How Is Ulnar Groove Syndrome Treated?
In cases where the compression of the ulnar nerve is not very advanced as determined by examination and EMG, complaints may be reduced by paying attention to the posture and position of the elbow during daily use, avoiding contact of the elbow with hard surfaces, and protecting the bony prominence and the nerve by using various pads on the inner side. In addition, the nerve can be relieved, its tension can be reduced, and the swelling formed around it can be resolved with various physical therapy methods.
If the complaints are advanced or do not improve with the methods mentioned above, surgical treatment may be performed to eliminate the pressure on the nerve. The thickened connective tissue covering the groove through which the ulnar nerve passes is opened and the nerve is relieved. The operation is generally performed under general anesthesia or by numbing the arm from the armpit. The patient stays in the hospital for one night.
After Ulnar Groove Syndrome surgery, there is usually a dressing on the elbow for 10-15 days, but patients can use their hands immediately. After the stitches are removed 12-13 days later, it is recommended to avoid heavy lifting, straining, and heavy work for a few more weeks. Physical therapy may be necessary. Numbness and tingling are expected to improve in the period immediately after surgery. If there was muscle weakness or muscle wasting before surgery, physical therapy may be required to strengthen the hand.
