Cubital tunnel syndrome is the second most common entrapment neuropathy of the hand, caused by pressure on the ulnar nerve in the elbow area. Prolonged immobility can lead to muscle weakness or atrophy, making timely intervention crucial.
Cubital tunnel syndrome occurs due to compression of the ulnar nerve in a narrow channel at the elbow. Based on the conversation, clinical examination, and EMG report, we can determine varying degrees of ulnar nerve compression in the cubital tunnel. We can recommend conservative treatment or surgery and nerve release along the entire course of the wrist. At Juventina Clinic, we perform a modern minimally invasive technique with a short incision, preserving cutaneous nerve branches, and we use surgical loupes.
In advanced cases, complete recovery of function is not always possible – which is why early treatment is crucial.
The goal of the surgery is to relieve the nerve, reduce symptoms, and preserve arm function, thereby significantly contributing to a better quality of life. For a maximally effective recovery process, we can also support you with an additional program Juventina Care 360°.
Before the procedure, we conduct a thorough examination and diagnosis to determine the degree of constriction and the optimal treatment method. Preparation includes precise diagnosis of the problem: EMG examination, MRI of the arm, and additional specialist examinations.
Diagnostics include:
Before surgery, we recommend:
During surgery under local or regional anesthesia, after an initial consultation and marking, a short incision is made in the elbow area, and the cutaneous nerve branches and the roof of the cubital tunnel are exposed. This is followed by the release of structures compressing the nerve, freeing the nerve, and then precise hemostasis (stopping bleeding) and skin closure with sutures. After surgery, a bandage and a sling or splint are applied.
A minimally invasive approach allows for:
Postoperative symptoms usually disappear for the most part after about 3 weeks. Burning pain and tingling usually improve a few weeks after surgery. The sense of touch returns to varying degrees in most patients within a few months (depending on the degree of compression).
After surgery, the following may be present:
It is important to know:
In the first few weeks after the procedure:
You can begin gentle finger exercises a few hours after the surgery – make a fist 10 times in a row every hour. We recommend having your stitches removed by your personal doctor after 10-14 days. Keep your arm elevated above heart level until the stitches are removed (use an arm sling or prop your arm up). Do not get the surgical wound wet during this time. After the stitches are removed, we recommend physiotherapy and scar care. For another 2 months after the surgery, avoid quick and jerky movements of the elbow and lifting heavy objects.
With an additional program Juventina Care 360° We ensure comprehensive pre-operative preparation, safe and rapid recovery, and support for advanced regenerative therapies.
Juventina Care 360° includes:
