Ulnar Nerve Decompression

What is an Ulnar Nerve Decompression?

Ulnar nerve decompression is a surgery to help a nerve in your arm called the ulnar nerve. This nerve, sometimes called the “funny bone,” runs through your elbow and helps you feel and move parts of your hand and forearm. Sometimes, it gets compressed or trapped at the elbow, causing pain, numbness, or weakness. The surgery involves making a cut near the elbow to free the nerve. In some cases, a small piece of bone may be removed to give the nerve more space. The cut is then closed with stitches.

Characteristics of ulnar nerve compression

Ulnar nerve compression happens when the nerve is compressed or trapped at the elbow. This can be caused by:

  • Repeated bending of the elbow
  • Pressure on the elbow from leaning on it for long periods
  • Injury or swelling around the elbow
  • A tight band of tissue compressing the nerve

Patients experiencing ulnar nerve compression require specialised care, often involving:

  • A surgeon who specialises in nerve or elbow surgery
  • Tests to check how the nerve is working
  • A plan to manage pain and swelling after surgery
  • Advice on how to move your arm to aid recovery
rawImage

How do I know if I’m experiencing problems with my CSF shunt?

You might have a problem with your shunt if you notice:

If you have any of these signs, contact your doctor, surgeon, or go to the nearest emergency department right away.

A healthcare professional can provide a comprehensive evaluation, typically involving:

  • Asking about your symptoms and medical history
  • Checking the strength and feeling in your hand and arm
  • Doing tests like tapping the nerve at the elbow to see if it causes tingling
  • Ordering nerve tests (like an electromyogram or nerve conduction study) to measure how the nerve is working
  • Using scans, like an ultrasound or MRI, to look at the nerve and surrounding tissues
  • Sometimes, the problem is not at the elbow, but can be a problem with the nerve(s) in the region from the neck to the shoulder (including spinal cord problems)

Your doctor will explain the results and discuss the next steps.

Our Specialists

What are the symptoms of conditions requiring a CSF shunt?

Conditions like hydrocephalus or intracranial hypertension can cause:

  • Headaches
  • Nausea or vomiting
  • Blurred or double vision
  • Feeling very tired or sleepy
  • Problems with balance or walking
  • Confusion or memory issues
  • In children, a bulging soft spot on the head or a larger-than-normal head

If you notice these symptoms, talk to a doctor as soon as possible.

You might have a problem with your shunt if you notice:

  • Return of symptoms like headaches, nausea, or vision problems
  • Redness, swelling, or pain around the surgery site
  • Fever or signs of infection
  • New symptoms like weakness, numbness, or pins and needles
  • Feeling more tired or confused than usual

If you have any of these signs, contact your doctor, surgeon, or go to the nearest emergency department right away.

IMPORTANT FOR ALL PATIENTS.

If you are on any blood thinning medications such as anti-platelet, anti-coagulant or anti-inflammatory medications, they should be stopped one week prior to any surgery. Examples of these medications include plavix, co-plavix, prasugrel, ticagrelor, asasantin, aspirin, disprin, solprin, astrix, cartia, warfarin, pradaxa, dabigatran, rivaroxaban, apixaban, clexane, heparin, celebrex, mobic, naproxen, indomethacin, diclofenac, ibuprofen.

Some diabetes medications need to be stopped up to three weeks prior to surgery. Please discuss with your doctor if you are taking one of these medications.

Similarly, any herbal or natural remedies including (but not limited to) traditional Chinese herbal remedies and prescriptions, naturopathic and homeopathic treatments, and supplements (such as glucosamine, garlic, ginger, ginkgo, ginseng, turmeric and fish oil) should be stopped one week prior to any surgery.

If these medications are not stopped, then your surgery may need to be delayed and rescheduled for reasons of safety. If you are unsure about whether you need to stop any of your medications, please ask your doctor.

Depending on your general fitness and your medical co-morbidities, you may require an assessment by physician specialists and an anaesthetist to assess your safety for surgery, before a decision can be made about your suitability for surgery.

Prior to any surgery, you will need to fast. On the night prior to surgery, your last mouthful of food should be prior to 12 midnight. On the day of surgery, you can sip clear water up until 4 hours prior to your surgery. You may use this opportunity to take medications that your doctor is happy for you to take. Please check with your doctor, what you should do with your medications and write those instructions here.

A member of staff from the hospital or the surgeon’s rooms will contact you up to three days prior to your admission and discuss this with you. They will also discuss your hospital paperwork if this has not been done. This is your opportunity to ask any questions you may have about your upcoming admission.

FAQs

Important Note: This information is for educational purposes only and does not replace professional medical advice. If you have concerns about the above, or are experiencing symptoms, please consult with a qualified healthcare professional for proper diagnosis and treatment options.

In Case of Emergency: If you or someone you know experiences sudden, or severe onset of symptoms or other emergency symptoms, call 000 (Australia) or your local emergency number immediately.

This information has been prepared to help you understand your neurological condition better. Your healthcare team is the best source for advice about your specific situation and treatment options.