Conservative therapy in ulnar neuropathy at the elbow (Review)

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.

Assessing the Effectiveness of Rehabilitation Interventions through the World Health Organization Disability Assessment Schedule 2.0 on Disability—A Systematic Review

“…Secondly, a focus on reducing activity limitations is crucial, involving specific measures such as spasticity reduction [ 15 ]. Thirdly, interventions often centre around patient choice and participation, aiming to guide these choices through information dissemination or behavioural strategies [ 16 ]. Comprehensive assessments and goal setting play a pivotal role, entailing thorough evaluations for activity limitations and the establishment of both short-term and long-term objectives [ 17 ].…”