Neuropathy - ulnar nerve; Ulnar nerve palsy; Mononeuropathy; Cubital tunnel syndrome
Ulnar nerve dysfunction is a problem with one of the nerves that travel from the shoulder to the hand, called the ulnar nerve. It helps you move your arm, wrist, and hand.
Damage to one nerve group, such as the ulnar nerve, is called mononeuropathy. Mononeuropathy means there is damage to a single nerve. Diseases affecting the entire body (systemic disorders) can also cause isolated nerve damage.
Causes of mononeuropathy include:
Ulnar neuropathy is also common in those with diabetes.
Ulnar neuropathy occurs when there is damage to the ulnar nerve. This nerve travels down the arm to the wrist, hand, and ring and little fingers. It passes just under the surface of the skin near the elbow. So, bumping the nerve there causes the pain and tingling of "hitting the funny bone."
When the nerve compressed in the elbow, a problem called cubital tunnel syndrome may result.
When damage destroys the nerve covering (myelin sheath) or part of the nerve itself, nerve signaling is slowed or prevented.
Damage to the ulnar nerve can be caused by:
In some cases, no cause can be found.
Symptoms may include any of the following:
Pain or numbness may awaken you from sleep. Activities such as tennis or golf may make the condition worse.
The health care provider will examine you and ask about your symptoms and medical history. You may be asked what you were doing before the symptoms started.
Tests that may be needed include:
The goal of treatment is to allow you to use the hand and arm as much as possible. Your provider will find and treat the cause, if possible. Sometimes, no treatment is needed and you will get better on your own.
If medicines are needed, they may include:
Your provider will likely suggest self-care measures. These may include:
Occupational therapy or counseling to suggest changes in the workplace may be needed.
Surgery to relieve pressure on the nerve may help if the symptoms get worse, or if there is proof that part of the nerve is wasting away.
If the cause of the nerve dysfunction can be found and successfully treated, there is a good chance of a full recovery. In some cases, there may be partial or complete loss of movement or sensation.
Complications may include:
Contact your provider if you have an arm injury and develop numbness, tingling, pain, or weakness down your forearm and the ring and little fingers.
Avoid prolonged pressure on the elbow or palm. Avoid prolonged or repeated elbow bending. Casts, splints, and other appliances should always be examined for proper fit.
Craig A. Neuropathies. In: Cifu DX, ed. Braddom's Physical Medicine and Rehabilitation. 6th ed. Philadelphia, PA: Elsevier; 2021:chap 41.
Jobe MT, Martinez SF, Weller WJ. Peripheral nerve injuries. In: Azar FM, Beaty JH, eds. Campbell's Operative Orthopaedics. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 62.
Patterson JMM, Novak CB, Mackinnon SE. Compression neuropathies. In: Wolfe SW, Pederson WC, Kozin SH, Cohen MS, eds. Green's Operative Hand Surgery. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 28.BACK TO TOP
Review Date: 5/2/2022
Reviewed By: Amit M. Shelat, DO, FACP, FAAN, Attending Neurologist and Assistant Professor of Clinical Neurology, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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