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Non-Operative Management of Cubital Tunnel

David Nolan, PT, DPT, MS, OCS, SCS, CSCS

May 3, 2016

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Question

What is the typical non-operative management of cubital tunnel?  

Answer

Our key to success is to try to prevent excessive flexion postures as well as prevent external pressure on the nerve. For intervention typically a night splint is used with 30 to 45 degrees of flexion and full supination for a month to 6 weeks. Patient should be educated to avoid elbow greater than 90 degrees, avoid valgus stress, and avoid excessive wrist and finger flexion as well.  The patient should also be educated to perfom PROM multiple times during the day.


david nolan

David Nolan, PT, DPT, MS, OCS, SCS, CSCS

Dr. Nolan is an Associate Clinical Professor at Northeastern University in the Department of Physical Therapy, Movement and Rehabilitation Sciences as well as a Graduate Lecturer in the College of Professional Studies in the transitional Doctor of Physical Therapy Program at Northeastern University.  David is also a Clinical Specialist at the Mass General Sports Physical Therapy Service and the Director of the MGH / Northeastern University Sports Physical Therapy Residency Program. 

Dr. Nolan is a board certified Orthopedic Clinical Specialist and Sports Clinical Specialist through the American Board of Physical Therapy Specialties and a Certified Strength and Conditioning Specialist through the National Strength and Conditioning Association.  He is a past recipient of the “Excellence in Clinical Teaching” award from the New England Consortium of Academic Coordinators of Clinical Education as well as the award for Outstanding Achievement in Clinical Practice by the Massachusetts Chapter of the APTA.  Dr. Nolan was also presented with the 2019 Lynn Wallace Clinical Educator award from the American Academy of Sports Physical Therapy. 


Related Courses

Management of Upper Extremity Pathology in the Overhead Athlete
Presented by David Nolan, PT, DPT, MS, OCS, SCS, CSCS
Recorded Webinar

Presenter

David Nolan, PT, DPT, MS, OCS, SCS, CSCS
Course: #3125Level: Intermediate2 Hours
  'Well organized'   Read Reviews
Upper extremity pathology is common in the general population and even more frequent with overhead athletes. To be successful in this specialized population it is important to understand the rehabilitation progression for a safe return to the demands of overhead activity. The purpose of this presentation is to present an evidence-based review of current physical therapy practice for the management and treatment of shoulder and elbow pathology in the overhead athlete. The principles of dynamic stabilization as it relates to an overhead athlete population will be discussed. Criteria for a safe progression to overhead sport following injury will also be included. This course is directly related to the practice of physical therapy and athletic training and therefore appropriate for the PT, PTA and AT.

Management of Adhesive Capsulitis
Presented by David Nolan, PT, DPT, MS, OCS, SCS, CSCS
Recorded Webinar

Presenter

David Nolan, PT, DPT, MS, OCS, SCS, CSCS
Course: #2615Level: Intermediate2 Hours
  'well organized'   Read Reviews
Adhesive Capsulitis is characterized by a painful, gradual loss of motion which may lead to significant functional limitations. This session will review the epidemiology, classification, and differential diagnosis associated with adhesive Capsulitis. Current evidence related to conservative rehabilitation management utilizing exercise and joint mobilization will also be reviewed. This course is directly related to the practice of physical therapy and athletic training and is appropriate for the PT, PTA and AT.

Rotator Cuff Lesions: Conservative and Post-Operative Treatment
Presented by David Nolan, PT, DPT, MS, OCS, SCS, CSCS
Recorded Webinar

Presenter

David Nolan, PT, DPT, MS, OCS, SCS, CSCS
Course: #3441Level: Intermediate2 Hours
  'Simple explanations and visuals and simple exercises demonstrating how to improve'   Read Reviews
Rotator cuff pathology is common in the general population and even more frequent with overhead athletes and workers. The purpose of this presentation is to present an evidence-based review of current physical therapy practice for the conservative and post-operative management of rotator cuff pathology. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.

Running Related Injury: Getting the Runner Back on the Road
Presented by David Nolan, PT, DPT, MS, OCS, SCS, CSCS
Recorded Webinar

Presenter

David Nolan, PT, DPT, MS, OCS, SCS, CSCS
Course: #3203Level: Intermediate2 Hours
  'Videos for different exercise progression'   Read Reviews
Running related injuries are common in physical therapy practice. This course will review the epidemiology of selected running-related injuries and review evidence-based treatment interventions to maximize function. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.

Managing Foot and Ankle Pathology in the Distance Runner
Presented by David Nolan, PT, DPT, MS, OCS, SCS, CSCS
Recorded Webinar

Presenter

David Nolan, PT, DPT, MS, OCS, SCS, CSCS
Course: #2706Level: Intermediate2.5 Hours
  'Great explanation of each diagnosis with thorough treatment'   Read Reviews
Running related injury is common presentation in rehabilitation practices. Some studies report over 50% of runners will experience an injury that limits participation at some point. The majority of injuries specific to distance runners will occur in the lower quarter and many of these will involve the lower leg and foot and ankle complex. This course will review the epidemiology of selected running related injuries and provide evidence-based recommendations for examination and treatment. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for PTs, PTAs and ATs.