Cubital Tunnel Syndrome: Non-Surgical Treatment in Palm Beach
Cubital tunnel syndrome is the second most common nerve compression syndrome in the upper extremity, after carpal tunnel syndrome. It involves compression of the ulnar nerve at the elbow, inside the bony groove on the inner side of the elbow. The result is numbness, tingling, and weakness in the ring and small fingers and the inner forearm.
At Palm Beach Regenerative, ultrasound-guided ulnar nerve hydrodissection offers a targeted, non-surgical approach for appropriately selected patients with cubital tunnel syndrome. Contact us for more information.
What Is Cubital Tunnel Syndrome?
The ulnar nerve passes through the cubital tunnel, a narrow channel formed by bone, ligament, and muscle on the inner elbow. Compression or irritation here, particularly with elbow flexion, produces the characteristic ulnar nerve symptoms. The nerve is also vulnerable to traction injury with repetitive elbow flexion activities.
Signs and Symptoms
- Numbness and tingling in the ring and small fingers
- Symptoms worsening with elbow bending or prolonged leaning on the elbow
- Weakness of grip and pinch
- Difficulty with fine motor tasks involving the small finger side of the hand
- Aching on the inner elbow
- In severe cases, wasting of the hand muscles and persistent weakness
Common Causes and Risk Factors
- Repetitive elbow flexion activities, particularly in throwing athletes or musicians
- Prolonged elbow flexion during sleep
- Direct pressure on the inner elbow from leaning
- Prior elbow fracture or surgery
- Elbow arthritis
How It Is Diagnosed
Clinical examination including Tinel’s sign at the cubital tunnel, elbow flexion test, and sensory testing localizes the nerve compression. Electrodiagnostic studies (nerve conduction velocity across the elbow) provide objective measurement of nerve function and compression severity.
Ultrasound allows direct visualization of the ulnar nerve at the elbow, showing nerve swelling and evaluating for nerve subluxation (snapping) during elbow movement.
Conventional Treatment Options
- Elbow padding and extension splinting at night
- Activity modification to avoid sustained elbow flexion
- Steroid injection around the ulnar nerve for inflammatory relief
- Surgical ulnar nerve decompression or transposition for moderate to severe cases
The Palm Beach Regenerative Approach
Dr. Ghattas uses ultrasound-guided ulnar nerve hydrodissection at the cubital tunnel, separating the nerve from perineural adhesions and reducing the inflammatory compression environment with targeted platelet preparation.
This technique is performed under direct real-time ultrasound visualization to ensure the nerve is safely and accurately treated. Mild to moderate cubital tunnel syndrome is the ideal candidate for this approach.
The BioMod Advantage: MLS Robotic Laser Therapy reduces ulnar nerve inflammation at the cubital tunnel and the associated medial elbow soft tissue irritation. Xymogen B-vitamin complex and nerve support protocols provide the nutritional foundation for ulnar nerve recovery, making every element of your treatment plan complement one another.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
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"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
