Cubital Tunnel Syndrome
What is cubital tunnel syndrome?
Cubital tunnel syndrome happens when the ulnar nerve, which passes through the cubital
tunnel (a tunnel of muscle, ligament, and bone) on the inside of the elbow, is injured
and becomes inflamed, swollen, and irritated.
Cubital tunnel syndrome causes pain that feels a lot like the pain you feel when you
hit the "funny bone" in your elbow. The "funny bone" in the elbow is actually the
ulnar nerve, a nerve that crosses the elbow. The ulnar nerve begins in the side of
your neck and ends in your fingers.
What causes cubital tunnel syndrome?
Cubital tunnel syndrome may happen when a person bends the elbows often (when pulling,
reaching, or lifting), leans on their elbow a lot, or has an injury to the area.
Arthritis, bone spurs, and previous fractures or dislocations of the elbow can also
cause cubital tunnel syndrome.
In many cases, the cause is not known.
What are the symptoms of cubital tunnel syndrome?
The following are the most common symptoms of cubital tunnel syndrome. However, each
person may experience symptoms differently. Symptoms may include:
- Numbness and tingling in the hand and/or ring and little finger, especially when the
elbow is bent
- Hand pain
- Weak grip and clumsiness due to muscle weakness in the affected arm and hand
- Aching pain on the inside of the elbow
The symptoms of cubital tunnel syndrome may resemble other medical conditions or problems,
including medial epicondylitis (golfer's elbow). Always see a healthcare provider
for a diagnosis.
How is cubital tunnel syndrome diagnosed?
In addition to a complete medical history and physical exam, diagnostic tests for
cubital tunnel syndrome may include:
- Nerve conduction test. A test to find out how fast signals travel down a nerve to find a compression or constriction
of the nerve.
- Electromyogram (EMG). This test checks nerve and muscle function and may be used to test the forearm muscles
controlled by the ulnar nerve. If the muscles do not work the way they should, it
may be a sign that there is a problem with the ulnar nerve.
- X-ray. This is done to look at the bones of the elbow and see if you have arthritis or bone
spurs in your elbow.
How is cubital tunnel syndrome treated?
The most effective treatment for cubital tunnel syndrome is stopping the activity
that is causing the problem. Treatment may include:
- Resting and stopping any activity that aggravates the condition, such as bending the
- A splint or foam elbow brace worn at night (to limit movement and reduce irritation)
- Using an elbow pad (to protect against chronic irritation from hard surfaces)
- Anti-inflammatory medicines (such as ibuprofen or naproxen)
- Nerve gliding exercises
If these treatments do not work, the healthcare provider may talk to you about:
- Steroid injections to help reduce swelling and pain
Can I prevent cubital tunnel syndrome?
To prevent cubital tunnel syndrome:
- Keep your arms flexible and strong.
- Avoid resting on your elbows – especially on a hard surface.
- Warm up before exercising or using your arms for sports or other repetitive movements.
When should I call my healthcare provider?
Call your healthcare provider if you have:
- Pain or trouble moving that affects your regular daily activities
- Pain doesn’t get better or gets worse with treatment
- Numbness, tingling or weakness in the arm or hand
Key points about cubital tunnel syndrome
- Cubital tunnel syndrome is a problem with the ulnar nerve, which passes through the
inside of the elbow. It causes pain that feels a lot like the pain you feel when you
hit the "funny bone" in your elbow.
- Cubital tunnel syndrome may happen when a person frequently bends the elbows, leans
on their elbow a lot, or has an injury to the area. Arthritis, bone spurs, and previous
fractures or dislocations of the elbow can also cause it. In many cases, the cause
is not known.
- The most common symptom of cubital tunnel syndrome is numbness, tingling, and pain
in the hand and/or ring and little finger, especially when the elbow is bent.
- Cubital tunnel syndrome can be treated with rest and medicines to help with pain and
inflammation. Exercises may help too. In some cases, surgery may be done.
Tips to help you get the most from a visit to your healthcare provider:
- Know the reason for your visit and what you want to happen.
- Before your visit, write down questions you want answered.
- Bring someone with you to help you ask questions and remember what your provider tells
- At the visit, write down the name of a new diagnosis, and any new medicines, treatments,
or tests. Also write down any new instructions your provider gives you.
- Know why a new medicine or treatment is prescribed, and how it will help you. Also
know what the side effects are.
- Ask if your condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if you do not take the medicine or have the test or procedure.
- If you have a follow-up appointment, write down the date, time, and purpose for that
- Know how you can contact your provider if you have questions.