19/07/2026
Ulnar Nerve Gliding Exercise (Right Hand)
A Step-by-Step Occupational Therapy Guide
Ulnar nerve gliding exercises are designed to help the ulnar nerve move smoothly through its natural pathway. These exercises may help reduce symptoms such as numbness, tingling, burning sensations, and pain in the ring finger, little finger, and inner side of the hand. They are commonly recommended for individuals with ulnar nerve entrapment, including Cubital Tunnel Syndrome or Guyon's Canal Syndrome.
How to Perform the Exercise
Start by sitting comfortably with your shoulders relaxed. Bend your elbow to approximately 90 degrees and rest your forearm on a table with your palm facing upward.
Slowly extend your wrist by bending your hand backward while keeping your forearm supported. Next, gently straighten your fingers and hold this position for 2–3 seconds without forcing the movement.
Then, slowly bring your hand toward your face as if you are holding a telephone. Continue to move only within a comfortable range and avoid any movement that increases pain or tingling. Hold this position for another 2–3 seconds while keeping your shoulder relaxed.
Finally, slowly return your hand and wrist to the starting position in a controlled manner. This completes one repetition.
How Many Repetitions?
Perform 5–10 repetitions for each session.
Complete 2–3 sets, 2–3 times per day, or follow the advice of your occupational therapist or healthcare provider.
Important Precautions
Perform the exercise slowly and gently. Never force the movement or stretch beyond your comfort level. Stop the exercise immediately if your pain, tingling, or numbness becomes worse. Remember to breathe normally throughout the exercise and keep your shoulder relaxed. Consistency is more important than intensity.
How Does This Exercise Help?
When performed correctly, ulnar nerve gliding exercises promote the smooth movement of the nerve within surrounding tissues. They may help reduce nerve irritation, improve mobility, decrease pain and numbness, and restore normal hand function, making daily activities such as writing, typing, gripping objects, and buttoning clothes easier.
When Should You Seek Professional Advice?
Consult an Occupational Therapist or physician if your symptoms worsen, numbness increases, hand weakness develops, or there is no improvement after 1–2 weeks of regular exercise. A professional assessment is important to determine the underlying cause and provide the most appropriate treatment plan.
Key Message
✅ Perform the exercise gently, slowly, and regularly for the best results.
Exercise should be individualized. Before beginning any nerve-gliding program, it is advisable to consult an occupational therapist or another qualified healthcare professional, particularly if symptoms are severe, progressive, or accompanied by significant weakness.
Dr. Sarmin Sultana (PhD)
Occupational Therapist
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