Ergotip February '10

Are you at risk for “Cell Phone Elbow”?

Cell phone elbow, medically referred to as cubital tunnel syndrome is reported in the Cleveland Clinic Journal of Medicine to be the second most common nerve compression syndrome in the upper extremities; second only to carpal tunnel syndrome. Author Peter J. Evans, MD, PhD Director of Hand and Upper Extremity Center at the Cleveland Clinic reports that cellular telephone use has increased exponentially, with 3.3 billion service contracts active worldwide—or about one for every two people on the planet. He reports that the exact incidence of cell phone elbow is not known, but anecdotal reports and their own clinical experience indicates that its incidence parallels the rise in the use of cell phones and computer workstations.

 

Symptoms of Cubital tunnel syndrome include pain, numbness and/or tingling from the elbow to the hand, often affecting the small and ring fingers (similar to symptoms experienced when bumping your ulnar nerve, or "funny bone", however lasting longer). When holding a cell phone to your ear, the ulnar nerve passing around the elbow is stretched.  When holding the phone in that position for extended periods of time, it restricts the blood supply to the nerve. Dr. Leon Benson, orthopedic surgeon and a spokesman for the American Academy of Orthopaedic Surgeons, says that the elbow is actually designed to do quite a lot of bending. “But it’s just not designed to bend for hours at a time without any change.”  

 

 

To evaluate your risk of experiencing cell phone elbow you may ask:

  • Am I holding a cell phone to my ear for hours a day?
  • Am I working at my keyboard with my elbows flexed (bent) greater than 90 degrees?
  • Do I sleep curled up with my elbows flexed greater than 90 degrees?
  • Do I lean on my elbows (compressing the ulnar nerve) for extended periods of time such as when driving?

 

 

If you answered yes to one or more of these questions, some simple modifications to your habits and working postures can help.  

  • Reduce your cell phone use, switch hands frequently or use a hand-free option such as a headset or speakerphone.
  • Make ergonomic adjustments to your workstation to facilitate neutral elbow postures (approximately 90 degrees) while using the keyboard.
  • Sleep in a more open posture rather than curled up with the elbows flexed greater than 90 degrees. Using an elbow pad or wrapping a towel around the elbow to prevent flexion while sleeping is suggested as an effective option by Dr. Evans.
  • Avoid leaning on your elbows for extended periods of time.

 

These simple measures can prevent or treat the symptoms of cell phone elbow. However, if unchecked, the symptoms may progress to hand fatigue and weakness and in some cases result in the need for surgical intervention.  

Sources:

Cleveland Clinic Journal of Medicine, "What is Cell Phone Elbow, and What Should We Tell our Patients?," Darowish, M., MD, Lawton, J., MD, Evans, P., MD, 76(5):306-308 doi:10.3949/ccjm.76a.08090, 2009.

http://www.nydailynews.com/lifestyle/health/2009/06/08/2009-06-08_cubital_tunnel_syndrome_or_cell_phone_elbow_is_a_painful_new_condition_of_the_di.html