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Cubital tunnel syndrome
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Cubital tunnel syndrome - November 2, 2005 7:25:00 AM
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JSPT
Posts: 284
Joined: April 19, 2005
From: Michigan
Status: offline
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A fellow clinician came to me with this case, and the only thing I could come up with is neural glides:
50 y/o female had R RC repair 1 year ago and a R carpal tunnel release a few weeks ago. The surgeon transferred some fat from the thenar area to the incision over the wrist to reduce scarring.
New PT order is for R cubital tunnel syndrome. Patient has R elbow pain as well as R 4th and 5th digit numbness. She can't perform heavy gripping due to the recent CT release.
Beyond the nerve glides, any ideas? My co-worker is certified in strain/counterstrain, and is going to try some work on the thoracics as well.
_____________________________
JS
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Re: Cubital tunnel syndrome - November 3, 2005 8:37:00 PM
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Alex Brenner PT MPT OCS
Posts: 1057
Joined: February 29, 2004
From: Kentucky
Status: offline
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JS, I would be interested in seeing her EMG report. Your neural glides would be a good intervention. I might add some grade I and II joint mobilizations to the elbow. I would also take a good look at her lower c-spine and would possibly try some things around C6 and 7 and see what happens with her distal symptoms. I like the idea of thoracic work.
Good luck.
_____________________________
Alex Brenner, PT, MPT, OCS
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