Chapel Hill, NC

Cubital Tunnel
Without Surgery

Numbness in your ring and pinky fingers? Pain at your elbow? Cubital tunnel syndrome can often be treated without surgery using nerve hydrodissection.

What is Cubital Tunnel Syndrome?

Cubital tunnel syndrome is compression of the ulnar nerve at the elbow-the same nerve that causes the "funny bone" sensation when you hit your elbow. Unlike carpal tunnel (which affects the thumb side of the hand), cubital tunnel affects the ring and pinky fingers.

The ulnar nerve runs through a tight channel on the inside of the elbow called the cubital tunnel. When this nerve gets compressed or stretched, you experience numbness, tingling, and eventually weakness in your hand.

Common Symptoms

  • Numbness or tingling in ring and pinky fingers
  • Symptoms worse when elbow is bent (phone calls, sleeping)
  • Pain on inside of elbow
  • Weak grip strength
  • Difficulty with fine motor tasks (buttons, typing)

Cubital vs Carpal Tunnel

Carpal Tunnel (Median Nerve)

Thumb, index, middle fingers. Worse at night. Compression at wrist.

Cubital Tunnel (Ulnar Nerve)

Ring and pinky fingers. Worse with elbow bent. Compression at elbow.

Non-Surgical Treatment

Just like carpal tunnel, cubital tunnel syndrome can often be treated with nerve hydrodissection-without surgery.

How Hydrodissection Helps

  • Releases nerve from surrounding adhesions
  • Creates space for nerve to glide freely
  • Reduces inflammation around the nerve
  • 20-minute office procedure
  • No incision, no stitches
  • Return to activities same day

Regenerative Fluids Used

Dr. Buchheit utilizes various regenerative fluids for hydrodissection, tailored to your condition:

Dextrose Prolotherapy

Stimulates healing response

PRP

Growth factors for nerve healing

Autologous Conditioned Serum

As part of the Regenokine® Program

Frequently Asked Questions

Many cases of cubital tunnel syndrome can be effectively treated without surgery. Nerve hydrodissection releases the ulnar nerve from the surrounding tissues, often reducing compression and providing significant relief. Early treatment generally has better outcomes-the longer the nerve is compressed, the more difficult recovery becomes

Surgery typically involves cutting the ligament over the cubital tunnel or moving the nerve to a new location (transposition). Recovery takes weeks to months. Hydrodissection is a 20-minute office procedure using ultrasound-guided injection to free the nerve-no incision, no general anesthesia, return to activities same day.

Some patients notice improvement within days. For most, significant improvement occurs over 2-6 weeks as inflammation resolves and nerve function improves. Patients with longer-standing or more severe symptoms may take longer to recover and may need multiple treatments.

Stop the Numbness and Tingling

Don't wait until you lose strength in your hand. Find out if nerve hydrodissection can help your cubital tunnel syndrome.