Monday, February 29, 2016

Best treatment for Ulnar nerve compression or injury

5th finger impacted by ulnar nerve compression

Compression of Ulnar Nerve: What is it and How to treat it?

The ulnar nerve is one of the three nerves that control the movements of your wrist, hands, and fingers. The other two nerves are the Median and Radial nerves. This article concentrates on the impact of ulnar nerve compressions.

What is controlled by the Ulnar Nerve?

The ulnar nerve supplies the sensation on the inner palm, the little finger and half of the ring finger. It also provides nerve stimulation to the muscles on the inner forearm and the muscles that control the middle half of the 4th and all of the 5th fingers, as well as the outer muscles of the hand, or the hypothenar muscles and interossei muscles.

What are the signs and symptoms of Ulnar Nerve Compression?

People with ulnar nerve irritation may present with wrist and hand pain, posteromedial elbow pain, pins and needles or numbness along with the nerve distribution on the inner side of the forearm and the inner one and a half fingers. Impingement of the ulnar nerve at different regions may cause specific muscle weaknesses. There may be difficulty in bending the wrist and the 4th and 5th fingers. Claw hand deformity may be present when the hand is at rest. 

How to differentiate Ulnar nerve entrapment from a Carpal Tunnel Syndrome?

Carpal tunnel syndrome involves compression of the Median nerve. Ulnar nerve compression differs from the Median nerve compression in its presentation. Your chances of having a carpal tunnel are definite if the pain, numbness tingling, weakness or pins, and needles in your palms extending to your thumb, index finger and middle finger. However, you have an Ulnar nerve compression when your symptoms are confined to the outer palm and parts of the 4th finger and your pinky (the fifth finger).

How to find out if you have an Ulnar nerve entrapment?

Tapping over the nerve at the funny bone region or on the inner side of the wrist may be tender and reproduce symptoms. Stretching of the ulnar nerve by putting the hand behind the ear, lifting the elbow to the level horizontal to the ear and pulling the elbow backward may reproduce the symptoms.

What is the best treatment for wrist pain resulting from ulnar nerve entrapment?

Treatment for a non-complicated compression includes local soft tissue therapy or physiotherapy modalities to break down adhesions that may be compressing the nerve and limiting its flexibility. Gentle neural stretching can be performed within a patient’s pain tolerance to decrease the tension. Manual therapy for the tight muscles in the forearm or the hand is required to relax the muscles. If the symptoms persist, nerve conduction studies may be needed.

For more information or inquiries, please contact our chiropractic center in Kuala Lumpur, Malaysia us at 03-2093 1000.

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