What is the typical non-operative management of cubital tunnel?
Answer
Our key to success is to try to prevent excessive flexion postures as well as prevent external pressure on the nerve. For intervention typically a night splint is used with 30 to 45 degrees of flexion and full supination for a month to 6 weeks. Patient should be educated to avoid elbow greater than 90 degrees, avoid valgus stress, and avoid excessive wrist and finger flexion as well. The patient should also be educated to perfom PROM multiple times during the day.
David Nolan, PT, DPT, MS, OCS, SCS, CSCS
Dr. Nolan is an Associate Clinical Professor at Northeastern University in the Department of Physical Therapy, Movement and Rehabilitation Sciences as well as a Graduate Lecturer in the College of Professional Studies in the transitional Doctor of Physical Therapy Program at Northeastern University. He is also a Lecturer at Harvard Medical School in the Physical Medicine and Rehabilitation. David is also a Clinical Specialist at the Mass General Sports Physical Therapy Service and the Director of the MGH / Northeastern University Sports Physical Therapy Residency Program.
David is a board certified Orthopedic Clinical Specialist and Sports Clinical Specialist through the American Board of Physical Therapy Specialties and a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association. In 2019, Dr. Nolan was the recipient of the Lynn Wallace Clinical Educator Award from the American Academy of Sports Physical Therapy. He is a past recipient of the “Excellence in Clinical Teaching” award from the New England Consortium of Academic Coordinators of Clinical Education as well as the award for Outstanding Achievement in Clinical Practice by the Massachusetts Chapter of the APTA. In 2022, Dr. Nolan received the Richard Kessler Memorial Award from the APTA of Massachusetts. Dr. Nolan was also honored with the APTA Academy of Physical Therapy Education's Distinguished Mentor in Residency/Fellowship Education Award in the same year.
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