Thanks, i am having a surgerical release. I have severe ulnar nerve entrapment, muscle wasteing in between pointer and thumb, and some along the palm under the pinky, i was having a hard time even sealing a zip lock bag. Middle finger and thumb seem to still have full strength. Cant wait for this to be relieved, i like to use rowing machine, free weights , hit the heavy bag. I have also learned not lean on the left arm at the computer desk and also i always tended to hold my phone up to my ear with the left hand , my job as electrician , also may have contributed, hands bent overhead on a ladder.
Thank you so much for video. I have recently been diagnosed with cubital tunnel syndrome. EMT did full work up . Said it was very serious - and therapy would not help. My symptoms are like previous poster chancessalcedo. Would you suggest trying therapy before surgery. The doctor said the first surgery is the one you described, but it’s possible I could need two additional surgeries . I would see you but I’m on west coast . Any thoughts you have are appreciated. Thank you Joan Wagner
Thanks for the amazing video! I have a little cubital nerve syndrom but I'd like to work out my arms, still. Do you have any tips to reduce the post work out tigglings?
Thanks for watching. Sorry that you are experiencing symptoms after working out. With my patients, I usually work with them to find out what they are doing that can be causing the compression. Compressions at the particular areas can be due to muscle imbalances. Then I also work with them to figure out the timing because sometimes nerves flare up differently than muscles. If you are working with a PT or OT that specializes in nerve issues, it’s something that you can discuss with them about. Good luck!
Thank ypu so much for such a great information? If l have cubital tunnel release and csrpal tunnel surgeries at the same time; can l still do the exercises you mentioned? Thank you so much!
The exercises are just depending on your symptoms, how you do them, and how you respond. But having both surgeries are common and your doctor or therapist will guide you to what’s allowed and what’s not. Hope that helps.
Had both done 3 months apart. Both cubital tunnel ans ganyon's tunnel in my hand. Neither were a big deal. Never needed a pain pill and was back running an in the gym in 3 weeks
Hello Hoang, and thank you for sharing your wisdom! My question is regarding the success rate of this type of release surgery you're describing ("in situ", I think it's called) vs. transposition. My doc has given me the option of either this easy "release" or subcutaneous transposition. My goals: I want to play guitar for hours daily and work out with weights and put my elbow back on my arm chair where it belongs, lol. I'm wondering if this easy release type surgery you describe can get as good of lifelong results as the harder-core transposition type surgery. Lastly, if you had to, would you prefer subcutaneous or submuscular? If I try the easy release first, but the result isn't so good, can I "upgrade" to transposition and still expect an equally effective procedure?
Thanks for the question! It’s kinda a long one so I made an educated type of video so you can make your own decisions. I don’t give personal medical advice on patients I don’t know. But it will be up soon! And I thank your for your detailed and specific questions :)
@@HandsOnTherapyServicesIncMiami Hello beautiful Hoang, thank you for your response! I am watching your latest video. I understand you cannot diagnose anything remotely. Your latest video is on the neck. I have undergone a nerve testing... they stuck pins in my arm nerves all over and the doctors believe my problem is cubital tunnel and carpal tunnel. The carpal surgery seems easy, but the cubital tunnel is more complex. They gave me 2 options: easy release (what I've seen you describe in other videos) OR subcutaneous transposition. After reading and watching lots of videos, I have ruled out subcutaneous. I know me, and I will mess up that nerve if it's too close to the surface. The submuscular looks like a great surgery and I've seen many YT video testimonials of athletes regaining full functionality and saying it's totally worth it. Unfortunately, my surgeon doesn't do that, preferring subcutaneous. Oh well. Therefore, I have chosen simple decompression, "in situ". The good news is that the recovery from these 2 surgeries should be fast and "in situ" is the gold standard. I was able to find scholarly articles where some believe that ulnar transposition is entirely unnecessary in most cases, especially if the nerve is not subluxing. So, I've chosen my path and set a surgery date on Oct 23rd: simple decompression for the cubital, and the least invasive form of carpal ... not open hand. Any final thoughts, if you're willing to give them, about the success rate of this elbow surgery. I will be doing physical therapy. I'm a stereotypical guy, and I have a tendency to overdo things. Therefore, I'll be working with a local therapist to follow the doctor's advice on those first few delicate weeks.
I’m nearly 5 weeks out from cubital tunnel release (with carpal tunnel release as well) and I still have stiffness and pain in the elbow. I had tennis elbow at the same time, could that be aggravating it even worse? I’ve been to PT and I am doing my stretches, but should I still be feeling pain?
I can’t speak to your personal case but when I work with my patients, most of the time, they don’t generally have rom problems…but when they do, we do manual techniques to get better motion. If you are working with someone already, talk to them. And if they ignore your concerns, be willing to look for someone who specializes like a certified hand therapist. Be willing to change/pay if you need 🤷🏻♀️ Good luck!
My pinky & ring finger *on **_both_** hands* have curled downward over the last 2 weeks, and I can't straighten them by their own strength(but I can straighten them by other means). How long until permanent nerve/muscle damage?(I have an appointment to see an orthopedic doctor on August 16th).
It's fine. Just don't keep delaying your appointment. The way nerves works is by the time you feel or see it, it's already been happening for a while. How much damage and recovery will be based on clinical tests and therapy to see what can be done. Good luck!
I don’t normally see injections for cubital tunnel. The nerve is very superficial and there’s a big risk of injuring the nerve itself. Therapy is very effective when you go to the right person. If that doesn’t work, most people try surgery.
@@HandsOnTherapyServicesIncMiami thank you for the reply. I am in the army and the doctor is suggesting I get the steroid shot to help with the pain, kind of scared to
Saving this for my upcoming surgery in two and a half weeks 😅😅
Good luck!
I am suffering this syndrome since 1 and half years
I have lost muscle on my palm and elbow
Will it be recover after surgery???
Thanks, i am having a surgerical release. I have severe ulnar nerve entrapment, muscle wasteing in between pointer and thumb, and some along the palm under the pinky, i was having a hard time even sealing a zip lock bag. Middle finger and thumb seem to still have full strength. Cant wait for this to be relieved, i like to use rowing machine, free weights , hit the heavy bag. I have also learned not lean on the left arm at the computer desk and also i always tended to hold my phone up to my ear with the left hand , my job as electrician , also may have contributed, hands bent overhead on a ladder.
Good luck! 🙏
Thank you so much for video. I have recently been diagnosed with cubital tunnel syndrome. EMT did full work up . Said it was very serious - and therapy would not help. My symptoms are like previous poster chancessalcedo.
Would you suggest trying therapy before surgery. The doctor said the first surgery is the one you described, but it’s possible I could need two additional surgeries .
I would see you but I’m on west coast . Any thoughts you have are appreciated. Thank you
Joan Wagner
Thanks for the amazing video! I have a little cubital nerve syndrom but I'd like to work out my arms, still. Do you have any tips to reduce the post work out tigglings?
Thanks for watching. Sorry that you are experiencing symptoms after working out. With my patients, I usually work with them to find out what they are doing that can be causing the compression. Compressions at the particular areas can be due to muscle imbalances. Then I also work with them to figure out the timing because sometimes nerves flare up differently than muscles. If you are working with a PT or OT that specializes in nerve issues, it’s something that you can discuss with them about. Good luck!
Much gratitude
Thanks for watching.
Thank you!
You're welcome!
I have an upcoming surgery too. With a hairline fracture that’s healed. And might have a possible carpal tunnel surgery at the same time
Good luck! I’m sure you will do great!
It's been about 6 days and my surgery scar is still gaped oped,is this n ormall,I see my doctor on a day or 2.
Good luck. It’s not normal. Ask your doctor or therapist questions if you are unsure.
Thank ypu so much for such a great information?
If l have cubital tunnel release and csrpal tunnel surgeries at the same time; can l still do the exercises you mentioned?
Thank you so much!
The exercises are just depending on your symptoms, how you do them, and how you respond. But having both surgeries are common and your doctor or therapist will guide you to what’s allowed and what’s not. Hope that helps.
Had both done 3 months apart. Both cubital tunnel ans ganyon's tunnel in my hand. Neither were a big deal. Never needed a pain pill and was back running an in the gym in 3 weeks
That’s great to hear! Glad you had a great recovery.
hey! can you update me on hows your gym work going? is it back to normal weight or are you still in rehab weight
How has the surgery recovered, Bob? Still no complications? Did you have the decompression or the translocation?
@@MatthewGrace99 all went perfectly. No issues. I was lucky to have the chief neurosurgeon at Rush in Chicago
@@bobmarshall6688 but your recovery at 3 weeks back to the gym was amazing... did you have a release surgery or a full translocation of the nerve?
Hello Hoang, and thank you for sharing your wisdom! My question is regarding the success rate of this type of release surgery you're describing ("in situ", I think it's called) vs. transposition. My doc has given me the option of either this easy "release" or subcutaneous transposition. My goals: I want to play guitar for hours daily and work out with weights and put my elbow back on my arm chair where it belongs, lol. I'm wondering if this easy release type surgery you describe can get as good of lifelong results as the harder-core transposition type surgery. Lastly, if you had to, would you prefer subcutaneous or submuscular? If I try the easy release first, but the result isn't so good, can I "upgrade" to transposition and still expect an equally effective procedure?
Thanks for the question! It’s kinda a long one so I made an educated type of video so you can make your own decisions. I don’t give personal medical advice on patients I don’t know. But it will be up soon! And I thank your for your detailed and specific questions :)
@@HandsOnTherapyServicesIncMiami Hello beautiful Hoang, thank you for your response! I am watching your latest video. I understand you cannot diagnose anything remotely. Your latest video is on the neck. I have undergone a nerve testing... they stuck pins in my arm nerves all over and the doctors believe my problem is cubital tunnel and carpal tunnel. The carpal surgery seems easy, but the cubital tunnel is more complex. They gave me 2 options: easy release (what I've seen you describe in other videos) OR subcutaneous transposition. After reading and watching lots of videos, I have ruled out subcutaneous. I know me, and I will mess up that nerve if it's too close to the surface. The submuscular looks like a great surgery and I've seen many YT video testimonials of athletes regaining full functionality and saying it's totally worth it. Unfortunately, my surgeon doesn't do that, preferring subcutaneous. Oh well. Therefore, I have chosen simple decompression, "in situ". The good news is that the recovery from these 2 surgeries should be fast and "in situ" is the gold standard. I was able to find scholarly articles where some believe that ulnar transposition is entirely unnecessary in most cases, especially if the nerve is not subluxing.
So, I've chosen my path and set a surgery date on Oct 23rd: simple decompression for the cubital, and the least invasive form of carpal ... not open hand.
Any final thoughts, if you're willing to give them, about the success rate of this elbow surgery. I will be doing physical therapy. I'm a stereotypical guy, and I have a tendency to overdo things. Therefore, I'll be working with a local therapist to follow the doctor's advice on those first few delicate weeks.
I’m nearly 5 weeks out from cubital tunnel release (with carpal tunnel release as well) and I still have stiffness and pain in the elbow. I had tennis elbow at the same time, could that be aggravating it even worse? I’ve been to PT and I am doing my stretches, but should I still be feeling pain?
I can’t speak to your personal case but when I work with my patients, most of the time, they don’t generally have rom problems…but when they do, we do manual techniques to get better motion.
If you are working with someone already, talk to them. And if they ignore your concerns, be willing to look for someone who specializes like a certified hand therapist. Be willing to change/pay if you need 🤷🏻♀️
Good luck!
My pinky & ring finger *on **_both_** hands* have curled downward over the last 2 weeks, and I can't straighten them by their own strength(but I can straighten them by other means). How long until permanent nerve/muscle damage?(I have an appointment to see an orthopedic doctor on August 16th).
It's fine. Just don't keep delaying your appointment. The way nerves works is by the time you feel or see it, it's already been happening for a while. How much damage and recovery will be based on clinical tests and therapy to see what can be done. Good luck!
What about steroid shot. Do you think that helps with cubital syndrome at all?
I don’t normally see injections for cubital tunnel. The nerve is very superficial and there’s a big risk of injuring the nerve itself. Therapy is very effective when you go to the right person. If that doesn’t work, most people try surgery.
@@HandsOnTherapyServicesIncMiami thank you for the reply. I am in the army and the doctor is suggesting I get the steroid shot to help with the pain, kind of scared to
How long is the surgery procedure?
Depends on the type of surgery because there’s several techniques but it doesn’t take long generally speaking.