Treatment options for ulnar neuritis

  I have talked about the diagnosis of ulnar neuritis, and in this short article, I would like to briefly discuss the choice of treatment for ulnar neuritis (ulnar nerve entrapment). The general treatment principle is to choose conservative treatment (non-surgical treatment) first if it is possible, and to closely observe the changes in the condition during this period, and then to proceed to surgery once the treatment is found to be ineffective or the condition has changed negatively.  For ulnar neuritis, my basic principle is the same. For a portion of patients with ulnar neuritis, if only the sensation of numbness in the fingers and fine motor shibari incoordination occur without atrophy of the muscles of the hand, immediate treatment with neuroprotective and nutritive drugs is advocated, usually in a cycle of two weeks, and continued in a cycle of treatment if there is a therapeutic effect. Usually, conservative treatment will show significant results after one month. For example, a 14-year-old girl came to my clinic some time ago, she showed very typical symptoms of ulnar neuritis, and since she clearly remembered the time when the symptoms first occurred, it was a short time before she came to my clinic (about two weeks); at the same time, although there was partial impairment of motor ability, no muscle atrophy occurred, so after I communicated with her parents, I decided to give conservative treatment first, and after one month of After a month of treatment, the final result was very satisfactory. On the contrary, if the symptoms have been present for a long time, or if the dysfunction is accompanied by muscle atrophy, it is an indication for surgery.  In actual clinical practice, I often see the second scenario, that is, when I arrive at the hospital, I find that I have to operate. This is often unfortunate because surgery is not only more expensive, but also requires the patient to suffer from postoperative pain, and it is impossible to fully restore the function of the hand after surgery. It is important to ask the patient to seek medical attention for diagnosis and treatment as soon as symptoms appear in order to avoid surgery to the maximum extent possible.