Diagnosing cubital tunnel syndrome
A physical therapist will conduct an initial examination to identify the cause of pain and nerve compression. A series of tests are performed to identify restrictions in sensation and muscle function. Additional tests may be required to determine the extent nerve and bone abnormalities. An x-ray of the elbow may be conducted to rule out loose bone fragments compressing on the ulnar nerve.
Treatments of elbow pain
In the initial stages of the condition, pain and tingling occur due to constant irritation of the nerve. The referring physician and physical therapist may decide that it's best for the patient to use a brace. This protects the nerve, muscles and bones as they are healing. As symptoms reduce, therapy emphasizes an improvement in function with the following treatment mechanisms:
1. Range of motion exercises to increase mobility without pain or discomfort. Exercises to encourage intricate movements of the hand and movements such as twisting the forearm (pronation and supination) are emphasized.
2. Strengthening exercises for different muscle groups. Examples include bending and straightening the elbow, rotation movements of the forearm, squeezing an object in the hand, and smaller objects between fingers.
3. Gentle nerve stretching exercises to reduce compression and increase circulation to the nerve. Advanced techniques include massage, mobilizations and manual therapy under the expert supervision of the physical therapist.