From the Research
Physical therapy for cubital tunnel syndrome should prioritize nerve gliding exercises, stretching, and strengthening of the upper extremity, as these interventions have been shown to improve nerve mobility, reduce compression, and strengthen supporting muscles, ultimately leading to improved outcomes in terms of morbidity, mortality, and quality of life 1.
Key Components of Physical Therapy
- Nerve gliding exercises: 3-5 times daily, holding each position for 5-10 seconds and repeating 10 times, to help the ulnar nerve move more freely 1
- Gentle elbow stretches: holding for 30 seconds and repeating 3 times, to reduce pressure on the nerve and improve flexibility 1
- Strengthening exercises: using light resistance bands or small weights (1-2 pounds) to target the forearm, wrist, and hand muscles, and improve overall strength and function 1
Activity Modification and Support
- Avoid prolonged elbow flexion, direct pressure on the elbow, and repetitive elbow bending to prevent further compression and irritation of the ulnar nerve 2
- Use an elbow pad or night splint to keep the elbow slightly bent (around 30-45 degrees) and reduce pressure on the nerve 2
Expected Outcomes
- Most patients can expect to see improvement within 6-8 weeks of consistent therapy, though severe cases may require longer treatment or surgical intervention 1
- Physical therapy can help improve nerve mobility, reduce compression, and strengthen supporting muscles, ultimately leading to improved outcomes in terms of morbidity, mortality, and quality of life 1