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Cubital Tunnel Syndrome is also known as Ulnar Neuropathy, a nerve compression syndrome where the Ulnar nerve, also known as the funny bone nerve, gets compressed due to heightened pressure or stretching. It can lead to numbness or a tingling sensation in little and ring fingers, sometimes pain in forearm and an overall weakness in the hand. Ulnar nerve is one of the three main nerves in the arm. It runs in a groove on the inner side of the elbow. Since it travels through a narrow space and has very little protective tissue, the nerve is quite vulnerable to compression
The symptoms of this condition may range from mild to severe. Some of the mild symptoms include:
- Numbness in little and ring finger as the fingers fall asleep
- A tingling sensation, usually like the pinch of pins and needles in ring and little finger
- Pain in forearm
- Weakness in the hand
- Some of the severe symptoms include:
- Reduction in overall hand grip
- A claw like deformity in hand
- Wasting of muscles of the hand
Bending elbow over a long period of time like while using cell phone or during sleep can cause ulnar nerve compression. Resting the elbow for a long period over a hard surface can also cause an irritation of the nerve, leading to such symptoms. In some cases, the nerve snaps back and forth over a bony bump, resulting in an irritated nerve.People People who undertake intense physical activity, especially using their arms, are more likely to develop this problem. Eg. baseball pitchers. Apart from this, people who have suffered from a dislocated elbow or have arthritis are also at risk.Electromyography is a procedure in which electrodes are placed on the skin and muscles to measure muscle health. Determining muscle health and level of compression helps decide the mode of treatment.Generally, Generally, the symptoms of cubital tunnel syndrome are managed through a conservative treatment. However, in cases of severe compression, surgery can be considered as an option to relieve pressure, moving nerve to the front of the elbow or removing a part of the bone
For mild cases, a towel or a protective cover for elbow is recommended. The towel should be wrapped around the elbow loosely. An elbow splint can be worn at night to protect the elbow from being bent for long time
How can a physical therapist help?
A physiotherapist has an essential role to play in treatment of this syndrome. A therapist can help the patient to learn ways of avoiding pressure to the nerve. After surgery, with restrictions of movement, a therapist can help achieve smooth recovery and movement of the elbow. Your physical therapist will determine the activities that bring on your symptoms. The recommendations at this point will be to avoid those activities for a time. Remember, the nerve is irritated and at times swollen. If the irritation and swelling are reduced, the symptoms should resolve.If If you wish to discuss about any specific problem, you canconsult a physiotherapist.
I am 38 years male sometimes my heart pain and my weight above 80 what I do and what to eat & not eat.
When a person is told of the need to undergo surgery, one of the first things that comes to mind is the pain after the procedure. Is it going to be very painful? How long is it going to last? How to manage it? These are some questions that doctors are repeatedly asked and they spend quite a bit of time trying to put the patient at ease.
The talk about post-surgery pain management should begin well ahead of surgery so that the patient can plan accordingly and be mentally prepared. There could be cases where the patient may need to have a caretaker when back home so that they can assist in daily chores and manage pain. Read on to know some of the tips to manage pain.
- Expect the pain: Talk to your doctor well in advance so that you are mentally prepared for the pain that will come post the surgery. The type of pain, duration, radiation to surrounding areas, etc., will help to plan in pain management. While back surgery produces spasms, abdominal surgery can cause cramps in the stomach. If you have pre-existing conditions like chronic pain, the pain is likely to get worse.
- Beat the pain: After surgery, take the pain medication before the anesthetic effect wears off. This gives enough time for the medication to kick in before the effect of anesthesia wears off. Else, there could be a period of intense pain, which can be quite difficult to manage. Though some people avoid pain medications, take them if you need. Also, if you had side effects with any, let your medical team know so that an alternative medicine can be prescribed.
- Emotional management: A surgery comes with a lot of anxiety and depression. This could be due to social, financial, physical, and emotional reasons. Pain is a lot more emotional than physical, so preparing for pain helps in dealing with it better. Talking to friends and family can be really help you deal with the entire situation and If required, you can reach out to social workers or counsellors so that you are at ease with other issues and manage pain better.
- Alternative therapies: For some, in addition to the painkillers, therapies like mild yoga, acupressure, meditation, music, and other relaxation techniques work wonders. They soothe the mind and make sure pain is lot reduced. They also improve blood circulation and thereby promote healing. Quicker healing promotes pain relief, making it further easy.
- Types of pain relief measures: Depending on the severity of the postsurgical pain, one of the following may be used
- PCA or patient-controlled analgesia: The patient can program the amount of pain medicine via a small pump.
- Nerve blocks: This is useful to control pain over a specific area supplied by a nerve.
- Oral pills: In mild to moderate cases, tablets are given to control pain. Depending on their duration of action, repeat doses are planned. Narcotics could be used initially before switching to non-narcotic painkillers.
In case you have a concern or query you can always consult an expert & get answers to your questions!
iam 28 years old I am feeling pain in back and hips especially when I awake in morning when going to my school and down part totally shall and dint move even . I have taken ogmenten antibiotic capsule but not feeling well please suggest me doc or medicine to get rid of it. Thanks.
I am suffering from weakness from last 3 days and pain in our body and some hedadec from last night. Give me the solution.
I am 27 years old now I am planing for baby. But I have pain in full body and and also I am weak internally I have calcium problem. So is It right that body cheek-up for baby.
Hi. I am an 18 years old male who suddenly started going to the gym. Recently, I have had a lot of body pain. Could you suggest a natural and at-home method to relieve myself of the pain? Thank you.
If you suffer from chronic pain of any kind, it is important for you to know that it is associated and linked with your emotions. Other than your physical activities and personal relationships getting hampered, unwanted feelings like resentment, stress and frustration are also common. These emotions and feelings are capable of making your chronic pain condition more worse.
The Relationship between your mind and body: Your mind and body work together and cannot be separated. Your mind controls all your thoughts and also affects the way in which pain is controlled or perceived by the body. Pain and the fear of pain may lead you to avoid activities. This may reduce your physical strength and cause disruption in the functioning of your body.
Stress: Stress affects your body both physically and emotionally. It may lead to an increase in your blood pressure, breathing rate, heart rate and muscle tension may also occur. These may lead to fatigue, appetite changes and sleep disruption. Stress also causes depression, anxiety, make you dependent on drugs and make you dependent on other people.
Depression: Depression is common among chronic pain patients. Chronic pain can make cases of existing depression much more worse and the existing pain is also worsened. There are chances of developing depression from chronic pain if depression runs in your family or genes.
Symptoms of Depression are as follows:
- Feeling sad, angry, worthless and hopeless frequently
- Lack of energy
- Lack of interest in regular activities
- Difficulty in sleeping
- An increase or decrease in appetite, which may lead to major weight gain or weight loss
- Difficulty with concentration
- Having suicidal thoughts and thoughts about dying or harming oneself
How to Handle your Emotions during Chronic Pain: A common therapy, which people with chronic pain undertake is called Cognitive Behavioural therapy. You should seek the help of a therapist. In this therapy, you will learn about thinking in a positive way instead of drowning in negative thoughts. Your fear of pain will be reduced and you will learn how to strengthen important relationships. You will be able to develop a sense of freedom from chronic pain.
If your chronic pain occurs due to an accident or emotional trauma, you may be assessed for post-traumatic stress disorder (PTSD) by your healthcare provider. Many patients suffering from PTSD cannot deal with their pain until the emotional stress is dealt with. If you feel depressed and cannot control your emotions, you need to consult a doctor. If you wish to discuss any specific problem, you can consult a pain management specialist.