Understanding the condition
Compression or irritation of the ulnar nerve at the elbow can alter feeling in the little finger and part of the ring finger. More advanced problems may affect the small muscles of the hand.
What might you notice?
- Tingling or numbness in the little and ring fingers.
- Symptoms associated with prolonged elbow bending or pressure on the elbow.
- Loss of dexterity, grip difficulty or weakness in the hand.
These symptoms can have more than one cause. A clinical assessment is needed to establish the diagnosis.
Specialist assessment
A consultation includes examination of the elbow and hand, with consideration of other causes such as a problem in the neck or compression elsewhere. Nerve tests and selected imaging may help guide treatment.
Your treatment options
Treatment may involve reducing pressure on the nerve and modifying aggravating positions. Decompression or moving the nerve may be considered where appropriate. Surgery aims to protect or improve function, but established weakness may not fully recover.
Common questions
Is the ulnar nerve the same as the “funny bone”?
The sensation described as hitting the funny bone comes from the ulnar nerve near the elbow.
Which operation is needed?
The choice depends on the site of compression, nerve stability, previous treatment and examination findings. These are discussed individually.
General patient information from London Nerve Injury. Decisions about investigations and treatment require an individual clinical assessment.