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stiffness or weakness persists."},"result_longevity":"Usually long-lasting once the nerve is released; recurrence of symptoms is uncommon but possible.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Repeat surgery for persistent or recurrent symptoms within several years; higher in severe or long-standing cases."},"scars":"Linear scar of about 5-10 cm along the inner elbow, fading over months; smaller with endoscopic technique.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation on one elbow."},"stages":[{"code":"surgery","label":"Ulnar nerve decompression at the elbow","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one stage."}}],"qualifier":"Single-stage procedure; bilateral cases are usually staged."},"success":{"metric":"Patients with symptom improvement after surgery","value":85,"unit":"percent","horizon":"12 months","population":"Adults with mild to moderate cubital tunnel syndrome","evidence_status":"limited"},"techniques":[{"name":"Open in situ decompression","suits_whom":"Mild to moderate compression with a stable nerve.","recovery":"Quick recovery, early motion, low risk of nerve instability."},{"name":"Endoscopic in situ decompression","suits_whom":"Mild to moderate compression, preference for a smaller scar.","recovery":"Similar recovery with a smaller incision."},{"name":"Anterior transposition (subcutaneous or submuscular)","suits_whom":"Unstable nerve, severe compression or revision cases.","recovery":"Longer splinting and recovery, especially for submuscular."},{"name":"Medial epicondylectomy","suits_whom":"Selected patients with bony prominence or nerve subluxation.","recovery":"Slightly longer recovery for bone healing."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operating time for simple decompression; transposition takes longer."},"initial_assessment_documents":["Nerve conduction study report","Elbow MRI or ultrasound (if available)","Clinic notes on symptom duration","Photos of hand muscle wasting (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage day surgery; fly home about 2-5 days after surgery, with follow-up done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgical team explains the procedure, benefits and risks of the operation","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/cubital-tunnel-release-surgery/","host":"gatesheadhealth.nhs.uk","quote":"On the day of surgery, one of the members of the surgical team will meet you to explain the procedure and will go through the benefits and risks of the operation.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check that you can discuss with the surgeon or anesthetist which anesthetic suits you","scope":"procedure","source":{"url":"https://www.gatesheadhealth.nhs.uk/resources/cubital-tunnel-release-surgery/","host":"gatesheadhealth.nhs.uk","quote":"You will discuss with the surgeon or anaesthetist which anaesthetic is best for you.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-14","next_check_at":"2027-02-12"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want a nonsurgical option that keeps your elbow straight","name":"Bracing or splinting","source":{"url":"https://my.clevelandclinic.org/health/diseases/21997-cubital-tunnel-syndrome","host":"my.clevelandclinic.org","quote":"Wearing a padded brace or splint when you sleep might help keep your elbow straight.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"You want a nonsurgical option that may help the nerve move","name":"Nerve-gliding exercises","source":{"url":"https://my.clevelandclinic.org/health/diseases/21997-cubital-tunnel-syndrome","host":"my.clevelandclinic.org","quote":"Nerve gliding exercises might help your ulnar nerve to slide more easily through the cubital tunnel.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A3","text":"You need help improving flexibility without surgery","name":"Physical and occupational therapy","source":{"url":"https://my.clevelandclinic.org/health/diseases/22272-ulnar-nerve-entrapment&rut=1ba60c38ceecbe5d76921712095dc4b009776a6acdf434b00d778244daf69796","host":"my.clevelandclinic.org","quote":"Physical and occupational therapy helps improve your 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