Sunday, 28 February 2016

Ulnar nerve compression and injury

The ulnar nerve supplies the sensation on the inner palm, the little finger and half of the ring finger. It also supplies the muscles on the inner forearm, muscles that control the 4th and 5th fingers and certain muscles in hand such as hypothenar muscles and interossei.

People with ulnar nerve irritation may present with posteromedial elbow pain, pins and needles or numbness along 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.

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 backwards may reproduce the symptoms.

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 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 enquiries, please contact our Chiropractic center in Kuala Lumpur, Malaysia us at 03-2093 1000.

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