Conservative therapy in ulnar neuropathy at the elbow (Review)

Exp Ther Med. 2022 Jun 15;24(2):517. doi: 10.3892/etm.2022.11444. eCollection 2022 Aug.

ABSTRACT

Ulnar neuropathy at the elbow (UNE) is the second most frequent entrapment syndrome in the upper limb after carpal tunnel syndrome. Clinical features are validated through electromyographic and sonographic examination. Although the two aforementioned entrapment syndromes share common pathophysiological traits, the conservative treatment approach for mild and moderate cases of UNE differs from that for median nerve entrapment. The present study identified 23 different types of scientific articles aimed to address this issue. The research stressed the importance of patient education and activity modification. Night splinting offers clinical and functional improvement. Although corticosteroid injections play a role in selected cases, their utility remains to be validated. Physiotherapy trials evaluated ultrasound, low-level laser therapy, diathermy, extracorporeal shock wave therapy and dry cupping. Neurodynamic mobilization may add value to therapeutic approaches and should be a part of it.

PMID:35837045Opens in a new tab. | PMC:PMC9257949Opens in a new tab. | DOI:10.3892/etm.2022.11444Opens in a new tab.

This Just In