Ulnar neuropathy

Any ideas on how to treat ulnar neuropathy stemming from the cubital tunnel (most likely also n. root involvement)? I've been doing post. ulnar glides, ULTT gentle nerve glides, C/S txn. without much success. I don't see very many of these but I've got 2 on the go right now.

You should consider doing a splint thermosplastic or plaster gypsona, you could use fibroglass lighter to maintain the elbow in extension at night and during the day if the symptoms are bad.

[neurospast]

Are you sure of the diagnose Carpal tunnel syndrome? Since this is a pure nerve problem you have to check as well mobility of other joints like elbow mobility of Radius and Ulna, TOS spinal mobility also of the thoracic spine T1-T8 ( direct involvement and Ortho sympathetic involvement).

I agree with treatment to date - Neural glides/ULTT Tx of Cx and THx spine, clear all other joints 1st rib, G/H jnt, guyons tunnel- check mobility of pisiform plus night splintage.
Educate patient - no leaning on elbow, avoid heavy lifting, correct ergonomic setup.
Comfort cool elbow brace or pad maybe worn throughout day - trial with tubigip and pad of foam over cubital tunnel.
If conservative management fails - refer on to speacilist for imaging, nerve conduction studies
Surgical management - ulnar transposition

[linbin]

hi
i feel 2 end sliders to median nerve will help
and as discussed before ergonomic and local area protection

[Judith Mollet]

I have a case now in a 80 year old where the diagnosis from one neurologist was a distal ulnar problem but the guy also had from hospital: suspected small stroke; had slight spinal stenosis and a history of rightsided neck/shoulder problems. Otherwise "fit" having been active until now. After 7 weeks it's improved brilliantly. Gentle manual traction, gentle physiological rotation, ULTT with ulnar and median. Active mobilisation thorax/cervical, all that the previous writers have suggested but with care. No splints, but self mobilising to maintain ROM. If you haven't been treating too long yet don't give up, mine didn't seem to be getting anywhere then suddenly did!

[emad]

Yes , Physiological Mobilization of thorax ,cervical and both shoulder ..neural glides of upper limbs are really effective in case of ulnar and other distal nerve injuries or neuropathy besides to active strenghening gentely to the muscles supplied by the affected nerve .
e.g ulnar nerve
abducation and adducation of fingers
opposation movments
wrist deviations

I designed some neural glides for ulnar nerve and applied some hands-on glides of the nerve ..but seems difficult to explain it in words .

cheers
Emad