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BREAST AND BODY CLINIC - DEDICATED
FOCUS IN Cubital Tunnel Syndrome

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Over 22 Years experience in plastic surgery and cosmetic surgery practice in Northwest.

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About Cubital Tunnel Syndrome

It is a condition that is brought on by increased pressure on the ulnar nerve at the elbow. The ulnar nerve passes directly below the “funny bone” where it is susceptible to pressure. When the pressure on the nerve becomes great enough to disturb the way the nerve works, then tingling, pain and numbness maybe felt in the elbow, forearm, hand and fingers.

Pressure on the ulnar nerve can occur from holding the elbow in a bent position for a long time, which stretches the nerve. Such sustained bending of the elbow can occur during sleep. Sometimes the connective tissue over the nerve becomes thickened and can cause pressure on the nerve.

Cubital tunnel syndrome occurs when the pressure on the nerve is significant enough, and sustained for a sufficient period to disturb the way the ulnar nerve works.

Signs and symptoms of Cubital Tunnel Syndrome

  • The symptoms are usually felt when there is pressure on the nerve, such as sitting with the elbow on an arm rest, or with repetitive elbow bending and straightening.
  • Pain and numbness in the elbow.
  • Tingling, especially in the ring and little fingers.
  • Weakness or soreness in the hand.
  • Difficulty gripping and holding on to objects.

The ulnar nerve extends from the neck down the back of the arm to the hand. In the inner aspect of the elbow, it runs along a small passageway called the cubital tunnel.

Cubital tunnel syndrome occurs at the elbow and is also known as ulnar neuropathy.

Cubical Tunnel syndrome

How is Cubital Tunnel syndrome treated?

Cubital tunnel syndrome can be managed conservatively, if there is minimal pressure on the ulnar nerve. The most effective treatment for cubital tunnel syndrome is stopping the activity that is causing the problem. Treatment may include:

  • Avoidance of undue pressure on the elbow during daily activities.
  • Wearing a protective elbow pad (to protect against chronic irritation from hard surfaces) during daily activities.
  • Wearing a splint during sleep to prevent over-bending of the elbow.
  • Nerve gliding exercises.
  • Anti-inflammatory medicines

What does Cubital Tunnel feel like?

Cubital tunnel syndrome can cause pain, loss of sensation, tingling and numbness in the hand or ring and little finger. These symptoms are often felt when the elbow is bent for a long period of time, such as while holding a phone or while sleeping. Cubital tunnel syndrome can be treated with rest, exercise and medicines to help with pain and inflammation.

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Preparing For Your Cubital Tunnel Syndrome Surgery

Cubital Tunnel release surgery is a major operation that requires some preparation by the patient. Although severe complications are unlikely, it’s important to follow a few key guidelines to ensure your Cubital Tunnel Release Surgery goes well. And we may also refer to the best doctor for your surgery.

How long does it take to recover from Cubital Tunnel Surgery?

The recovery period after cubital tunnel surgery varies from patient to patient. After surgery a splint will be applied to the elbow holding it in a bent position. This will be worn anywhere from 2-4 weeks to allow the incision to heal and let the ulnar nerve set into its new position. Symptoms such as numbness or tingling may improve quickly or may take up to six months to go away.

Post Operative Activities

  • After surgery, you will be in a bulky dressing (bandage) that covers your elbow, forearm, and wrist. The bandage must be kept dry.
  • The bandage may be removed after 5 days. You will need to cover your incision with clean dressings that should be changed daily.
  • You may start moving your elbow, wrist, and fingers for light activities right after surgery.
  • Normally, cubital tunnel syndrome doesn’t return after surgery. That said, results may vary depending on the severity of the condition before the surgery was performed. The numbness should be resolved after surgery, but if the nerve was severely damaged, the surgery will be carried out for the purpose of preventing further damage while trying to restore as much sensation as possible to the fingers.
  • Elevate your hand above your heart as much as possible to lessen swelling and pain. Pillows and blankets under the arm are helpful when you go to sleep.

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WHAT OUR PATIENTS SAY

I had three procedures done with Mr Siddiqui, lip lift, breast implants and labiaplasty. I did a lot of research into surgeons and Mr Siddiqui stood out to me online he has a great profile and amazing reviews. My first consultation went really well, I was completely at ease, Mr Siddiqui explained everything thoroughly. A few weeks later I was in hospital having my procedures done, I was very well looked after and everything went smoothly. The aftercare was great. Between appointments Mr Siddiqui was only a WhatsApp or text message away, he was in touch everyday to begin and if I had any concerns he always replied quickly. I’m 6 weeks on from my procedures now and I am healing well and feeling great. I am very happy with my results. I can’t recommend Mr Siddiqui enough.

Lip Lift, Breast Augmentation (Breast Implants)

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Dr Siddiqui is the best surgeon I’ve ever had, I’ve had surgeons in the past and he is very professional and supportive. He listens to you, and he gives you the exact result you are after if not better than expected , he also gives advice and tells you if something wouldn’t look right. I am very very happy with my results and I will be using Dr Siddiqui for any future needs. Dr Siddiqui’s after care is none questionable, he checks on you daily, he is always there if you need to ask him questions and he is hard working and patient. I cannot think of anything constructive other than positive, thank you for giving me the best results and being the best surgeon!!

Breast Augmentation (Enlargement), Breast Implant Removal

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Mr Siddiqui was very personable and very clear as to what would happen, what my options were. He had time for questions and he therefore made the whole experience as easy as possible. His surgical work was faultless and he performed my labiaplasty, surrounded by a great team, in a great hospital. I would highly recommend his services to anyone thinking of this surgery. First class assistance from Barbara doing all the arrangements. I felt completely safe from start to finish and the surgery was a success. I am so pleased I chose Mr Siddiqui, I just wish I’d done it sooner.

Labiaplasty

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

I had a Breast Reduction with Mr Siddiqui on the 6th May 2022. My breasts were extremely heavy and low. I ended having 2.5kgs removed in total. Right from the 1st consultation, I felt I was listened too, and my questions were answered thoroughly. I was treated with respect and dignity by Mr Siddiqui and all the nursing staff, and nothing was ever too much trouble. Every single aspect of my care and surgery has been excellent. I am Very Happy with my results so far. Mr Siddiqui is a Professional who takes pride in his work. He can be trusted. Would I recommend him? 100% Yes absolutely! Thank-you Mr Siddiqui You have changed my quality of life. I feel so much more confident. I am looking forward to being able to buy underwear/swim wear and clothes off the peg. Now that feels fantastic. But the best thing of all is: I can now look in the mirror and like what I see.

Breast Reduction

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Mr Siddiqui was very informative in my initial consultation. He took time to explain the procedures and answer my questions. I never felt rushed or pressured at all. He was open and honest with what to expect and the results I wanted to achieve. I am three months post Tummy Tuck, muscle repair and Liposuction, I am so pleased with my results. I can’t believe it’s me! My after care has been great, I’ve had full support and even daily contact when initially post op. I would do it again tomorrow. I have seen this said by others but it’s true, I should of done it sooner!

Abdominoplasty (Tummy Tuck), Gynaecomastia, Excess Skin Removal

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Having wanted a full tummy tuck for over 10yrs I decided to take the plunge. After speaking to a couple of surgeons I settled with Dr Siddiqui, on our first meeting I was put at ease with a full explanation of what would happen. I am Having wanted a full tummy tuck for over 10yrs I decided to take the plunge. After speaking to a couple of surgeons I settled with Dr Siddiqui, on our first meeting I was put at ease with a full explanation of what would happen. I am now 2wks post op from my tuck and liposuction and I can’t believe the results already and how little pain I’ve had. My expectations have been exceeded. Dr Siddiqui has contacted me regular to ensure that I am ok. I would highly recommend Dr Siddiqui and would not hesitate to use him for any future surgery. A fantastic surgeon. I honestly can’t wait to get my bikini on. to use him for any future surgery. A fantastic surgeon. I honestly can’t wait to get my bikini on. 2wks post op from the tuck and liposuction and I can’t believe the results already and how little pain I’ve had. My expectations have been exceeded. Dr Siddiqui has contacted me regular to ensure that I am ok. I would highly recommend Dr Siddiqui and would not hesitate to use him for any future surgery. A fantastic surgeon. I honestly can’t wait to get my bikini on. to use him for any future surgery. A fantastic surgeon. I honestly can’t wait to get my bikini on.

Abdominoplasty (Tummy Tuck), Liposuction

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

So glad I chose Dr Siddiqui, after searching for a qualified surgeon he stood out from the rest! He sounded perfect for my breast reduction. When I went for my consultation he made me feel at ease and explained everything very clearly. He was so nice and suggested a size that would suit my frame. His secretary Rachel, clinic team and staff were also very nice! Surgery went really well. Dr Siddiqui gave me his mobile number to text or call if I needed anything. The morning after surgery he messaged me to see how I was, which I thought was lovely. My recovery was really good, I was back at work a week later. I am very pleased with the result, just love my new size. Dr Siddiqui is an excellent surgeon and I highly recommend him.

Breast Reduction

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Mr Siddiqui was great throughout my entire process. Consultation was thorough and covered every question or worry that I had. Despite being scared on the day, Mr Siddiqui and other staff helped me feel comfortable going through with surgery and since then the aftercare has been great. Any concerns I’ve had were discussed with me and resolved, regular check-ups since surgery and lifelong aftercare is amazing! Would definitely recommend

Labiaplasty

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

I highly recommend Mr Siddiqui to anyone who is considering a cosmetic procedure. Thanks to the extremely positive reviews provided by his past and present patients, it was very easy to choose him. From initial contact with his secretary and two meetings with Mr Siddiqui prior to my procedure and the aftercare I received, I could not have wished for a more professional, caring, and high-quality medical experience. This review adds to countless other 5-star reviews for Mr Siddiqui and hopefully will allay any concerns about undergoing a cosmetic procedure under him. I would also advise reading many of Mr Siddiqui’s superb reviews. They are testimony to his friendly and approachable character and professionalism. Thank you so much Mr Siddiqui. I am absolutely delighted with the outcome of my procedure.

Breast Surgery

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

Absolutely over the moon with my results, consultations and aftercare provided by Dr Siddiqui. Responds to all of my queries or concerns and easy to book appointments. I felt very comfortable immediately the first time I met with Dr Siddiqui and was able to open up about insecurities that were extremely personal. He has a very friendly and calming nature and is always informative and honest. The confidence he has helped me gain after my procedure is something I never thought I’d feel and I’m so grateful and glad I took the step to meeting and going forward with my procedure.

Labiaplasty

Overall Experience (5/5)
Bedside manner (5/5)
Explanation (5/5)

FREQUENTLY ASKED QUESTIONS ABOUT CUBITAL TUNNEL SYNDROME

Cubital tunnel syndrome symptoms include pain, numbness and / or tingling. The numbness or tingling most often occurs in the ring and little fingers. The symptoms are usually felt when there is pressure on the nerve, such as sitting with the elbow on an arm rest, or with repetitive elbow bending and straightening.

The pattern and distribution of your symptoms will be assessed and you will be examined for muscle weakness, irritability of the nerve to tapping and bending of the elbow, and changes in sensation. Associated medical conditions may need to be evaluated such as diabetes.

Symptoms may sometimes be relieved without surgery, particularly if the nerve conduction studies show that the pressure on the nerve is minimal. Reducing the pressure on the nerve may significantly reduce symptoms. Avoid putting your elbow on hard surfaces or wearing an elbow pad over the ulnar nerve and “funny bone” may help. Keeping the elbow straight at night with a splint also may help. A session with a specialist Hand Therapist to learn ways to avoid pressure on the nerve is usually necessary.

Prolonged flexion of the elbow, repetitive flexion and extension of the elbow, repetitive heavy lifting, resting the elbow on a hard surface, and use of vibrating tools all increase the risk of ulnar entrapment at the elbow.

Yes, baseball pitchers and others involved in sports which require throwing and overhead activities are at risk.

It is generally not dangerous, but in severe cases where surgery is required, potentially serious complications can occur.

Some of the risks include (i) persistent pain / stiffness, (ii) infection, (iii) nerve damage, and (iv) damage to blood vessels.

If you are experiencing cubital tunnel syndrome but you choose to ignore the symptoms, there is a risk of permanent nerve damage in the hand. Common symptoms associated with Cubital Tunnel Syndrome include: Intermittent numbness, tingling, and pain to the little finger, ring finger, and the inside of the hand. If you are experiencing the above symptoms you should immediately consult with your surgeon.

With cubital tunnel you can sleep on your back with arms at your sides or on pillows to keep your elbows and wrists in an ideal position. If you are sleeping on your side, place a pillow in front of you to support the whole arm and avoid resting the elbow on hard surfaces, such as the arm rests in the car or on chairs and tables.

Cubital tunnel is usually not serious but it can have permanent consequences if left untreated including paralysis and loss of feeling in the affected hand or arm but with proper treatment, patient can make a full recovery. This problem often goes away on its own but activities that are causing the problem may need to be stopped.

Normally, cubital tunnel syndrome doesn’t come back after surgery. Despite a variety of surgical options for cubital tunnel at the elbow, the failure of surgical treatment can lead to persistence, recurrence, or even worsening of symptoms, occurs in approximately 10%–25% of cases. Therefore, the results may vary depending on the severity of the condition before the surgery was performed.

When your dressing is removed, you can do light exercises after 2 weeks of surgery. You should also avoid heavy lifting or any significant elbow movement like yoga or push-ups for 3 weeks as carrying a heavy load after surgery can results in nerve damage.

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