Medical diagnosis of cubital tunnel syndrome ameliorated with thrust manipulation of the elbow and carpals

The Effects of Physiotherapy in the Treatment of Cubital Tunnel Syndrome: A Systematic Review

“…One paper focused on the surgical treatment of CuTS caused by anconeus epitrochlearis, and one evaluated the effectiveness of electrostimulation after traumatic ulnar nerve injury. Finally, 11 articles were included in the final review comprising 3 RCT-type studies [ 13 , 29 , 30 ] ( Table 1 ) and 8 case-series-type studies [ 20 , 21 , 22 , 23 , 31 , 32 , 33 , 34 ] ( Table 2 ).…”

“…In all case series [ 21 , 22 ] and case reports [ 20 , 23 , 31 , 32 , 33 , 34 ], subjects were clinically and neurophysiologically diagnosed with CuTS (four studies clinically and neurophysiologically; four studies only clinically). In eight case studies, 24 subjects ranging in age from 17 to 71 years were examined and treated.…”

“…In eight case studies, 24 subjects ranging in age from 17 to 71 years were examined and treated. The gender of the subjects was determined in six of the eight papers [ 20 , 23 , 31 , 32 , 33 , 34 ]. Studies by Oskay et al and Shen et al [ 21 , 22 ] failed to specify gender.…”

“…The most frequently evaluated symptom was pain (six of the eight papers) [ 20 , 21 , 22 , 23 , 33 , 34 ]. Symptom provocation tests (five of the eight papers) [ 20 , 21 , 31 , 32 , 34 ] and functional limitations of the upper extremity (five of the eight papers) were also frequently assessed [ 21 , 22 , 23 , 32 , 34 ]. Muscle strength was assessed in three of the eight papers [ 21 , 23 , 31 ].…”

“…It seems that physiotherapy is one of the most important forms of conservative treatment, which has been proven to be effective in other peripheral neuropathies [ 15 , 16 , 17 , 18 , 19 ]. To date, various forms of physiotherapy have been used in the treatment of CuTS [ 20 , 21 , 22 , 23 ]. However, the effectiveness of physiotherapy intervention as a conservative treatment of CuTS is inconclusive.…”