Nerve Compression Syndromes Beyond Carpal Tunnel

Understanding Cubital Tunnel, Ulnar Tunnel, and Cervical Radiculopathy

Nerve Compression Syndromes (Other Than Carpal Tunnel) 

When people think of nerve problems in the hand or arm, Carpal Tunnel Syndrome (CTS) is often the first condition they consider. But Carpal Tunnel is just one of several nerve compression syndromes that can lead to burning pain, numbness, and weakness in the upper body. 

At Doxa Specialist Clinic in Saint Lucia, we specialize in diagnosing and treating a wide range of nerve compression conditions, including Cubital Tunnel Syndrome, Ulnar Tunnel Syndrome, and Cervical Radiculopathy. These conditions can interfere with everyday activities — but with early care and a tailored recovery plan, patients often return to normal function without the need for surgery. 

What Is Nerve Compression? 

Nerve compression occurs when a nerve is pinched or irritated as it travels through narrow anatomical spaces. This pressure disrupts the nerve's ability to transmit signals properly, resulting in symptoms like: 

• Burning or electric pain 

• Tingling or numbness 

• Weakness in grip or coordination 

  
  

Let’s take a closer look at three common nerve compression conditions affecting the neck, elbow, and wrist. 

1. Cubital Tunnel Syndrome – Elbow Entrapment 

This condition involves compression of the ulnar nerve as it passes through the cubital tunnel, located behind the elbow. It’s the second most common nerve compression after CTS. 

Symptoms Include: 

• Numbness or tingling in the ring and little fingers 

• Hand weakness or difficulty with grip 

• Pain along the inner elbow 

• Worsening symptoms when the elbow is bent for long periods 

2. Ulnar Tunnel Syndrome – Wrist-Level Compression 

Also known as Guyon’s Canal Syndrome, this condition affects the ulnar nerve at the wrist, where it passes through a narrow space called Guyon’s Canal. 

Symptoms Include: 

• Tingling or numbness in the ring and little fingers (like Cubital Tunnel, but wrist-level origin) 

• Weakness in hand grip and fine motor skills 

• Muscle loss in the palm if left untreated 

  
  

This condition is common among cyclists, motorcyclists, and people who use tools or keyboards extensively. 

3. Cervical Radiculopathy – Neck-Origin Nerve Pain 

Cervical Radiculopathy refers to compression of a nerve root in the neck (cervical spine). It can be caused by a herniated disc, bone spurs, or degenerative changes in the spine. 

Symptoms Include: 

• Sharp, electric pain radiating down the arm and hand 

• Numbness in specific fingers, depending on which nerve root is affected 

• Muscle weakness in the arm, shoulder, or hand 

• Neck stiffness or limited range of motion 

Shared Symptoms to Watch For 

While each condition affects different nerve locations, they often present similar warning signs, such as: 

• 🔥 Burning or shock-like pain 

• 💤 Tingling or numbness, often in the ring, pinky, or index fingers 

• 💪 Weak grip strength or clumsiness with hand movements 

• 📉 Muscle wasting in advanced or untreated cases 

If you’re experiencing these symptoms — especially if they last more than a few days — seek medical attention early to prevent long-term nerve damage. 

Treatment Options for Nerve Compression

At Doxa Specialist Clinic, we take a team-based approach to diagnosis and recovery. Our specialists in orthopedics, physiotherapy, and pain management work together to offer effective, non-surgical care plans whenever possible. 

🧠 1. Comprehensive Assessment 

We use a combination of clinical exams, nerve conduction studies, and imaging (if needed) to pinpoint the location and severity of nerve compression. 

🏃 2. Physical Therapy 

Customized therapy programs help restore range of motion, reduce nerve irritation, and improve posture. Treatment may include: 

• Stretching and strengthening exercises 

• Neck or wrist stabilization 

• Postural re-training 

✋ 3. Nerve Gliding Exercises 

Gentle movements designed to help compressed nerves glide smoothly through their pathways. This reduces friction and can relieve symptoms over time. 

💼 4. Ergonomic Modifications 

Adjusting workstations, wrist positions, and daily habits can significantly reduce pressure on affected nerves. Our team provides ergonomic coaching to help prevent flare-ups. 

🛌 5. Bracing or Splinting 

Night splints or elbow/wrist braces may be recommended to minimize nerve pressure during sleep or activity. 

🛠️ 6. Surgery (For Severe or Unresponsive Cases) 

Surgical intervention may be necessary for patients with: 

• Persistent pain despite therapy 

• Progressive muscle weakness 

• Evidence of nerve degeneration 

  
  

Procedures vary based on location: 

• Ulnar nerve decompression or transposition (Cubital Tunnel) 

• Guyon’s canal release (Ulnar Tunnel) 

• Foraminotomy or discectomy (Cervical Radiculopathy) 

Why Choose Doxa Specialist Clinic? 

Located on the Castries Gros Islet Highway, Doxa Specialist Clinic is one of Saint Lucia’s leading centers for nerve pain and musculoskeletal care. We combine deep orthopedic expertise with modern physiotherapy and patient-centered pain management. 

Our mission is to help you get back to life without limitations — whether you’re working at a desk, enjoying outdoor sports, or recovering from injury. 

Take Action Before Symptoms Worsen 

If you’re experiencing persistent numbness, tingling, or weakness in your hand, arm, or neck, don’t wait. Early diagnosis is key to avoiding long-term complications. 

📍 Visit us at: Doxa Specialist Clinic Castries Gros Islet Highway, Gros Islet P.O. Box GI2155, LC01 101, Saint Lucia 

📞 Call/WhatsApp +1758 285-1616 

📩 Email: doxaspecialistclinic@hotmail.com  

🌐 Website: www.doxaclinicslu.com