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Cubital Tunnel Syndrome

A pinched ulnar nerve at the elbow

Cubital tunnel syndrome is compression of the ulnar nerve at the inside of the elbow, producing tingling and weakness in the ring and small fingers. Same-day or next-day evaluations across eight LA-area offices.

Los Angeles orthopedic specialist evaluating a patient for cubital tunnel syndrome: LAOSS board-certified care across eight LA offices

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Board-certified surgeons and podiatrists across eight Los Angeles area neighborhoods.

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Common shoulder & elbow concerns we treat

  • Pain that limits walking, lifting, or sleep
  • Stiffness, swelling, or reduced range of motion
  • Sports injuries: acute or overuse
  • Arthritis or post-traumatic joint changes
  • Conditions other doctors couldn't resolve

What sets LAOSS apart

  • Same- or next-day appointments at eight Los Angeles-area offices
  • On-site imaging; PT coordinated with your in-network provider
  • Conservative-first care, surgery only when needed
  • Board-certified specialists, not generalists

Key takeaways

  • Cubital tunnel syndrome is one of many shoulder & elbow conditions our specialists evaluate every day.
  • Mild cases often improve with conservative care: avoiding prolonged elbow bending, night splinting, elbow padding, and nerve gliding exercises.
  • When a procedure is the right call, we explain every option, recovery timeline, and return-to-activity milestone.
  • On-site imaging at most offices and same-day appointments across eight Los Angeles-area locations.

What is cubital tunnel syndrome?

Cubital tunnel syndrome is compression of the ulnar nerve at the inside of the elbow, producing tingling and weakness in the ring and small fingers. Symptoms can develop gradually or after a specific injury, so early evaluation matters when function starts to decline.

Mild cubital tunnel syndrome often improves with conservative care: avoiding leaning on the elbow or keeping it bent for long periods, a night splint or elbow pad that keeps the arm straighter during sleep, and nerve gliding exercises. Steroid injections are generally not used for this condition. When symptoms persist, or there is constant numbness or muscle weakness, our specialists offer the surgical options discussed below.

Below, we walk through the anatomy involved, the symptoms and causes we most often see, how we diagnose cubital tunnel syndrome, and the full range of treatment options, from the simplest to the most involved.

Watch: Cubital Tunnel Syndrome

This condition, also called "ulnar nerve entrapment," happens to the ulnar nerve in your elbow. This nerve travels along the inner side of your elbow and down to your hand. It's the nerve that makes the jolt you feel when you bump your "funny bone." With this condition, your ulnar nerve is compressed, stretched or irritated.

Animations licensed from ViewMedica · Swarm Interactive
Anatomical illustration of the shoulder and elbow showing the rotator cuff, glenoid, humerus, and ulna
Anatomy of the shoulder & elbow: rotator cuff, glenoid, humerus, ulna, and radius.

Inside the shoulder & elbow.

The shoulder is the most mobile joint in the body, which makes it vulnerable to instability and impingement. The elbow is a hinge that lets you reach, lift, and rotate the forearm. Both rely on tendons and ligaments that can tear or fray over time.

Symptoms and causes of cubital tunnel syndrome

Common symptoms

  • Numbness or tingling in the ring and small fingers
  • Weakness with grip or pinch
  • Pain on the inside of the elbow
  • Symptoms worsen with bent-elbow positions (phone, sleep)

Common causes

  • Prolonged elbow flexion (sleeping with elbow bent)
  • Direct pressure on the inner elbow
  • Repetitive elbow bending or throwing
  • Prior elbow fracture or dislocation

How we diagnose cubital tunnel syndrome

You want answers, fast, and we're built to give them. Most patients leave their first LAOSS visit with a clear diagnosis and a written plan, not another referral chain.

Here's what your initial visit for cubital tunnel syndrome typically looks like:

  • Detailed history: when it started, what makes it better or worse, what you've already tried
  • Focused exam of the elbow and hand: sensation, grip and pinch strength, and tests that reproduce the tingling
  • On-site imaging at most offices: X-ray to look for bone spurs or old injuries, with nerve conduction studies and EMG ordered when we need to measure how the nerve is working
  • A written plan with options ranging from conservative care to surgical procedures, in plain English

Schedule your evaluation at the LAOSS office nearest you.

How we treat cubital tunnel syndrome at LAOSS

Once we've confirmed the diagnosis, the next step is matching the right treatment to your situation. We start with the least-invasive option that fits, and escalate only when it doesn't.

Conservative care
Step 1

Conservative care first

Non-surgical options designed to relieve pain, restore movement, and avoid the OR when possible.

  • Avoiding long periods with the elbow bent, such as holding a phone to your ear
  • Night splint or padded brace to keep the elbow straighter during sleep
  • Elbow pad, and no leaning on the inner elbow
  • Ergonomic changes at your desk, in the car, and at work
  • Nerve gliding exercises with a hand therapist
  • Anti-inflammatory medication for short-term relief of soreness
Surgical care
When needed

Surgical options when needed

Minimally invasive and reconstructive procedures performed by board-certified orthopedic surgeons.

  • Cubital tunnel release (in situ decompression) to open the tunnel around the nerve
  • Ulnar nerve transposition to move the nerve to the front of the elbow
  • Medial epicondylectomy to remove part of the bony bump the nerve catches on
  • Revision surgery for symptoms that return after an earlier release

Why experience matters.

Why experience matters

Shoulder & elbow care is highly technique-dependent. Volume, training, and judgment together determine the outcome you actually feel six months later.

  • Precise diagnosis from imaging and exam
  • Conservative-first care that avoids unnecessary surgery
  • Surgical technique refined over thousands of cases
  • On-site imaging + coordinated PT through your in-network provider

The LAOSS approach

Our shoulder & elbow specialists move stepwise: start with the least-invasive option that fits your situation, escalate only when it doesn't.

  • Same-day imaging at most offices
  • PT coordinated in your insurance network
  • Board-certified surgeons performing the procedures themselves
  • Direct access to your specialist between visits

Am I a candidate?

If most of these match your situation, an evaluation with a shoulder & elbow specialist is the next step.

You may be

You may be a candidate if

These signs typically point toward an in-person evaluation with a shoulder & elbow specialist.

  • Pain or stiffness in the shoulder & elbow that lasts more than a few days
  • Swelling, instability, or noticeable change in function
  • Symptoms that limit walking, lifting, sleep, or work
  • Previous treatment that didn't fully resolve the problem
  • Imaging or exam findings that suggest an underlying issue
Evaluation

What evaluation includes

Your first visit is built to give you an answer the same day, not just another referral.

  • Detailed history: onset, mechanism, what makes it better or worse
  • Hands-on exam focused on the affected joint or region
  • On-site imaging at most offices (X-ray, ultrasound)
  • Clear plan with options ranging from conservative to surgical
  • Same-day or next-day scheduling for any follow-up tests

ImportantSeek urgent evaluation for sudden severe pain, numbness, progressive weakness, or any sign of infection (fever, increasing redness or swelling).

Your shoulder & elbow recovery roadmap.

Recovery is rarely a straight line, but a clear plan with measurable milestones makes the path predictable.

  1. Days 0 to 14

    Right after care

    In the first two weeks we focus on protecting the shoulder & elbow, calming inflammation, and restoring basic motion.

    • Activity modification with clear do/don't guidance
    • Ice, elevation, and pain control as needed
    • Gentle range-of-motion within safe limits
    • Follow-up scheduled to track healing
  2. Weeks 2 to 8

    Rehabilitation

    Targeted physical therapy rebuilds strength, mobility, and confidence in the shoulder & elbow.

    • Progressive strengthening and neuromuscular work
    • Manual therapy and soft-tissue treatment
    • Sport- or job-specific movement re-training
    • Coordinated PT through your in-network provider
  3. Months 2+

    Long-term care

    Once function is restored, the focus shifts to keeping you there, and catching any recurrence early.

    • Return-to-activity plan with measured benchmarks
    • Home program tailored to your sport or job
    • Maintenance visits or imaging if symptoms change
    • Direct line back to your specialist if needed
Risks & considerations

What to weigh before you decide.

We talk through the risks and benefits with every patient. Informed consent is a conversation, not a form.

General

General considerations

Every orthopedic intervention carries a small set of standard risks. We screen, prepare, and monitor for these on every patient.

  • Infection (rare with modern technique and prophylaxis)
  • Bleeding or bruising at the treatment site
  • Reaction to anesthesia or medications
  • Need for additional procedures in some cases
Specific

Shoulder and elbow considerations

Some risks are tied to the structures we're treating in the shoulder & elbow. We discuss these in detail at your visit so you can weigh them against the benefits.

  • Temporary stiffness or weakness during recovery
  • Incomplete pain relief in a small percentage of cases
  • Nerve or vessel irritation near the treatment area
  • Need for follow-up therapy to fully restore function

Meet our shoulder & elbow doctors in the Greater Los Angeles area

At LAOSS, our shoulder & elbow specialists are board-certified and treat these problems every day. From minimally invasive arthroscopic techniques to joint replacement and arthritis management, our physicians bring decades of experience to every case. We have cared for Los Angeles patients since 2007, with one goal for each: less pain, better movement, and a return to the activities you love.

Meet your shoulder & elbow specialists.

View all providers
Compare up to 34 providers
  • Accepting new patients

    Sevag Bastian, MD

    Sports Medicine · Shoulder & Elbow

    • Glendale
  • Accepting new patients

    Daniel Acevedo, MD

    Shoulder & Elbow Surgeon

    Speaks English and Spanish

    Habla español

    • Encino
    • Thousand Oaks
  • Accepting new patients

    Matthew Longacre, MD

    Sports Medicine · Knee

    • Glendale
    • Encino
    • Valencia
    • +1 more
  • Accepting new patients

    Hayk Stepanyan, MD

    Total Joint & Sports Medicine

    • Glendale
    • Santa Fe Springs
    • East Los Angeles

Care for cubital tunnel syndrome starts here

Don't let cubital tunnel syndrome be something you just power through. With same- or next-day appointments at multiple Los Angeles locations, you'll never wait weeks or months for answers. The same team handles your diagnosis, treatment, and recovery. Whether you need physical therapy, injections, or surgery, we plan it with you and coordinate each step.

Call or schedule online today to see a shoulder & elbow specialist in Los Angeles.

Find care by body area.

Jump to a nearby condition page and compare treatment paths across the body.

Common cubital tunnel questions

  • We start with a focused orthopedic exam and detailed history. X-rays may be taken in-office, and nerve conduction studies with EMG are ordered when we need to confirm where the nerve is compressed and how severely. Most patients leave the first visit with a clear diagnosis and a written plan.

Don't wait on pain.

Book a visit with a shoulder & elbow specialist at any of our eight Los Angeles-area offices.

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21 specialists · 8 offices
Greater Los Angeles
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