Ulnar Nerve Transposition Surgery Experience, Full Rehabilitation Program and FAQ

In this video I will be going through ulnar nerve transposition surgery, a surgery which I personally have had twice and have had the pleasure of rehabilitating 15+ individuals after surgery. I go through where the ulnar nerve goes to in the body, the different types of surgery which are submuscular and subcutaneous then I move onto some tips for speeding up recovery as well as a full exercise regimen and answer the most popular Q&As.
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[@pamavery9352]

I’m an RN, having this surgery, this was the best explanation post op etc from a physical therapist. Very I site full as he had the actual surgery himself!

[@hanifrealtalk7940]

Excellent video, very informative. I had my 2nd surgery yesterday, so will follow your advice and hopefully recover soon

[@vincegold257]

Thanks Travis, both my arms have been subluxing genetically, not from trauma, and the past year and a half became symptomatic with numbness in my sleep, which has since progressed to pain in my inner elbow/down through the forearm and hands (my entire hands hurt too, all 5 fingers in both hands) these past few weeks ever since I went bowling with my family around Christmas... look like I'll be getting the subcutaneous transposition on my dominant arm (right) next month, with the left to follow once the right is fully healed... I'm super nervous seeing a lot of things about this surgery not working - i appreciate your take on this subject, this is the most thorough video i've found yet that i can relate to!

[@UKFH]

Hi Vince, Wishing you all the best with your upcoming surgery! I offer an online consultation service for overseas viewers that want to ask specific questions with regards the ulnar nerve or want general advice pre surgery/after surgery. Always happy to help if needed. Kind regards, Travis

[@melissapatterson5381]

Thank you so much for this great video. I'm day 4 post decompression and submuscular transposition on my right arm (dominant). I have inflammatory arthritis and have ulnar nerve compression & subluxation symptoms in both arms & hands. The left has flared up post-op as I'm obviously having to use it more, so hoping the recovery of the right goes well and once healed can have the left done. This video has really helped me to feel I'm not being soft and need to be really mindful and careful especially this week. Still in pain but hopefully that will reduce soon.

[@bootychu3165]

How are you now?

[@David-jg6td]

Thank you for this video really helpful. I'm day two post op subcutaneous

[@lauriemcdade]

It took 14 years to figure out why both my arms were hurting whenever I lifted, pushed or pulled anything. So many doctors and not one figured it out. They kept telling me it was Fibromyalgia and tennis and golfers elbow. I am scared that 14 years of my ulnar nerves rolling around may have damaged a lot in my arms. I am supposed to have the first surgery in September. I’m terrified!

[@papazappa]

Thanks for such an informative video Travis. A couple of questions if that ok 1. Where does your ulnar nerve sit now? Mine is seeming to roll over with medial epicondyle without returning to the cubital tunnel however. But its more of a lateral transposition rather than anterior. Is this common amongst your patients? 2. Was the recovery from your second surgery quicker because the nerve was already released from the canal. Thanks very much

[@TokenTupperware]

Returned to work as a strength and conditioning coach 6 days post ulnar shortening osteotomy and ulnar nerve transposition on the same arm... Fatigue and depression hit like a freight train. I thought I could handle it, returning so fast was a major mistake. I'm 20 days out now. Will have a more gradual recovery due to 2 procedures done instead of 1. Little sad but hopeful to progress and get back to weightlifting eventually

[@UKFH]

Thanks for sharing your experience dynamite, a lot of people reading your comment will take a lot from that! Kind regards, Travis

[@hanifrealtalk7940]

I’m a PT and was planning on returning to work next week, I’ll think twice now. Thanks for sharing

[@TokenTupperware]

@@hanifrealtalk7940 yeah I returned too fast. Granted I had my ulnar bone worked on too. I felt much better around 1 month out. Weeks 5-6 energy level was better too. I'm a bit over 3 months out now, still sensitive over the nerve, but feeling so much better and getting back to lifting!

[@2BDoo]

Hello Travis, this is the best video on the topic on KZbin, I’ve seen them all! I had subcutaneous ulnar nerve transposition surgery four months ago. The numbness and tingling in my pinkie and ring finger is severe and has hardly improved. I play stringed instruments and this has seriously impacted my ability to play. Based on discussions with my surgeon, my expectation was that I would be substantially back to normal around two months post surgery. I’m concerned. My questions: How common in your experience is there no relief, or only nominal relief, four months after surgery? What are your thoughts in general? Should I be thinking about a second surgery? Thank You!

[@UKFH]

Hi 2BDoo, Sounds like there is some compression still for there to be pins and needles after 4 months. Is the area still swollen? Are you getting any clicking at the elbow joint? What type of surgery did you have also? There should be good improvement at the 4 month right, I would definitely be getting in a meeting with the surgeon. Kindest regards, Travis

[@PollyPanic]

The surgeon told me i could return to performance cello and working with dogs (dogs with issues) as soon as i got my aoft cast off. I went home happy as a clam to play and coyldnt hold the bow. It was a shock. And then i was afraid to do anything at all. Niw working with this video and hoping to be well enough to play feativals in august.

[@UKFH]

Thank you for taking the time to watch my this video, I hope you enjoyed it! These videos would not be possible without your support and viewership, if you would like to continue to support the channel so I can add more free educational content just like this one you can do so via the following link www.paypal.me/ukfhdotcom Have an amazing day and don't forget to let me know where in the world you are watching this video from! Travis

[@user-pm8kx8gh6c]

Thank you for doing this video!! Very helpful!! I must ask what didn't work properly on your first surgery? How long after the surgery you or someone else notice that it wasn't help and gone wrong? And how long has it been between the first surgery to the second? I will very appreciate for answering these questions!

[@UKFH]

Hi! In my first surgery I had they did a facial sling and it wasn't sutured into the muscle well enough so I still had sublaxation. In the second surgery they simply tightened it up and put additional sutures in. In the UK we have a very safety first approach to medicine and surgery so surgeries are completed with as little trauma as possible for the biggest benefit and only if they don't work are more abrasive surgical techniques considered. In answer to your second question, when I had my arm cast taken off and could bend the elbow I knew straight away the surgery failed as I felt sublaxation still so was straight back in for surgery. Kindest regards, Travis

[@user-pm8kx8gh6c]

@@UKFH thanks you for answering! I very appreciate this!

[@range4193]

What exercises can you do now after surgery. Like for example can you do curls, bench press, and a majority of upper body movements.

[@user-xq1bj7lq8z]

Informative video! Thanks! I’m 2 wks post op. In treating others, have you seen anyone with elbow numbness after surgery?

[@UKFH]

Hi User, Yes, super common and sometimes even up to 6 months post surgery in severe cases. (Not that it is common for 6 months after surgery) Kind regards, Travis

[@matthewgauthier5511]

Great video! Just had my surgery on my left elbow 3 days ago. Your thoughts on golfing in 4 weeks?

[@UKFH]

Hi Matthew, Its very hard for me to say as I can't assess your recovery, I always would err on the side of caution when it comes to returning back to activity. The longer you can give the arm the better it will be in the long run! Kindest regards, Travis

[@PatrickDammar-yk1ff]

What if you get clawing after surgery? Did you regain adduction right away?

[@FelugaBeluga]

Hey travis, im getting surgery soon, it only sublaxes a bit and then alot when i go overhead extension, i was wondering if i am able to do excercises that train the long head of the tricep post op since the main reason im getting the surgery is to be able to do excercises that put some stress on elbow such as calisthenics

[@dave6277]

Any suggestions for both cubical and carpal for anyone getting both done at the same time

[@mr.fastliferotterdam8674]

Hi Travis, great video but I have got 2 questions the first one is is it smart to do jiu jitsu and kickboxing after the surgery (when fully recovered). And the second one is do you gain any sypmtoms or pain after surgery. Like for instance If you put your arm in a sertain way that it hurts or irritates.

[@UKFH]

Hey! I wouldn't return to sport too quickly as it is just not worth it. Get your strength back within the arm then slowly transition back into kickboxing and jiu jitsu. Once fully recovered there is no reason why you can not go back to both! In answer to your second question, no I dont get any pain. I do boxing and there is no pain at my elbow. Kindest regards, Travis

[@brianleb]

Hi sorry maybe I missed it but do explain why the first surgery didn’t take? I had my left elbow done 90 days ago and it still subluxes and hurts same as before surgery. Where as I did my right elbow only 60 days ago and it feels much better.

[@amym6542]

Hi Travis, thank you for making this video! I am now 8 weeks post op ulna nerve transposition, my surgeon had said no strength work until week 8. So i will be starting to strengthen the arm now. I have been using the arm alot more the past week, but have had afew twinges in both the inside of the bicep and a little infront of the scar on the forearm. Would this just be the body getting used to the nerve being in a new place, as the muscles arent used too it being there? Thank you!

[@UKFH]

Hi Amy, This is to be expected, you likely will still have inflammation in the area and new scar tissue forming. Your nerve is still adjusting to its new position so it is very common to feel tightness, numbness and twinges in the initial stages of recovery and when increasing the loading of exercises. Remember the muscles are still in their recovery stage and will have been largely inactive since surgery. Kindest regards, Travis

[@MaxMustermann-on2gd]

Hi Travis, thank you for that video. To me it is very interesting to know that you went for ulnar nerve transpositin because of a subluxation and not because of cubital tunnel syndrome etc. Would you mind describing the symptoms you felt? I simply feel some general discomfort around the medial epicondyle. Actually, there is also some discomfort right at the back of the elbow where the ulnar nerve runs up the arm or where the medial tricep head attaches to the elbow and I am not sure what is causing the pain (ulnar nerve/tricep?). Besides the discomfort around the back of the elbow and the inner elbow I also have some forearm pain that I can provoke similar to a golfers elbow. Tried some exercises and treatment for golfers elbow but it didn't help much. In short: All of this as a huge mess, and I am looking for some guidance as to how ulnar nerve snapping would manifest in terms of symptoms. Do mine sound like an ulnar nerve transposition would resolve these issues? Thank you!

[@UKFH]

Hi Max, If you think it could be a tricep issue you might want to take a look at my video on snapping triceps syndrome here -> kzbin.info/www/bejne/Y4K0moyfq95kY6M My symptoms were, a big clonk at the elbow when flexing it past 90 degrees. Pins and needles sensations when working out due to the nerve sub laxing and loss of control in certain exercises. None of those symptoms I have now, at all. Kindest regards, Travis

[@toddnathan5891]

Hi Travis. Been through so much this year with multiple surgeries …not ulnar related. As a result I was sleeping on my hands and shoulders and woke up days ago not feeling my 4th and 5th finger and can’t even hold a pen…hand is numb. . Elbow/arm has minimal discomfort. I just ordered a splint and will wear at night. Also looking for hand/doc I can get appointment with. My question is how long is safe to try conservative measures before anything else becomes an option like surgery. Thanks so much.

[@UKFH]

Hi Todd, Sorry to hear that you have had a rough year with multiple surgeries! I think when there is no progression of symptoms, symptoms are becoming debilitating to everyday activities and life in general that would be where someone should seek the advice of a surgeon to talk about what options there are for you. Kindest regards, Travis

[@MrAMSTERDAM902]

Hi Travis, I'm about to have a sub muscular transposition this month and I had a couple questions for you. 1. Are you still able to box? I like to kickbox for recreation and I'm wondering if I'll be able to return to this someday. 2. Is your tattoo sleeve on the arm that was operated and if so how did it feel to get tattooed after your transposition?

[@UKFH]

Hey Amste3dam, Thank you for the questions, firstly I am wishing you a speedy recovery for your sub muscular transposition! I am still able to box, its really important to allow a full heal of the nerve before going back to any high velocity sports such as boxing, so once you have the strength back in the elbow. You are back in the gym and feel confident, get doing punching however gradually increase loading and power. My Tattoo'd arm is the operated arm, I have a thin scar about 6 fingertips long which I could easily get covered up if I wanted to. I had no issue with the tattoo'ing at all. You do get a dead arm and pins and needles getting the inner bicep done naturally (even without having any nerve issues) so don't freak out if that happens! Kind regards, Travis

[@Francis1985]

Hello Travis Who was your surgeon? I’ve just had a sub C transposition. Your video is very helpful.

[@UKFH]

Hi Francis, I was seen by Dr Sehjal who worked at Maidstone hospital. Kindest regards, Travis

[@nancy6328]

Thank you for the video. My question is regarding having a blood draw. I have frequent labs done and IVs put in my arms. The technicians/nurses always go to the inside of the elbow first to draw blood or to put in an IV. Is it safe to for the them to do this after an ulnar nerve transposition surgery? Is there any risk to them damaging the ulnar nerve in its new position during an inside of the elbow blood draw or IV insertion?

[@UKFH]

Hi NM, Thank you for the question and your kind comment. I can definitely say you shouldn't have any issue with regards being able to draw blood post surgery! Kindest regards, Travis

[@Perry0823]

Hi Travis, I rock climb and I now know I have been dealing with ulnar subluxations that happen when I climb with the elbow in certain positions. Physical therapist suggested surgery first visit but I asked if we could try conservative measures first. Have you met anyone who recovered from this without surgery?

[@UKFH]

Hi Perry, I can't say I have ever seen a true ulnar nerve subluxation fixed via conservative measures in my career thus far. I have had people "fix" what they think are ulnar nerve issues but actually were tendonitis or golfers' elbow. True clinically diagnosed ulnar nerve subluxations however I do refer onto orthopedic surgeons if the client would like to solve the issue. (Some clients prefer to live with it) Kindest regards, Travis

[@henrywilliams2857]

Hey Travis, I am 3 months post op ulnar nerve transposition and I am still dealing with tingling, and nerve irritating from lifting, as well as from throwing (I play baseball). Is there anything I can do, that is not mentioned in this video to help reduce that irritation? Trying to return to sport, and I have done much of what is within this video over the last couple months at PT, but still dealing with that nerve irritation down the arm and into the hand. Anything helps! Thank you

[@UKFH]

Hi Henry, As frustrating as it is, resting and doing gentle rehab exercises is the best way to go. If you start to get concerned, please do speak to your surgeon! I have had people at weeks 3-6 still tingling, thankfully in the end this did get better and subside. Kindest regards, Travis

[@streetballazzz]

Hey travis, my right arm is getting better but the left is gettin worse, waiting on surgery I am getting pain in the elbow section but i still have to train with max 5 kg to get strength in the right arm… Would you stop the gym completely or push on with low weight to avoid further muscle loss…

[@UKFH]

Hi Nakon, I would rest for a few days and see if the pain subsides as it could be something silly. If you keep getting pain at the elbow I would seek advice from a doctor just incase! Kind regards, Travis

[@gabriellepyke7937]

I need to get both my arms done (i have HNPP) and i was wondering if you think doing both at the same time would be a good idea? i have very busy schedule and taking 12-16 weeks to recover is impractical if not impossible, but then again the idea of having no use of my arms for a month scares me aha

[@UKFH]

Hi Gabrielle, In short I would never advise both arms be done at the same time. When clients get this surgery who want both done at the same time, they quickly understand that having both would have been completely overkill. Totally understand that it is impractical. If you need to speak to someone with regards this surgery I offer online consultations, just contact me via my website www.ukfitnesshub.com All the best, Travis

[@user-mx6bh1ju8t]

Hi Travis, It's Jensen, excellent video! About "coming back to work", I just want to know whether it can be shorter for keyboard-based vacation (software engineer, for example) to get back to work? 4-6 weeks toooo long for me

[@UKFH]

Hi Jensen! If it is just typing you need to do you can potentially return to work in a shorter recovery time however I would say before 4 weeks is unlikely if you want to be using both hands the way you normally would. Kind regards, Travis

[@user-mx6bh1ju8t]

@@UKFH Thanks for replying! I'll make a tradeoff on it

[@streetballazzz]

Hey travis What do you think about playing ps5 after week 3? Controller weight is under 300 gr If so how long a day? Thanks

[@UKFH]

Hi Nakon, I actually was playing PS5 when I was at week 2 onwards in my surgery recovery! It made my days far less boring! I did notice if I played for too long my hand would start to get a little tired so I did take regular breaks and didn't spend too long on the console! Kindest regards, Travis

[@MsMaestro2]

Hi Travis, thanks for the video. I had the surgery 6 weeks ago due to compression of the nerve caused by a schwannoma which was also removed. I am a professional pianist and I currently have full range of motion with a bit of weakness of the forearm muscle controlling the 4th & 5th fingers. I am wondering if it is normal to still have alot of tenderness along the incision area and aching in the arm at 6 weeks?

[@UKFH]

Hi MsMaestro, It is definitely normal to have numbness and tenderness 6 weeks post surgery! Well done in regaining full range of motion and as you start more strength work on the forearms and hand you should feel stronger in the 4th and 5th fingers over time. Wishing you all the best in your recovery! Kind regards, Travis

[@MsMaestro2]

Thank you

[@Terry-tr6yn]

Hi Travis, I have ulnar nerve subluxation and thickening in my dominant arm. I don’t have any functional abnormalities however I play basketball and due to the high contact nature of the sport, whenever my elbow creates contact with another player, I get a sharp horrible pain down the nerve. My question is after a subcutaneous ulnar nerve transposition, if I were to return to basketball, is the nerve relatively protected at the new position - do you get any pain when that area makes contact with something? (is it sensitive in that area when touched/bumped?) Lastly, did you experience any reduction in fine motor skills long term? (for example: a basketball shooting motion, writing etc.)

[@UKFH]

Hi Terry, Sorry to hear that you have been suffering with ulnar nerve subluxation! So, with subcutaneous surgery the nerve is moved to the inner side of the elbow so it's less likely to be knocked in general. Sports athletes typically will go for a sub muscular surgery as the nerve has more protection underneath muscle, especially high velocity throwing athletes such as American football players etc In answer to your other questions, I dont have any difference in motor skills from both of my arms but I did need to train my motor skills post-surgery. I don't at all get any nerve pain even when someone knocks my inner elbow. Kindest regards, Travis

[@Terry-tr6yn]

@@UKFH Thanks for getting back to me, appreciate the response!

[@hrvojebozanovic]

Hey Travis, im from Croatia and lookin for a surgeon who is experienced in this condition but so far none even know what this is so my question would be where did you do your surgery by which surgeon?

[@UKFH]

Hey! I don't know anything about how they do surgery in Croatia but what I can tell you is I had my surgery done in Maidstone hospital in Kent England and I saw a orthopedic elbow and shoulder surgeon who did my operation. All the surgeons in the hospital had done ulnar nerve transpositions before. Kind regards, Travis

[@densen6029]

Hi Travis. It sounds like you are based in the UK. Where did you get your surgery done at and what is the name of your orthopaedic surgeon? Look forward to hearing from you and also how can i book you for physical therapy after I have had my surgery?

[@UKFH]

Hi! I am indeed, I am based in Kent. Feel free to pop me a message using the contact me form at the bottom of my website www.ukfitnesshub.com and I can assist you with where I had my surgery and the surgeons name! (Not sure he would want it on KZbin) Hope to hear from you soon! Travis

[@scottowen775]

I've been diagnosed with ulnar nerve compression. Is there any difference in the surgery vs your condition? Recovery? Thank you!

[@UKFH]

Hi Scott, To transpose the ulnar nerve can be a way to solve compression :) Many with cubital tunnel syndrome will have this surgery due to compression. Kindest regards, Travis

[@iiMSii]

Which surgery did you have first and second time, why didn’t it work the first time?

[@UKFH]

Hi Mike, I had two subcutaneous surgeries, the first surgery did not work due to the fascial sling being too loose causing reverse sublaxation. This was corrected in the second surgery however. Kindest regards, Travis

[@Austinstaria]

how is the scar? i’m very worried about that aspect since the images i’ve seen are pretty drastic and i’m prone to keloid scars

[@UKFH]

Hi Blur, It is totally understandable to be apprehensive about the scar that is caused by this surgery. I can't say it has ever bothered me personally but what I do with clients who want their scars to heal as quickly as possible with the least amount of damage is I recomend they use something like kelo cote silicone scar gel. If you're from the UK you can pick this up at a chemist. My scar is 8/9cm for reference, some of my clients have slightly larger scars and some only 5-6cm. I have since had this tattoo'ed over so you are unable to see it without properly looking. Kindest regards, Travis

[@SouthCentralLife]

Great video, thank you. I just had my surgery 6 days ago. Ring and pinky numbness is there. Also, still feeling pain. What gym equipment should I avoid after full recovery? You mentioned skill crushers. What about kettle bell swings? Lunges with kettle bells? Bar Deadlifts? I am wondering if I brought this on by lifting too heavy :( Thank you, Christina

[@UKFH]

Hi Christina, All the exercises you mentioned wouldn't be too much of a worry as the elbows not in a flexed position for any of those. It would be more exercises that put a lot of sheering force on the elbow at full extention. We want to make the forearm muscles and Triceps nice and strong post surgery but there are smart and lower risk ways of doing this. Kindest regards, Travis

[@tl-ci6mf]

This surgery recovery has been very tough on me too lots of pain and emotionally a wreck because I can do much with my other hand.

[@SouthCentralLife]

@@tl-ci6mf I really haven’t felt much of an improvement. It’s been a week.

[@sarahbeals3555]

I am almost a week postoperative and I’m still numb in the ring and pinky finger.. just wondering when your numbness went away..

[@SouthCentralLife]

@@sarahbeals3555 going on 8 weeks, pinky and ring finger is still numb/ tingly and sensitive. I still get some shooting pain. Doctor told me to keep arm and hand extended as much as possible. Also told me my symptoms are expected. I am hopeful that at the 6 month mark it will be gone. I hope this helps.

[@tl-ci6mf]

1 week past transposition surgery, is it normal to feel some cramping/ throbbing in arm and fingers?

[@UKFH]

Hey tl, It is indeed normal, there is still a great deal of healing that still needs to be done :) If it keeps persisting and you feel it's getting worse do contact your surgeon and should you want some reassurance. Kindest regards, Travis

[@streetballazzz]

Hello travis When could you sleep on the side wich had surgery? I am going crazy sleeping on the same side for two weeks

[@UKFH]

Hi Nakon, I was exactly the same as you, I found it really hard to sleep on my operated side as I like to naturally toss and turn from side to side in my sleep. I had to alternate between sleeping on one side and on my back! Very uncomfortable few weeks! Kind regards, Travis

[@streetballazzz]

@@UKFH thanks for the reply, i am slowly getting better. Weird is that i have been told to just try everything with the hand daily, except pick up over 400gr… eat, brush teeth, dress. ofcourse i have no chance to bend as far but i am trying…

[@Milkybar882]

Thanks for the video. Both my elbows need transposition. I’ve not been able to play drums for more than 5 mins for over 5 years now and wear a bloody brace every night to stop the pins and needles. Having surgery next month in the U.K. I run my own business and it’s all at the PC. Do you think you can get back to work pretty quickly and just use one hand? I’ve got a trackpad to avoid using a mouse. Can’t really afford to take too much time off work

[@UKFH]

Hi Alex, It is mainly the fatigue you will struggle with if you return to work too quickly, also having the arm in a elbow sling whilst sitting at a computer wont be too comfortable. If you absolutely have to return to work very quickly, try to do it progressively (so don't return straight away to full days if possible) Wishing you all the best with your surgery Alex! Kind regards, Travis

[@Milkybar882]

@@UKFH thank you for the reply, appreciate it. I run a marketing agency so the campaigns have to run not matter what. I’ll take it easy for a week or so and just check on things. Is there a lot of physio work that needs to be done after and do you offer zoom sessions if needed?

[@UKFH]

@@Milkybar882 Hi Alex, I do indeed feel free to contact me via my website if you need any sessions! I have done over 30 of these rehabs now. Kindest regards, Travis

[@Milkybar882]

@@UKFH great can you link me to your website please

[@UKFH]

@@Milkybar882 www.ukfitnesshub.com :)

[@toddwillson8707]

Hi Travis. I just had this procedure last week. Only 4 days post op. Im curious to know what happened with your first op? Why wasn't it successful? Thanks

[@UKFH]

Hey Todd, I had two subcutaneous surgeries, the first surgery did not work due to the fascial sling being too loose causing reverse sublaxation. This was corrected in the second surgery however. Wishing you all the best with your recovery, stay positive! Travis

[@toddwillson8707]

@@UKFH Hi Travis. My surgery failed. Nerve has slipped back into its old position. How long did you wait until had the the 2nd surgery? Thanks

[@UKFH]

@@toddwillson8707 I waited over a year however this was more due to having to get time off work, I would have had it straight away otherwise.

[@mileslin5076]

Hey Travis, Before getting your surgery, did you test positive for issues with your ulnar nerve on either a nerve conduction test or EMG? I’ve got ulnar nerve subluxation (as confirmed by ultrasound), but my doctor is hesitant to do the surgery on me because he claims that I won’t experience any noticeable improvements if my nerve conduction test and EMG come up negative. Is this true? Just like you, I’ve been doing boxing for a while now, and it sucks that I can’t work as hard as I want to because of this issue. I was wondering: were you able to get back to boxing post-surgery? Thank you!

[@UKFH]

Hi Mileslin, I would have been negative for an EMG test as when you sublax a nerve there is no nerve damage usually, its just the nerve being irritated by snapping over the medial epicondyle. The nerve once sublaxing can not be rehabbed without surgery and for those who have jobs or recreational activities whereby the nerve is impacting every day life, I would always advocate surgery. I was able to return to boxing 4 months post surgery, sparring after 6 months and competitive fighting 9 months post surgery. Kindest regards, Travis

[@mileslin5076]

@@UKFH Thank you for taking the time to respond to my comment, that’s super helpful. I’m curious, when you did eventually return to boxing, did you suffer any permanent loss in performance? Also, how much pain were you in before your first surgery? I’m currently experiencing 5/10 pain (10 being the most painful), and I’m wondering if I should just tough it out or go for the surgery. Lastly, how long ago did you complete your second surgery? Did you experience any new symptoms or were any symptoms unresolved post-surgery in the long run? Sorry for the barrage of questions, I’m just pretty nervous about going through with the surgery and don’t know anyone else who’s gone through it. Thank you so so so much!

[@UKFH]

@@mileslin5076 I would say my performance got better after surgery as I was able to throw combinations without experiencing pain and irritation at the elbow and having to constantly work around the issue. Of course post surgery it took a long time to get back to fitness and strength, also psychologically trusting the elbow. My operated arm is my backhand (southpaw stance) but I haven't had any issues since. Kind regards, Travis

[@valkonking1328]

what do u mean with 2 surgeries

[@UKFH]

Hi Valkon, I mean that I had one unsuccessful surgery on the ulnar nerve, followed by another surgery which was successful. Kind regards, Travis

[@AA-ji4iv]

Hi Travis, is a transposition the same as a decompression? Thanks

[@UKFH]

Hi AA, A transposition is typically when something is moved from one place to another whereas a decompression is an operation to relieve pressure on a nerve. One of the ways of decompressing a nerve can be to transpose it! Hopefully that makes sense! Travis

[@AA-ji4iv]

@@UKFH appreciate that, thank you!

[@zrpggamer]

Not sure yet if i want to do the surgery. How long do you think I'll need to grt back to weights. I do not want to take a year off

[@UKFH]

Hi Gamer, This hugely depends on age, activity levels, type of surgery and so on. As a hypothetical I would be looking for a young man who is active to be back to normal exercise and weightlifting by week 8-10 post surgery as a conservative estimate. Kind regards, Travis

[@zrpggamer]

@@UKFH Thanks for the reply!

[@pamavery9352]

How much weight do you start with?? And how often do you increase the weight?

[@UKFH]

Hey Pam, I sometimes start people off with no weight at all, but at the beginner stages of rehabilitation I wouldn't be using more than a 1-3 of kilograms max with clients. Kind regards, Travis

[@pamavery9352]

@@UKFH thank you, Travis

[@judyharris6516]

June 28th surgery; when will numbness leave?

[@UKFH]

Hi Judy, I have had clients completely clear of numbness as quickly as 6-8 weeks post surgery and others that have gradually decreased to minimal or negligible levels of numbness by 9 months. Surgeons usually give these types of symptom up to 1 year before they become concerned. Kind regards, Travis

[@kp5732]

Im having the surgery in 2 weeks.. im right handed.. how quick can i get back to office work.. typing and using a mouse???

[@UKFH]

Hi Kelly, 3-4 weeks would be my recommendation but it massively varies on age, if the persons getting any rehabilitation, type of surgery and of course immune system! Kindest regards, Travis

[@joshgencel2437]

hello mste my pinky has been tingling for about 2 weeks post op is this normal

[@UKFH]

Hi Josh, I wouldn't be worried about it at week two however if you are still getting that tingling at week 6+ that would be more of a concern. Please do call your surgeon if you feel you need to :) Kindest regards, Travis

[@crazygrunt1000]

I got subcutaneous transposition, I’m one week post op. Is it normal/did you experience numbness around the incision/ new ulnar nerve location and outer elbow? 😮I hope it will go away after a month or so.

[@krock9887]

How you feeling now? Things calming down any numbness?

[@crazygrunt1000]

@@krock9887 It's getting less numb, I'm almost 2 months post surgery. Still numb around surgery site and back of elbow. I have swelling around new ulnar nerve location hopefully this reduces with time also. Overall very happy with results, no subluxation at all and no pain. If numbness and swelling goes away I will be super happy. I will say that I’m going from 2 to 3 beers a night, very good.

[@sherriemartin6202]

Why are my fingers still numb after 6 months?

[@UKFH]

Hi Sherrie, I recommend seeking the opinion of your orthopedic surgeon if you have nerve pain 6 months post surgery. Kind regards, Travis

[@saburudeensaburudeen926]

Thumbills kg ?

[@UKFH]

Hi Saburudeen, Are you asking what weight of dumbbells to use? Kind regards, Travis

[@janweaver1858]

Why did first surgery not work ????

[@UKFH]

Hi Jan, So I had a subcutaneous surgery with a facial sling, it was done a little too losely and I needed it tightened up and corrected. Since the corrective surgery I have had no issues since. Kind regards, Travis

[@janweaver1858]

I am having surgery tomorrow but have no idea what kind it is for my ulnar nerve. I am a little apprehensive

[@netster3]

Hi Travis, What do you think about pull-ups post surgery? I am 5 months out and did a pull up the other day and ever since I've had some pain and a little numbess. Is it possible to redamage what has been done during surgery? My fear is that I screwed something up. Thanks.

[@UKFH]

Hi Netti, There isn't any reason why pull ups would be bad 5 months after surgery. What I would say is, if I had you as a client who was 5 months post op and you had not done a single pull up. I would start off with you on an assisted pull up machine, gradually and very slowly work up in weight until the elbow had built some tolerance then go to pull pull up variations. The issue generally is never the exercise, it's the loading not being progressive on the elbow and people going from 0 to 100. Kind regards, Travis

[@netster3]

@@UKFH Which is exactly what I did because the pull-up bar was there and I thought, "Hey, let's give it a shot." Do you know if it's possible to tear the fascial sling (not doing the pull-up, just in general)?

[@UKFH]

@@netster3 It is possible however highly highly unlikely 5 months after surgery.