I have had ulnar nerve neuropathy off and on since a week long bike tour in 2008. I have mostly dealt with it by taking a break from cycling but this year the problem has gotten persistently worse, and now I have pain and numbness off the bike - a lot. I saw a neurologist who referred me to an orthopedic surgeon (hand and elbow specialist), who said my symptoms strongly indicate surgery - that if I ignore it any longer, I might have permanent nerve damage. So after mulling it over for a few weeks, I'm having surgery this fall (after my upcoming vacation). Perhaps I was just prone to this or if had a better bike fit, I would not have had it. I recommend you see a neurologist for tests, who can tell you how bad the nerve damage is. BTW, while the symptoms are mostly hand pain and numb fingers, the problem is the ulnar nerve is being compressed in the elbow. Good luck with your decision.