Cubital tunnel syndrome is a common nerve condition affecting the ulnar nerve at the elbow, and at Tran Plastic Surgery, we specialize in both non-surgical and surgical treatments to restore function and relieve pain. Led by Dr. Tuan Tran, a board-certified plastic and reconstructive surgeon with advanced expertise in hand surgery, our practice is dedicated to providing compassionate, effective care for patients in Huntington Beach and the surrounding Orange County area.
What Is Cubital Tunnel Syndrome?
Cubital tunnel syndrome sometimes referred to as ulnar neuropathy occurs when the ulnar nerve becomes compressed or irritated as it passes through a small space on the inside of the elbow called the cubital tunnel. This is the same area commonly known as the “funny bone.”
When this nerve is under pressure, it can cause pain, tingling, or weakness in the arm, wrist, and fingers. While early cases can often be managed with conservative care, advanced cases may require surgical intervention to protect nerve function and prevent permanent damage.
Learn more about our comprehensive approach to hand surgery at Tran Plastic Surgery.
Causes of Cubital Tunnel Syndrome
Several factors can contribute to ulnar nerve compression at the elbow. Common causes include:
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Prior fractures or dislocations of the elbow
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Bone spurs or arthritis of the elbow joint
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Swelling or cysts near the elbow
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Repeatedly leaning on the elbow (especially on hard surfaces)
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Prolonged bending of the elbow (for example, while holding a phone or sleeping with the arm bent)
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Abnormal bone growth around the elbow
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High-intensity physical activities such as baseball pitching
These conditions increase stress on the nerve, which over time can lead to progressive symptoms.
Symptoms to Watch For
Early detection is critical. Cubital tunnel syndrome symptoms may range from mild tingling to significant hand weakness.
Early symptoms:
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Numbness and tingling in the ring and little fingers
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Elbow pain or discomfort, especially at night
Advanced symptoms:
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Weakness in grip strength
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Difficulty pinching the thumb and little finger together
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Hand muscle wasting (especially between the thumb and index finger)
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Claw-like deformity of the hand
If you notice persistent tingling or weakness in your fingers, an evaluation by a hand surgeon is recommended.
Diagnosing Cubital Tunnel Syndrome
Diagnosis typically begins with a physical exam. Your surgeon may order tests such as electromyography (EMG) to assess the electrical activity of your muscles and confirm the severity of nerve compression.
Accurate diagnosis is essential for determining whether conservative management or surgical treatment is most appropriate.
Non-Surgical Treatments
For many patients, especially those with mild symptoms, non-surgical care can provide relief and prevent progression. Treatment options may include:
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Activity modification: Avoid leaning on elbows or prolonged bending during sleep.
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Anti-inflammatory medications: Over-the-counter NSAIDs (such as ibuprofen) can help reduce swelling.
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Night splints: Wearing a splint or wrapping the elbow with a towel to prevent over-bending during sleep.
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Elbow pads: To cushion and protect the nerve during daily activities.
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Nerve-gliding exercises: Gentle exercises to promote smooth nerve movement and reduce stiffness.
In rare cases, corticosteroid injections may be considered, though they are not widely used because of the risk of nerve damage.
Surgical Options for Cubital Tunnel Syndrome
When conservative care does not provide relief or if nerve compression is severe surgery may be recommended. At Tran Plastic Surgery, Dr. Tuan Tran offers advanced microsurgical techniques tailored to each patient’s needs.
Common procedures include:
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Cubital Tunnel Release
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The ligament forming the “roof” of the cubital tunnel is cut to enlarge the space for the nerve.
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Best suited for mild to moderate nerve compression.
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Ulnar Nerve Anterior Transposition
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The ulnar nerve is moved from behind the bony ridge of the elbow to a new position in front.
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Reduces stretching and entrapment during elbow movement.
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Can be performed subcutaneous, intermuscular, or submuscular, depending on severity.
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Medial Epicondylectomy
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A portion of the medial epicondyle bone is removed to release pressure on the nerve.
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Often recommended when nerve irritation is due to abnormal bone growth.
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Each procedure is carefully planned to maximize outcomes and minimize recovery time.
Recovery After Surgery
Recovery depends on the surgical approach used:
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Splinting: Some patients may need to wear a splint for 3–6 weeks, particularly after submuscular transposition.
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Physical therapy: Exercises help restore strength, flexibility, and nerve function.
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Gradual return to activity: Most patients return to normal daily activities within a few weeks, but full recovery may take several months.
While most patients experience significant relief, recovery is gradual because nerves heal slowly. Early surgical intervention often leads to better long-term outcomes.
Long-Term Results
Surgery for cubital tunnel syndrome generally offers excellent results, particularly when performed before permanent nerve or muscle damage develops.
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Success rates are high across all surgical techniques.
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Some symptoms, such as muscle wasting, may persist in advanced cases.
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With proper rehabilitation, most patients regain strength and functionality.
At Tran Plastic Surgery, we combine surgical precision with personalized rehabilitation plans to ensure the best possible recovery.
Why Choose Tran Plastic Surgery?
Choosing a specialist with advanced training in hand and nerve surgery is essential. At Tran Plastic Surgery, Dr. Tuan Tran provides expert evaluation and treatment, ensuring patients receive the right balance of conservative and surgical care.
We also treat related conditions such as carpal tunnel syndrome and distal radius fractures, making us a trusted center for comprehensive hand and upper extremity care in Huntington Beach.
Schedule a Consultation
If you are experiencing persistent numbness, tingling, or weakness in your hand, don’t wait until symptoms worsen. Early evaluation can make all the difference.
📞 Call us today at 714-839-8000 or contact us online to schedule your consultation with Dr. Tuan Tran.
Take the first step toward restoring comfort and function your hands deserve expert care.
*References:
✍️ OrthoInfo. (2020). Ulnar nerve entrapment at the elbow: Cubital tunnel syndrome. Retrieved from https://orthoinfo.aaos.org/en/diseases–conditions/ulnar-nerve-entrapment-at-the-elbow-cubital-tunnel-syndrome/
✍️ WebMD. (2018). Cubital and radial tunnel syndrome. Retrieved from https://www.webmd.com/pain-management/cubital-radial-tunnel-syndrome#3