Ulnaropathy

The treatment of ulnaropathy, also known as ulnar nerve entrapment or ulnar nerve compression, by our hand surgeon aims to relieve symptoms, reduce nerve compression, and restore normal function of the affected hand and arm. The specific treatment approach may vary depending on the severity and location of the nerve compression. Here is an overview of the treatment options commonly employed by our hand surgeons for ulnaropathy:

1. Non-Surgical Treatments:
   • Activity Modification: The hand surgeon may recommend avoiding or modifying activities that exacerbate symptoms, such as repetitive elbow flexion or prolonged pressure on the ulnar nerve.
   • Immobilization: Wearing a splint or brace to keep the affected area immobilized can help reduce pressure on the ulnar nerve and promote healing.
   • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or oral corticosteroids may be prescribed to reduce inflammation and alleviate pain.
   • Nerve Gliding Exercises: Hand therapists can provide exercises and stretches aimed at promoting the gliding movement of the ulnar nerve, reducing adhesions, and improving nerve mobility.
   • Ergonomic Modifications: Making adjustments to workstations, tools, and equipment to minimize strain on the ulnar nerve can help prevent aggravation of symptoms.
2. Corticosteroid Injections:
   • Corticosteroid injections can be administered by a hand surgeon to reduce inflammation and relieve symptoms associated with ulnaropathy.
   • The hand surgeon injects a corticosteroid medication, often combined with a local anesthetic, into the area around the compressed ulnar nerve.
   • These injections can provide temporary relief and allow for improved hand and arm function.
3. Surgical Intervention:
   • If conservative treatments do not effectively manage symptoms or if there is severe nerve compression, a hand surgeon may recommend surgical intervention.
   • Ulnar Nerve Decompression: The hand surgeon performs a surgical procedure called ulnar nerve decompression, which involves releasing the structures that are compressing the ulnar nerve. This may involve removing bone spurs, releasing tight ligaments, or creating additional space for the nerve to glide freely.
   • Ulnar Nerve Transposition: In some cases, when the ulnar nerve is significantly compressed or unstable, the hand surgeon may recommend ulnar nerve transposition surgery. This involves repositioning the ulnar nerve to a new location that reduces its susceptibility to compression or irritation.

After surgery, hand therapy is often recommended to aid in recovery, reduce swelling, restore range of motion, and improve strength and coordination.

It’s important to consult with the hand surgeon of the Eisenhower Clinic for a thorough evaluation and appropriate treatment plan for ulnaropathy. Our hand surgeon will consider factors such as the severity of symptoms, the location of nerve compression, and the individual’s functional goals in determining the most suitable treatment approach.