Ulnar Nerve Exercise #2 - Starfishing

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Ulnar Nerve Exercise #3 - The 6 Inch Punch
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Symptoms Check:
Do you have numbness, tingling or burning down into your ring and pinky finger?
Does it feel like ants are crawling on your arm?
Is it worse at night or while sitting?
Is your hand numbness dependant on your position or posture?
Does your hand numbness get better or “come and go?”
If so, you are not alone. These are symptoms of a possible ulnar nerve entrapment (amongst other possible diagnoses), which is often correctable through very specific styles of treatment.

There are many different possible reasons why the ulnar nerve (nerve contributing sensation feedback to the ring and pinky finger), is going heywire. Numbness when sleeping often times leads to daytime numbness, which can leave to hand muscle atrophy if left untreated for years. Sadly I’ve seen this before.

I had a friend I played ball with that lost so much muscle in his hand over the course of only one year that I wouldn’t doubt he won’t be able to swing a bat anymore because of decreased hand strength. I can’t handle that happening to anyone again since it’s very treatable and honestly is just silly to not start treating this very reversible condition.

On these infographics, I’ve included the 5 most common entrapment sites for the ulnar nerve and its contributing nerves.

The magic when you find the correct rehab for you really starts by identifying the correct site before you implement a treatment strategy for the problem of hand numbness.

When correctly diagnosed, treatment is very simple and can reduce numbness tingling and loss of sensation dramatically even over the course a few weeks.

Proper diagnosis can oftentimes be the hardest portion of implementing care for even a seasoned clinician, especially if they haven’t had experience with an upper extremity nerve compression like this.

I personally have had great success reducing people’s symptoms by taking a through history and exam; by through I mean it sometimes takes hours. If you’re doc only spent 5 minutes with you and didn’t physically touch you to exam your condition then his/ her exam was not enough in my experience. I have requested neurodiagnostics testing but only in very tough cases, certainly not the majority because they are often times not needed.

You cannot solve a problem unless you know the problem IS.

This led me to create the simple graphic looks and correlates with the book/ eCourse that I created.

#1 – Ulnar Nerve Entrapment At The Tunnel of Guyon (Handlebar Palsy)

As the ulnar nerve passes through wrist it can become pressured at the Tunnel of Guyon. This is exactly where a cyclist often times places their wrists onto the handlebars, yielding the slang diagnosis of Handlebar Palsy.

As you can see in the drawing, there are two circles that form the bony sides of the tunnel that the ulnar nerve passes through. These bones of the wrist, in addition to some fascia in the region make up the Tunnel of Guyon.

Excessive compress between the wrist and handlebars, especially with poor padding, reduces nerve flow into the pinky and ring fingers.

What’s the treatment?

If the problem is too much compression, an obvious solution is to reduce the amount of compression of the ulnar nerve between the tunnel and the handlebars. This is possible by adding more padded grip to the handlebars, wearing gloves, or changing the hand position when riding. This location of ulnar nerve entrapment can also present in people who work frequently with their hands daily. Day Laborers, factory workers, and other people in the service industry can be affected by this location of entrapment.

NOTE: It’s important to consider that nerve entrapments don’t often occur in isolation.

Nerves slide and when there’s a reduction of normal sliding mechanics, recovery may take longer. Look at the drawing… see how long the nerve is?

When a nerve is being sensitized in one location (compression site) often times improving slide mechanics of the rest of the nerve can reduce local sensitivity. In the case of an ulnar nerve being affected at the wrist, if we improve the ability of the ulnar nerve to slide throughout the rest of the arm then we can accelerate the healing process.

Sounds complicated, but it’s really not. It’s just physics. Forget the location where the entrapment is just move the shoulder, elbows and body around in circles. This is a very general way to increase slide contribution to the area that is “stuck.” Think Tai Chi!

#UlnarNerveExercise #california