Comprehensive care
The orthopedic team at MedStar Health specializes in elbow care and can help you overcome ulnar nerve problems. Our physicians recommend conservative options whenever possible. Our main goal is to ensure that your individual needs are met throughout the treatment and recovery process. To do this, our physicians spend time speaking with you about your options prior to treatment and will collaborate with other MedStar Health specialists that you may need during your recovery. We will work with you to develop a tailored treatment plan to get you back to your normal life as soon as possible
What is ulnar nerve compression (cubital tunnel syndrome)?
The ulnar nerve provides strength and sensation to the inside part of the hand; it runs along the arm and passes through the inside of the elbow. It is very vulnerable to stress, trauma, or overuse. When this nerve is compressed, it requires attention from an orthopedic physician who specializes in arm and elbow treatment. In some cases, nerve compression requires surgical intervention.
What are the causes?
This nerve, which is one of the main nerves that run through your arm, can become compressed near the elbow due to any of the following:
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Direct blow to the elbow
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Fluid buildup that causes swelling
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Prolonged pressure on the elbow
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Overuse of the elbow joint
What are the symptoms?
This is also known as cubital tunnel syndrome or ulnar nerve entrapment. It can cause a number of painful and unpleasant symptoms. These symptoms may warrant a visit to one of our specialists for a comprehensive evaluation. The following are the most common symptoms:
- Muscular weakness in the hand
- Shooting pain from the elbow down to the pinkie and ring finger
- Numbness and tingling in the ring and pinky fingers
How is it diagnosed?
The orthopedic surgeons at MedStar Health are experts at diagnosing the full range of arm and elbow injuries. An initial exam with our physicians generally includes:
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Medical history evaluation: Your physician will ask you questions about your personal and family medical history as well as discuss your symptoms and when your pain first began to better understand your elbow condition.
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Physical exam: Your orthopedist will conduct a thorough examination of the elbow and arm and may ask you about the location of your elbow discomfort.
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Imaging tests: In some cases, an imaging test, such as X-ray, MRI, or EMG/nerve conduction studies may be used to rule out other conditions and to make an accurate diagnosis
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What are the best treatment options?
Non-surgical treatments, such as splints, oral anti-inflammatory medications, and adjustments in daily activities are typically the first course of action. If the constriction around the nerve does not respond to non-surgical treatments, surgery may be recommended.
Our providers
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Hand Surgery
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William Hugh Baugher, MD
Hand Surgery & Orthopedic Surgery
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John Schmitz Foley, MD
Orthopedic Surgery & Hand Surgery
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Jessica B Hawken, MD
Orthopedic Surgery & Hand Surgery
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James P. Higgins, MD
Reconstructive Plastic Surgery, Plastic Surgery & Hand Surgery
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Michael William Kessler, MD
Orthopedic Surgery & Hand Surgery
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Kenneth Robert Means, MD
Hand Surgery & Orthopedic Surgery
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Michael Sean Murphy, MD
Orthopedic Surgery & Hand Surgery
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Daniel Aaron Portney, MD
Orthopedic Surgery & Hand Surgery
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Jessica M. Figueroa, MD
Orthopedic Surgery & Hand Surgery
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Christopher Lee Forthman, MD
Shoulder And Elbow Orthopedic Surgery, Hand Surgery & Orthopedic Surgery
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Peter C. Innis, MD
Hand Surgery
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Keith Alan Segalman, MD
Orthopedic Surgery & Hand Surgery
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Valeriy Shubinets, MD
Plastic Surgery & Hand Surgery
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Michael Timothy Travis, MD
Sports Medicine, Orthopedic Surgery & Hand Surgery
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George Li-Wen Yeh, MD
Hand Surgery & Orthopedic Surgery
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Ryan Michael Zimmerman, MD
Orthopedic Surgery & Hand Surgery
Shoulder and Elbow Orthopedic Surgery
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Te-feng Arthur Chou, MD
Orthopedics, Sports Medicine, Orthopedic Surgery & Shoulder And Elbow Orthopedic Surgery
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Branum Gage Griswold, MD
Shoulder And Elbow Orthopedic Surgery & Orthopedic Surgery
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Ryan M Jander, MD
Shoulder And Elbow Orthopedic Surgery, Hand Surgery & Orthopedic Surgery
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Milford Howarth Marchant, MD
Orthopaedic Sports Medicine, Orthopedic Surgery & Shoulder And Elbow Orthopedic Surgery
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Anand Murugan Murthi, MD
Orthopedic Surgery & Shoulder And Elbow Orthopedic Surgery
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Jason Andrew Stein, MD
Orthopedic Surgery & Shoulder And Elbow Orthopedic Surgery
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Brent Bowie Wiesel, MD
Orthopedic Surgery & Shoulder And Elbow Orthopedic Surgery
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Christopher Lee Forthman, MD
Shoulder And Elbow Orthopedic Surgery, Hand Surgery & Orthopedic Surgery
Orthopedic Sports Medicine
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Emily T. Cha, MD
Shoulder Orthopedic Surgery, Orthopedic Sports Medicine, Orthopedic Surgery & Knee Orthopedic Surgery
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David Ahron Cohen, MD
Orthopedic Sports Medicine & Orthopedic Surgery
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James C. Dreese, MD
Orthopedic Surgery, Sports Medicine & Orthopedic Sports Medicine
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Allison Liefeld Fillar, MD
Sports Medicine, Orthopedic Surgery & Orthopedic Sports Medicine
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Jason Wilson Hammond, MD
Sports Medicine, Orthopedic Surgery & Orthopedic Sports Medicine
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Daniel Mark Hampton, MD
Orthopedic Sports Medicine, Sports Medicine & Orthopedic Surgery
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Jon David Koman, MD
Knee Orthopedic Surgery, Orthopedic Sports Medicine, Orthopedic Surgery & Shoulder Orthopedic Surgery
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John Anthony Kuri, MD
Orthopedic Surgery & Orthopedic Sports Medicine
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Richard Gary Levine, MD
Knee Orthopedic Surgery, Orthopedic Surgery, Shoulder Orthopedic Surgery & Orthopedic Sports Medicine
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Christopher Alan Looze, MD
Orthopedic Surgery & Orthopedic Sports Medicine
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Jeffrey M. Matheny, MD
Orthopedic Surgery & Orthopedic Sports Medicine
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Carter Wallace Mitchell, MD
Orthopedic Sports Medicine, Orthopedic Surgery & Sports Medicine
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Ryan Stephen Murray, MD
Sports Medicine, Orthopedic Surgery, Orthopedic Sports Medicine, Pediatric Sports Medicine & Pediatric Orthopedic Surgery
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William Postma, MD
Orthopedic Sports Medicine & Orthopedic Surgery
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Kenneth Benjamin Tepper, MD
Orthopedic Surgery, Orthopedic Sports Medicine & Sports Medicine
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Ira Dean Gelb, AC MD
Orthopedic Surgery & Orthopedic Sports Medicine
Orthopedic Surgery
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Nicholas D. Casscells, MD
Orthopedic Surgery & Foot And Ankle Orthopedic Surgery
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Garrett Allen Cavanaugh, MD
Orthopedic Surgery & Orthopedic Trauma Surgery
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Allison Liefeld Fillar, MD
Sports Medicine, Orthopedic Surgery & Orthopedic Sports Medicine
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Richard Yarborough Hinton, MD
Orthopedic Surgery, Sports Medicine, Shoulder Orthopedic Surgery, Knee Orthopedic Surgery & Pediatric Sports Medicine
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Shaun Kumar Khosla, MD
Orthopedic Surgery
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Jeffrey M. Matheny, MD
Orthopedic Surgery & Orthopedic Sports Medicine
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Addisu Mesfin, MD
Orthopedic Surgery
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Carter Wallace Mitchell, MD
Orthopedic Sports Medicine, Orthopedic Surgery & Sports Medicine
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Michael Sean Murphy, MD
Orthopedic Surgery & Hand Surgery
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Ryan Stephen Murray, MD
Sports Medicine, Orthopedic Surgery, Orthopedic Sports Medicine, Pediatric Sports Medicine & Pediatric Orthopedic Surgery
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Oliver O. Tannous, MD
Orthopedic Surgery & Orthopedic Spine Surgery
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Jessica M. Figueroa, MD
Orthopedic Surgery & Hand Surgery
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Ira Dean Gelb, AC MD
Orthopedic Surgery & Orthopedic Sports Medicine
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Sanjog K. Mathur, MBBS MD
Orthopedic Surgery
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Megan Rose Miles, MD
Orthopedic Surgery
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William Robert Volk, MD
Orthopedic Surgery & Sports Medicine
