Best Practice Case Studies-Ulnar Neuritis

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Ulnar neuritis, also known as irritation and inflammation of the ulnar nerve, affects the inside of the elbow and can cause pain, numbness, tingling, and weakness in the hand. Early diagnosis leads to straightforward treatment, while late diagnosis may necessitate surgery. Common causes include bending the elbow, leaning on it for extended periods, or repetitive elbow motions, particularly over the medial epicondyle (known as the "funny bone"). Risk factors involve activities that keep the elbow bent, joint swelling, arthritis, and previous injuries.<br /><br />Symptoms include numbness or tingling in the little and ring fingers, pain inside the elbow, and grip weakness or difficulties with fine motor skills like typing. Diagnosis typically involves a physical examination by a sports medicine physician, focusing on the neck, shoulder, elbow, and hand. Specific tests, such as tapping over the "funny bone," might cause electric-like shocks in the fingers if the nerve is irritated. X-rays or nerve conduction tests may also be utilized.<br /><br />Treatment includes anti-inflammatory medications, using a brace at night to keep the arm straight, and exercises to aid proper nerve movement. Surgery might be advised if non-invasive treatments are ineffective, particularly if the nerve is compressed.<br /><br />Preventive measures include avoiding activities that foster repetitive elbow bending or resting the elbow for lengthy periods. Using supports like a towel at night can help keep the elbow straight if symptoms are mild. Athletes are advised to return to activities gradually after a 2-3 week pain-free period.<br /><br />The article is attributed to members of the AMSSM, a multidisciplinary organization focusing on sports medicine education, research, and advocacy. Sports medicine physicians are well-equipped to provide comprehensive care for athletes and active individuals aiming for a healthy lifestyle.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 14

Topic Elbow and Forearm

Keywords

3rd Edition, CASE 14

3rd Edition

Elbow and Forearm

ulnar neuritis

ulnar nerve

elbow pain

numbness

tingling

sports medicine

nerve compression

anti-inflammatory

nerve conduction tests

AMSSM