Cubital tunnel syndrome occurs when the ulnar nerve in the arm becomes compressed at the elbow, causing numbness, tingling, pain in the ring and little fingers, and sometimes hand weakness. Cubital tunnel release surgery aims to alleviate this pressure, preventing further nerve damage and improving symptoms. This article outlines the typical recovery process following surgery.
Immediate Post-Surgery Experience
After cubital tunnel surgery, your arm will be in a bulky dressing or splint to protect the surgical site and minimize movement. This initial dressing is often left in place for 48 to 72 hours, with a sterile dressing possibly remaining for 5 to 7 days. You may experience pain as the local anesthetic wears off, managed with prescribed medication or over-the-counter options like ibuprofen or acetaminophen. Your hand and fingers may also feel numb due to the local medication used during the procedure.
To help reduce swelling and pain in the first few days, it is beneficial to keep your arm elevated above heart level. Gentle movement of your fingers is generally encouraged immediately to prevent stiffness and promote circulation. Avoid heavy lifting or strenuous activity during this initial period.
Navigating the Recovery Timeline
Recovery after cubital tunnel surgery varies, but a general timeline can be anticipated. The splint or cast, if applied, is typically worn for 2 to 4 weeks, depending on your surgeon’s preference. Once removed, rehabilitation begins, often involving physical therapy.
Gentle range-of-motion exercises for the elbow, wrist, and fingers may be introduced within the first two weeks post-surgery. Physical therapy sessions, including nerve gliding exercises, become more active around six weeks after the operation. This approach helps restore flexibility and strength to the affected arm. You can resume light daily activities, such as eating or using a phone, shortly after surgery.
Returning to work depends on your job’s physical demands; desk job individuals may resume within one to two weeks, while those with physically demanding roles might need four to eight weeks or longer. Driving is generally permissible once comfortable and no longer taking narcotic pain medication. Avoidance of heavy lifting, pushing, or pulling is typically advised for four to six weeks. While grip and hand strength often return within two to three months, full functionality and nerve recovery can continue to improve for up to one year.
Addressing Common Concerns During Recovery
Managing pain is an ongoing aspect of recovery. In addition to prescribed medication, applying ice packs to the elbow can alleviate discomfort and swelling, particularly in the initial days. Over-the-counter pain relievers like ibuprofen or acetaminophen are often sufficient for pain control as recovery progresses.
Proper scar care is important for healing and to reduce sensitivity. Once sutures are removed (typically 10 to 14 days post-surgery) and the wound is fully closed, begin scar massage. This involves gently massaging the scar in circular motions using lotion, which can soften the tissue and improve its appearance. This practice can continue for several months. Keep the incision clean and dry, avoiding submerging the wound in water until your doctor advises it is safe.
Be aware of warning signs that may indicate a complication. Contact your doctor if you experience pain not improving with medication, a fever over 101 degrees Fahrenheit, increased redness or drainage from the incision, or pus. Other concerning symptoms include red streaks from the wound, loss of sensation or movement in your hand or fingers, or if your cast or splint feels too tight.