- Cubital tunnel syndrome is a problem with the ulnar nerve, which passes through the inside of the elbow. It causes pain that feels a lot like the pain you feel when you hit the “funny bone” in your elbow.
- Cubital tunnel syndrome may happen when a person frequently bends the elbows, leans on their elbow a lot, or has an injury to the area. Arthritis, bone spurs, and previous fractures or dislocations of the elbow can also cause it. In many cases, the cause is not known.
- 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.
- Cubital tunnel syndrome can be treated with rest and medicines to help with pain and inflammation. Exercises may help too. In some cases, surgery may be done.
Interview : Is there any sensory loss? Any other elbow or shoulder or wrist region pain? Can you point the location of pain? Does your pain radiate? what makes the pain worse? Are you taking medication because of this pain? Have you seen other professionals due to this pain?
Observaion : Claw hand
Palpation :
ROM
- AF ROM for GH, Elbow, Wrist. : Elbow flexion may be prolonged. may wrist flexion
- PR ROM : Pain when elbow flexion . may wrist flexion
- AR ROM : flexion of wrist may be weak
Special test
- rule in : tinel sign for ulnar nerve, fromet’s sign
- rule out : Reverse cozen’s test ( to confirm the cause, is it due to golfer elbow), Valgus elbow for finding ligarment tear, tinel sig for medial nerve