Cubital tunnel syndrome (CuTS) is a repetitive stress injury (RSI) that feels like you hit your funny bone.  CuTS is caused when the ulnar nerve in your arm is irritated, pinched or damaged, typically at the bony point on the elbow.  If left untreated, CuTS can result in extreme pain, surgery or an unusable hand.

Most doctors recommend that patients undergo conservative treatment before rushing to surgery, except in cases of injury or severe CuTS.  Conservative treatment includes wearing a splint to keep your arm straight while sleeping, physical therapy, change in work habits, using tools and technology to reduce repetitive motion, and taking medication to reduce pain.

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A new study published in the September 2008 issue of Current Orthopaedic Practice indicates that ulnar nerve transposition surgery often does not provide additional benefit over simple decompression surgery for cell phone elbow, also known as cubital tunnel syndrome.

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I was diagnosed with cubital tunnel syndrome 3 years ago.  My symptoms were considered "moderate": measurable loss of nerve conduction, moderate to severe pain at times, slight numbness, some weakness, but no atrophy.  I had been attempting conservative treatment, including wearing a splint at night, wrist brace during the day, exercises, special computer keyboard and mouse, and pain medication.  But the pain wouldn’t go away, especially while using the computer, which is my job as a software developer.  So my doctor finally decided it was time for surgery, and given that my symptoms were not yet severe, he recommended ulnar decompression surgery.  This article describes my experience with ulnar decompression surgery for cubital tunnel syndrome.

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Surgery for cell phone elbow is a major operation that requires some preparation by the patient.  Although severe complications are unlikely, it’s important to follow a few key guidelines to ensure your surgery goes well.

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