Hinge · Rotation · Grip

Elbow Conditions

The elbow is where grip strength begins. Muscles that close the hand start on the bones around the elbow, and the ulnar nerve travels right past it — which is why an elbow problem so often shows up as hand weakness or numbness.

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Tendon or Nerve? The Clue Is Where It Hurts

Outside of the Elbow

Points to the extensor tendon — the pattern commonly called tennis elbow

Inside of the Elbow

Points to the flexor tendon, and sometimes to the ulnar nerve sitting just behind it

Numbness in the Ring & Small Fingers

Suggests the ulnar nerve rather than a tendon — an important distinction to make

Weak Grip Without Pain

Weakness out of proportion to pain often indicates a nerve problem rather than tissue inflammation

Fellowship-Trained Hand SurgeonUpper-Extremity SpecialistNon-Surgical Options First

Worth a Closer Look

Tingling in the Ring & Small Fingers

Numbness that involves the small finger and half of the ring finger is a classic pattern of ulnar nerve compression near the elbow. It can progress to weakness and muscle wasting if left alone, so it is worth evaluating early.

Cubital Tunnel Syndrome

Compression of the ulnar nerve as it passes behind the inside of the elbow — the most common cause of this pattern.

Learn About Cubital Tunnel

Carpal Tunnel Syndrome

Compression of the median nerve at the wrist. It affects the thumb, index and middle fingers rather than the small finger.

Learn About Carpal Tunnel

These symptoms can also have other causes, including problems in the neck. A focused evaluation is the reliable way to tell them apart.

Elbow Pain That Isn't Settling?

Pain on the inside or outside of the elbow, or numbness in the hand, is worth evaluating before it limits your grip.