The ulnar nerve is the nerve that travels in the back of the elbow through a passageway called the cubital tunnel. When the ulnar nerve is compressed or entrapped, the nerve can become inflamed leading to pain and numbness in the hand which is called cubital tunnel syndrome. The ulnar nerve decompression and transposition aim to release pressure and stress on the ulnar nerves running in the cubital tunnel.
If you have been suffering from ulnar nerve compression and your doctor has recommended you to undergo a surgical procedure, then get a second opinion from another neurosurgeon to explore all the available treatment options.
Ulnar nerve decompression involves releasing the ligament or fibrous tissue compressing the ulnar nerve at the elbow (cubital tunnel) without moving the nerve. Transposition involves surgically relocating the nerve to the front of the elbow to eliminate tension. Transposition is used when the nerve is unstable or decompression alone is insufficient.
Sensory recovery after ulnar nerve surgery typically begins within weeks, with progressive improvement over 3–12 months. Motor recovery (hand strength and intrinsic muscle function) is slower and may take up to 12–18 months in severe cases. Earlier surgery generally leads to better and faster nerve recovery.
After ulnar nerve surgery, avoid resting on or bending the elbow for prolonged periods for at least 4–6 weeks. A splint may be used initially to protect the elbow. Avoid heavy lifting for 4–6 weeks. Hand therapy is recommended to restore grip strength and fine motor function during recovery.
Department of Neurosurgery - Zulekha Hospital, First Floor - Block B - 204th Rd, Al Nahda - Al Nahda 2 - Dubai
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