Questionnaire completed

Hesbells
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Ref 229655 Questionnaire completed 17/05/2023. Main symptoms: pain in elbow, numbness of hand when cycling or kayaking, pain and numbness doing anything which requires keeping elbow bent for any period of time, difficulty sleeping due to pain in elbow and numbness.

jeremydpbland
Online

Your symptoms are much more suggestive of ulnar neuropathy than CTS and my clinic is only for CTS I'm afraid. You can read a bit about ulnar nerve problems HERE though. Some cases can be self managed by the patient once you understand the nature of the problem but otherwise you will need the help of the hand surgeons. Your GP can make a referral. You may end up coming to my department for tests but I'm afraid I don't treat ulnar nerve disorders so you need someone else to tackle that side of things. JB

Hesbells
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Thank you Jeremy, I have read the link you provided (sounds very complicated/not very treatable!) and will share your feedback with my GP. I have an ultrasound booked in already so perhaps that will help confirm what is happening. Have a good week :)

jeremydpbland
Online

If the person doing it really knows their stuff on nerve ultrasound they may be able to detect ulnar nerve problems at the elbow that way but most sonographers will be looking for evidence of things like tennis elbow rather than nerve disorders. Let me know what happens please. JB

Hesbells
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Hi Jeremy,
Thanks for this. I went to my ultrasound armed with your advice on here and the sonographer noted my ulnar nerve is thickened at the elbow and said it is possible neuritis. My GP also referred me for elbow and cervical spine X-rays which all came back fine. He’s not sure where to refer me next so am waiting to hear from him on what needs to happen with the neuritis, but I wanted to update you and say a massive thank you, as without your advice I do not know that the sonographer would have been looking for the ulnar nerve issue in the first place.
Kind regards,
Helen

jeremydpbland
Online

X-rays are usually not very informative for this. If it's not improving with conservative management (keep the elbow stright and don't lean on it) then your GP will need to refer you to the hand surgeons. JB

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