CUBITAL TUNNEL SYNDROME INJECTION

Understanding Cubital Tunnel Syndrome

Cubital Tunnel Syndrome is a condition caused by compression or irritation of the ulnar nerve as it passes through the cubital tunnel at the inner side of the elbow. The ulnar nerve is responsible for sensation in the little finger and half of the ring finger, as well as controlling certain muscles in the hand. When the nerve becomes compressed, it can lead to pain, tingling, numbness, and weakness in the arm and hand.

Symptoms of Cubital Tunnel Syndrome

The primary symptoms of cubital tunnel syndrome affect the hand, including:

  • Numbness and tingling in the ring and little fingers, especially when the elbow is bent, such as during driving or phone use.
  • Weak grip and difficulty with finger coordination, like typing or playing an instrument, in more severe cases.
  • Muscle wasting in the hand if the nerve is severely compressed for a long time, which cannot be reversed.
Cubital Tunnel Syndrome

Treatment We Offer

Cubital Tunnel Syndrome Injection

An ultrasound-guided cubital tunnel injection allows the clinician to visualise the ulnar nerve and surrounding structures during the procedure. At Joint Injections, we provide ultrasound-guided cortisone injections for Cubital Tunnel Syndrome.

Ultrasound can help identify the location of the nerve and guide the needle towards the intended area. The precise approach depends on your symptoms, clinical assessment and the findings from the ultrasound examination.

Cortisone Injection for Cubital Tunnel Syndrome

Ultrasound-guided cortisone injections offer precise relief for Cubital Tunnel Syndrome by reducing inflammation around the ulnar nerve. This minimally invasive procedure enhances comfort and mobility without the need for surgery.

Pain Reduction with Ultrasound-Guided Cortisone Injections

  • Mechanism of Action
    Cortisone is a potent anti-inflammatory medication that works by reducing inflammation around the ulnar nerve. When injected near the nerve under ultrasound guidance, cortisone helps to alleviate pain by decreasing the inflammation that contributes to nerve compression.
  • Inflammation Reduction
    Inflammation is a key factor in the pain and numbness associated with Cubital Tunnel Syndrome. Cortisone injections help to reduce this inflammation, leading to a decrease in pain and an improvement in nerve function.
  • Improved Nerve Function
    By decreasing inflammation and pressure on the ulnar nerve, cortisone injections can help improve nerve function. This can result in better sensation and muscle function in the affected arm and hand.
  • Enhanced Quality of Life
    Effective pain management with cortisone injections can lead to significant improvements in your quality of life. You may experience reduced pain, improved nerve function, and a greater ability to participate in daily activities.

Ultrasound-Guided Cubital Tunnel Injection

An ultrasound-guided cubital tunnel injection allows the clinician to visualise the ulnar nerve and surrounding structures during the procedure.

Ultrasound can help identify the location of the nerve and guide the needle towards the intended area. The precise approach depends on your symptoms, clinical assessment and the findings from the ultrasound examination.

Your clinician will discuss whether an injection is appropriate for your cubital tunnel syndrome and explain the procedure, potential benefits and possible risks before treatment.

Let's start your journey with us

  • Call us on 020 8870 8761 or email us at: info@joint-injections.co.uk to book your appointment.
  • Comprehensive Musculoskeletal examination and testing.
  • Ultrasound scan (if required) to have clarity about why you are in pain.
  • Same day Ultrasound Guided Injection for pain relief.
  • Fixed fee structure so you can plan your expenses. 

Anatomy of the Ulnar Nerve

The cubital tunnel is a narrow passageway located on the inside of the elbow, formed by muscles, ligaments, and bone. The ulnar nerve travels from the neck down the arm and through this tunnel at the elbow. Because the space is limited, any swelling, inflammation, or structural change can easily compress the nerve, resulting in ulnar nerve entrapment.

Common Causes of Compression

Several factors can contribute to Cubital Tunnel Syndrome, including:

  • Repeated bending or prolonged flexion of the elbow.
  • Direct pressure on the inner elbow.
  • Injury or trauma to the elbow.
  • Thickening of surrounding tissues.
  • Anatomical variations that narrow the tunnel.

These factors can lead to ulnar nerve compression at the elbow, resulting in characteristic symptoms.

Diagnosis of Cubital Tunnel Syndrome

To diagnose cubital tunnel syndrome, a clinician at Joint Injections will perform a thorough medical history and physical exam. Diagnostic tests like ultrasound may be recommended, if necessary.

Risk Factors

Factors increasing the risk of cubital tunnel syndrome include:

  • Previous elbow fractures or dislocations
  • Bone spurs or arthritis in the elbow
  • Swelling of the elbow joint
  • Cysts near the elbow joint
  • Repetitive or prolonged elbow bending or flexing
  • Baseball pitching

Preventing Cubital Tunnel Syndrome

  • To prevent cubital tunnel syndrome:
  • Keep your arms flexible and strong.
  • Avoid resting on your elbows, especially on hard surfaces.
  • Warm up before engaging in sports or repetitive arm movements.

Choosing Ultrasound-Guided Cortisone Injections at Joint Injections

  • Expertise and Specialisation
    At Joint Injections, our team of skilled clinicians specialises in ultrasound-guided procedures. With extensive training and experience in delivering cortisone injections, we ensure that you receive the highest standard of care.
  • Advanced Technology
    Our clinic is equipped with state-of-the-art ultrasound equipment, enabling us to carry out precise and effective injections. This advanced technology improves treatment accuracy and supports better patient outcomes.
  • Personalised Treatment Plans
    We recognise that every patient is different, which is why we tailor our treatment plans to suit your individual needs. This personalised approach ensures you receive the most suitable and effective care for your condition.

Frequently Asked Questions (FAQs)

What is cubital tunnel syndrome?

Cubital tunnel syndrome happens when the ulnar nerve (the “funny bone” nerve) is compressed as it passes through a tunnel on the inside of the elbow, causing pain, tingling, or numbness.

It can be caused by leaning on the elbow, repetitive bending, injury, or prolonged pressure on the ulnar nerve. Sometimes no clear cause is found.

Common symptoms include tingling or numbness in the ring and little fingers, weakness in the hand, and discomfort on the inside of the elbow.

An injection may be considered for selected cases of cubital tunnel syndrome, depending on the cause and severity of the symptoms. A clinical assessment, with ultrasound where appropriate, can help determine whether an injection is suitable.

Diagnosis involves a physical examination, review of symptoms, and sometimes imaging such as ultrasound to check nerve compression and surrounding tissue.

Cortisone reduces inflammation around the nerve, which may ease pressure and improve symptoms such as pain and tingling.

Most patients describe the injection as mildly uncomfortable, similar to a blood test. Ultrasound guidance helps make the procedure more accurate and comfortable.

Relief may be felt within a few days, though it can take up to two weeks. The length of relief varies depending on the severity of nerve irritation.

Possible side effects include temporary soreness, skin thinning, or rarely, nerve irritation. Your clinician will discuss these with you before treatment.

Ultrasound allows the clinician to see the ulnar nerve in real time and place the medicine with accuracy, helping ensure a safer and more patient-focused treatment experience.