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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 Adhesive Capsulitis
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Presenter

David Nolan, PT, DPT, MS, OCS, SCS, CSCS
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Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 1 hour of general and 1 hour of Direct Access CE credit.

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Running related injury is a common presentation in physical therapy practice. 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.

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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.

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Patellofemoral Pain Syndrome is a common diagnosis for patients presenting to physical therapy with anterior knee pain. The purpose of this presentation is to present an evidence-based review of current physical therapy practice for the management of patellofemoral pain syndrome. Evidence-Based therapeutic exercise interventions will also be reviewed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT

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