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Cubital Tunnel Syndrome (CTS) develops when the ulnar nerve, which runs through the cubital tunnel at the elbow, becomes compressed or irritated. The ulnar nerve regulates sensation and movement in the forearm and hand, mostly affecting the ring and little fingers. The cubital tunnel is a short route inside the elbow, and any pressure on the ulnar nerve can cause symptoms such as tingling, numbness, weakness, and pain in the forearm, hand, and fingers.
One of the most common causes of CTS is prolonged elbow pressure, which can be caused by resting the elbow on rough surfaces for long periods of time, repetitive bending, or sleeping with the arm flexed. Trauma, arthritis, or anatomical anomalies can also cause it.
Cubital tunnel syndrome is characterised by "pins and needles" sensations in the ring and pinky fingers; hand grip weakness; and trouble with fine motor activities. We use a physical examination, nerve conduction testing, and occasionally imaging tests to make the diagnosis.
Conservative treatment options include rest, physical therapy, and anti-inflammatory drugs, but more severe cases may require surgical intervention. Early detection and treatment can help alleviate symptoms and avoid long-term nerve damage.