure by repositioning or expanding the cubital tunnel, allowing the nerve to glide smoothly.
Recovery and Prevention
Recovery timeline:
- Non-surgical care: 4–6 weeks
- Surgical recovery: 6–12 weeks, depending on severity and therapy adherence
Prevention strategies:
- Avoid prolonged elbow bending during phone or desk use.
- Use armrests with padding.
- Take frequent breaks to stretch your arms.
- Keep proper posture during work or computer use.
With appropriate treatment, most patients regain strength and normal sensation.
You should see Dr. Burke Orthopedics if you notice:
- Numbness or tingling in the ring or pinky fingers
- Weakness or difficulty gripping objects
- Pain that persists for several weeks
Early evaluation prevents permanent nerve injury and promotes faster recovery.
Serving Our Community
At Dr. Burke Orthopedics, we are proud to serve Pearland, Houston, Friendswood, and Southeast Texas with advanced nerve care and personalized rehabilitation.
Our mission is to restore your mobility, dexterity, and comfort through precision diagnostics and expert orthopedic treatment.
