Medical and other nonsurgical treatments can provide significant help in cases of ulnar neuropathy. Conservative measures are most likely to be successful when paresthesias are transient and caused by malposition of the elbow or blunt trauma. Vasculitic and metabolic causes can be evaluated and diagnosed to facilitate treatment of the underlying condition.
Oral
vitamin B-6 supplements may be helpful for mild symptoms. This treatment should be carried out for 6-12 weeks, depending on response.
If conservative therapy fails, surgical treatment is warranted, typically involving one of the following procedures..
Decompression in situ
Decompression with anterior transposition (subcutaneous, intramuscular, or submuscular)
Medial epicondylectomy