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Ulnar nerve neuropathy /decompression surgery

Original Post
Shelby Sheets · · Columbia City, IN · Joined Sep 2020 · Points: 0

9 months ago got my hand caught and injured and jerked very hard to free myself. Nerve conduction proves the nerve @ the elbow is definitely affected, MRI shows medial lateral epicondylitis. Having numbness in ring and pinky finger.  I'm uncertain about decompression surgery. Anyone out there had it but not real recently, and have good results? Any with long term success? 

Jon.R · · Tucson, AZ · Joined Jun 2014 · Points: 466

I've had ulnar nerve issues ~5 years now. Likely onset by climbing/grad school thesis.  I've been waiting for another climbing injury before seriously looking into surgery. Keeping my arm at a right angle >30 seconds starts to cause numbness and tingling in the pinky (mostly effects talking on the phone w/out headphones). With treatment of elbow tendonitis (more inflammation = more nerve irritation), ulnar nerve glides and chest openers on a foam roller, I've been able to keep climbing / typing and keep discomfort manageable. Not a medical professional or know anything about the severity of your condition, but I've been fine without surgery. I am curious to what others will say who decided to go under the knife.

lin murphy · · boulder · Joined Sep 2006 · Points: 480

I had the surgery, not due to climbing or biking, but from chemotherapy which gave me peripheral neuropathy in both hands and feet.  My dr believed most of the neuropathy was due to pinching of the ulnar at the elbow--because there was more neuropathy on my left side, where I am inclined to bend my arm while sleeping, plus doing a lot of things that also compress the narrow elbow area.  The surgeon also decompressed the ulnar at the wrist.  This surgery happened August 7, 2020.  The scars are quite noticeable, but fit right in with all the other scrapes from 40 years of climbing.

Look up 'bicycle palsy' for more insight on the ulnar nerve.

I can't say the surgery cured the problem--because I have other issues which have kept me off the rock.  But, I'm sure it's possible to climb face without a strong pinkie. Look forward to reporting how it goes.

Guideline #1: Don't be a jerk.

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