Specialist Physician for Cubital Tunnel Surgery
Dr. Thomas Marcolini, a specialist in cubital tunnel surgery, offers specialized treatment for patients suffering from problems related to peripheral nerves and the ulnar nerve. The specialist's main goal is to combine cutting-edge technology and professional expertise to restore your health and quality of life.
Specialist Neurosurgeon for Cubital Tunnel Syndrome - Dr. Thomas Marcolini
Dr. Thomas Marcolini is a neurosurgeon specializing in cubital tunnel syndrome and ulnar nerve compression. He graduated from the Regional University Foundation of Blumenau - FURB. In 2015, he completed his Neurosurgery Residency at Mackenzie Hospital in Curitiba, where he was invited to become a neurosurgery preceptor. At the end of his residency, he began a Peripheral Nerve Fellowship, dedicating himself exclusively to the area of Peripheral Nerve Surgery. In recognition of the excellent work he has been performing, Dr. Thomas currently works at the forefront of the Mackenzie Hospital as Coordinator of the Specialty focusing on Peripheral Nerves and Brachial Plexus, Preceptor of the Neurosurgery Residency, and as a member of the neurosurgery clinical staff at Hospital N. Sra. das Graças and N. Sra. do Pilar - Curitiba/PR. He has lectured in several countries on Peripheral Nerve Surgery and is currently a national reference in the field.
What is cubital tunnel syndrome or ulnar nerve compression?
Cubital tunnel syndrome is a condition where the ulnar nerve is compressed on the inside of the elbow. The cubital tunnel is formed by bony and ligamentous structures that together form a tunnel through which the ulnar nerve passes. The ulnar nerve transmits sensation and motor function to the forearm and hand.

What are the symptoms of Cubital Tunnel Syndrome?
The main symptoms of cubital tunnel syndrome or ulnar nerve compression are:
- Weakness and muscle atrophy of the hand;
- Tingling in the palm of the hand and in the fourth and fifth fingers;
- Hypersensitivity to cold.
- Difficulty sleeping due to itching.
- It worsens when bending the elbows.


What are the causes of ulnar nerve compression - cubital tunnel syndrome?
Cubital tunnel syndrome occurs due to compression of the ulnar nerve at the elbow, which can happen from prolonged stretching of the nerve by keeping the elbow fully bent or when there is direct pressure on the nerve, such as when bending the elbow against a hard surface. A compressed ulnar nerve for extended periods can result in tingling, pain, and numbness. Typing, cycling, and cell phone use are triggering factors.
How is Cubital Tunnel Syndrome diagnosed?
O diagnóstico da síndrome do túnel cubital é realizado após uma avaliação médica detalhada com história e exame físico. O paciente poderá ainda ser submetido a exames adicionais, incluindo eletroneuromiografia (EMG), para avaliar como os músculos e nervos estão afetados, e exames de imagem como ressonância magnética com neurografia, ultrassom.

Tratamentos para síndrome do túnel cubital
In mild cases, where there are only nighttime symptoms, without loss of strength or sensation, treatment for cubital tunnel syndrome is carried out through rehabilitation and the use of orthotics. In more severe cases with refractory symptoms, loss of sensation or hand strength, microsurgery is necessary.


Who is a candidate for ulnar nerve decompression surgery?
A cirurgia de descompressão do nervo ulnar é indicada para casos moderados, graves ou leves refratários de compressão do nervo ulnar. A descompressão microcirúrgica é indicada para liberar a pressão e evitar a perda de força da mão.

Como é a recuperação da cirurgia de descompressão do nervo ulnar?
In the first stage of recovery from ulnar nerve decompression surgery, the patient will have their first dressing change within 24 hours. In the second stage, dressings will be changed once a day for a period of 12 days. The stitches do not need to be removed. Return to full activity may take four to six weeks.
"The most important thing is to offer you the quality of life you deserve. I hope this information has helped you in some way. We also hope to be able to help you through our medical services; feel welcome! If you have any questions or would like an evaluation, feel free to schedule an appointment with us." - Dr. Thomas Marcolini.
Exclusive dedication to peripheral nerve pathologies.
Neurosurgeon Dr. Thomas Marcolini has a large team of highly qualified specialists dedicated exclusively to peripheral nerve pathologies, seeking to restore the health and quality of life of patients through minimally invasive techniques.
Minha missão é oferecer o melhor cuidado possível, aliando excelência técnica e acolhimento. Dessa forma, busco garantir a satisfação e o bem-estar de cada paciente que confia a mim a responsabilidade de cuidar de sua saúde e qualidade de vida.


