Ulnar Nerve Decompression/Transposition
The information below is meant as a guideline only. The professional skills of a therapist must come into play for each individual patient.
Dr. Chris Evensen
![Ulnar Nerve Decompression/Transposition](https://therapywestpt.com/wp-content/uploads/2023/03/75b44b0e9c2e5d305fa323c6c51d3476_M.webp)
PHASE ONE
1-2 WEEKS
RANGE OF MOTION
Wrist ROM. PROM elbow as tolerated if no transposition completed.
IMMOBILIZER
Brace locked at 0° – 90° be worn at all times.*
Discontinue splint 10-14 days.
EXERCISES
Gripping, wrist ROM(passive only), shoulder isometrics (no shoulder ER).
PHASE TWO
3-7 WEEKS
RANGE OF MOTION
Elbow ROM, emphasize full extension.
IMMOBILIZER
None
EXERCISES
Wrist ext/flexion, forearm supination/pronation, elbow ext/flexion. Initiate strengthening ex’s for same movements. At week 6-7, initiate light sport activities.
PHASE THREE
8-12 WEEKS
RANGE OF MOTION
Full and pain-free ROM.
IMMOBILIZER
None
EXERCISES
Initiate eccentric exercise program, plyometric exercise drills, continue shoulder and elbow strengthening and flexibility exercises. Initiate interval throwing program for throwing athletes.
PHASE FOUR
14-32 WEEKS
RANGE OF MOTION
Full and pain-free ROM.
IMMOBILIZER
None
EXERCISES
Return to competitive throwing.