Ulnar neuritis cubital tunnel syndrome
What is it?
The ulnar nerve is the "funny bone" and it can be repetetively stretches in overhead throwers.
What does it feel like?
There is numbness in the hand and the small and ring fingers. Sometimes there is a burning or tingling sensation down the forearm and into the small and ring fingers. There is often loss of grip strength and dexterity in the hand.
How is it treated?
Nonoperative treatment is often successful but requires about 1-2 months of rest from throwing, alteration of throwing mechanics, and gradual resumption of throwing through an interval throwing program.
Operative treatment is usually required if there is alteration of coordination in the hand, or pain or constant numbness in the fingers. The surgery involves a 2-3 inch incision over the inside part of the elbow, and actually moving the nerve from its normal location to a different location so that there is less tension on it with elbow bending and throwing.
How long will I be out of throwing?
If nonoperative treatment is successful, about 4 months.
If surgery is required, about 4-5 months. Recovery from this type of surgery is faster than that for other elbow surgeries because it does not involve the ligaments or tendons of the elbow.
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