Procedures
The wide-awake approach to Dupuytren’s disease: fasciectomy under local anesthetic with epinephrine. Hand (N Y). 2010;5:117–124. [ PMC free article] [ PubMed] [ Google Scholar] 44. Morhart M. Pearls and pitfalls of needle aponeurotomy in Dupuytren’s disease. Plast Reconstr Surg. 2015;135:817–825. [ PubMed] [ Google Scholar] 45.
Therapy
In serious cases of Dupuytren’s disease, you may need to undergo revision surgery. The initial surgery involves removing the affected tissue, but it does not address the underlying cause of the disease. Revision surgery may be necessary to address the recurrence of the collagen causing the contracture in your hand.
Self-care
While Dupuytren’s disease is typically characterized as painless, some people may feel pain in the nodes of tissue that form in the palm. In this case, you may be a candidate for a steroid injection. Steroids can reduce inflammation and pain. You may need to have a series of injections to manage your symptoms.
What are the treatment options for Dupuytren’s disease (PD)?
Cortisone injections are occasionally used to inject the nodular type of Dupuytren's (not the cords) and it can help to shrink down nodules. The downside is that these nodules typically return over time to their pre-injection size, so this treatment is rarely performed.
Do you need revision surgery for Dupuytren’s disease?
Do steroids help Dupuytren’s disease?
What is the best treatment for Dupuytren's contracture nodules?
What is the latest treatment for Dupuytren's contracture?
Xiaflex was released last year by the FDA for non-surgically treating Dupuytren's contracture. This new injection, based in an enzyme, breaks down the diseased tissue allowing the finger to be easily manipulated into a straighter position. The first day the medicine is injected into the diseased 'cord' of tissue.
How do you fix Dupuytren's contracture without surgery?
XIAFLEX® is the only FDA-approved treatment for Dupuytren's contracture that does not require surgery. A hand specialist will inject this enzyme treatment directly into the cord that's causing limited mobility in the finger. The enzyme releases the cord.
Can Dupuytren's contracture be reversed without surgery?
Nonsurgical Treatment for Dupuytren's Contracture Nonsurgical treatments are often recommended at early stages of Dupuytren's or in addition to surgery. While many nonsurgical treatments have been studied, only a small number have shown a benefit. Experts may recommend stretching for the mildest forms of Dupuytren's.
What aggravates Dupuytren's?
What aggravates Dupuytren's contracture? There are a number of risk factors for Dupuytren's contracture. People who have type 2 diabetes, consume alcohol and tobacco, or take certain medications for seizures are at higher risk for developing Dupuytren's contracture.
Do cortisone shots help Dupuytren's contracture?
For treating Dupuytren's, cortisone injections are administered during the nodule, or hard bump, stage. The goal is to reduce the inflammatory nature of the nodules and therefore stop the disease in its tracks.
Does magnesium help Dupuytren's contracture?
Magnesium. Although more research is needed, a magnesium supplement may be able to help relax a contracture. The Dupuytren Foundation shared a report of a woman with Dupuytren's contracture who began taking a magnesium supplement and found some improvement in her condition. According to the author of the report, Dr.
How painful is Dupuytren's surgery?
Your hand and fingers may be swollen for the first few days. Most people need pain medicine for about a week after surgery. You may feel numbness or tingling near the cut, called an incision, that the doctor made. This feeling will probably start to get better in a few days, but it may take several months to go away.
Does stretching help Dupuytren's?
If you have mild Dupuytren's disease, you may be able to keep your fingers moving with regular stretching. Surgery usually helps in severe cases.
Is massage good for Dupuytren's contracture?
Massage therapy may delay the progression of contractures and decrease recurrence in post-operative patients. Massage therapy treatment for Dupuytren's disease should not be vigorous and stretching should be a gentle exploration of range of motion.
What should I avoid with Dupuytren's contracture?
If you have mild Dupuytren's contracture, you can protect your hands by: Avoiding a tight grip on tools by building up the handles with pipe insulation or cushion tape. Using gloves with heavy padding during heavy grasping tasks.
Does heat help Dupuytren's?
Heat: Applying heat to the palms of the hand prior to massage or exercise can help to loosen the tissues. Massage: Gently massage the thickened tissues of the palm. Exercises: Stretching exercises such as bending the fingers away from the palm may be useful.
Can Dupuytren's go away?
Unfortunately, there is no cure for Dupuytren's Contracture, but there are some treatments a hand specialist can recommend and perform to break apart the cords of tissue that have formed, which pull the finger to a bent position.
How to diagnose Dupuytren's contracture?
In most cases, doctors can diagnose Dupuytren's contracture by the look and feel of your hands. Other tests are rarely necessary . Your doctor will compare your hands to each other and check for puckering on the skin of your palms. He or she will also press on parts of your hands and fingers to check for toughened knots or bands of tissue.
Can Dupuytren's contracture be treated?
Treatment. If the disease progresses slowly, causes no pain and has little impact on your ability to use your hands for everyday tasks, you might not need treatment. Instead, you can wait and see if Dupuytren's contracture progresses. You may wish to follow the progression with a tabletop test, which you can do on your own.
What is the most common treatment for Dupuytren contracture?
Fasciectomy is currently the most common treatment performed for Dupuytren contracture. Minimally invasive treatments involve releasing the tight tissue under the skin without making a cut in the skin with a knife.
Where is the procedure for Dupuytren contracture performed?
Minimally invasive procedures are most often performed in the surgeon’s office under local anesthesia. Collagenase injection is the second most common treatment performed for Dupuytren contracture in the United States. The choice of procedure is personal.
What is the best treatment for a tight cord?
Collagenase injection. A medicine called collagenase (such as Xiaflex) may be injected into the tight cord to try to dissolve some of the tissue. This may help reduce the contracture and improve your range of motion. Needle aponeurotomy (say "ap-uh-noo-RAH-tuh-mee").
Can you get Dupuytren's back after surgery?
Your hand may work better after surgery, but you may not get back the full use of your hand. And even when surgery is successful, Dupuytren's comes back about half the time. So you might need another surgery later. Previous Section Next Section.
What is the treatment for Dupuytren's disease?
Needle aponeurotomy, also called needling or percutaneous needle fasciotomy, is another minimally invasive treatment option for Dupuytren’s disease. This treatment option, which can be performed in your doctor’s office, involves placing a needle in the tough tissue that is causing the contracture of your fingers.
How to stop Dupuytren's disease?
2. Try Exercises . Stretching does help Dupuytren’s contracture, and there a number of exercises you can do to help manage this condition. Exercises and stretches will not necessarily stop or slow the progression of the contracture, but they are helpful options during the early stages of Dupuytren’s disease:
How many people have Dupuytren's contracture?
Approximately 15 million Americans have Dupuytren’s contracture. The symptoms of Dupuytren’s contracture vary depending on the progression of the disease. In the early stages, you may notice the skin of your palm thickening. As it progresses, the Dupuytren’s disease condition will change noticeably.
How to treat palm pain?
Reduce Palm Pressure. The skin on the palm of the hand is where this disease starts. You can help manage your symptoms by protecting the affected hand or hands: Practice a looser grip: When we grip something like a tool or a cup of water, the palm usually curls around the object.
What age group is most likely to develop Dupuytren's disease?
The following groups of people may be at risk for developing Dupuytren’s disease: People over the age of 50: Dupuytren’s disease is more likely to develop in older adults. People with family history: Genetics play a role in the likelihood of developing Dupuytren’s contracture.
Can you get Dupuytren's disease with a steroid injection?
While Dupuytren’s disease is typically characterized as painless, some people may feel pain in the nodes of tissue that form in the palm. In this case, you may be a candidate for a steroid injection. Steroids can reduce inflammation and pain. You may need to have a series of injections to manage your symptoms.
Can you treat Dupuytren's disease at home?
Professional Treatment for Dupuytren’s Disease. Dupuytren’s disease treatment can be done to some extent at home, but there may come a time when you need to talk to a professional. The progression of the disease is slow. Some people may never experience the contracture of their fingers.
How to tell if Dupuytren's contracture is gone?
What are the symptoms of Dupuytren's contracture? Common symptoms may include: Not being able to lay your hand flat on a table, palm down (called the tabletop test) One or more small, tender lumps (nodules) in the palm. Over time, the tenderness usually goes away. The nodules may thicken and contract or tighten.
Why does Dupuytren's contracture run in families?
The exact cause is not known. It may be linked to cigarette smoking, alcoholism, diabetes, nutritional deficiencies, or medicines used to treat seizures.
What is the most common treatment for advanced cases?
This is the most common treatment used for advanced cases. It may be done when you have limited use of your hand. During Dupuytren's contracture surgery, the surgeon makes a cut (incision) in your hand and takes out the thickened tissue. This can improve the mobility of your fingers.
Is Dupuytren's contracture dangerous?
There is no cure for Dupuytren’s contracture. The condition is not dangerous. Many people don’t get treatment. But treatment for Dupuytren's contracture can slow the disease or help ease your symptoms. Treatments for Dupuytren's contracture may include: Surgery.
Is there a cure for Dupuytren's contracture?
How well you handle certain medicines, treatments, or therapies. If your condition is expected to get worse. What you would like to do. There is no cure for Dupuytren’s contracture.
Is Dupuytren's contracture more common in men than women?
You may be at greater risk for Dupuytren’s contracture if you: Are older. The condition usually starts in middle age. Are male. It is more common in men than women. Have a Scandinavian or Northern European background. It is most common in people whose families come from these regions.
Diagnosis
Treatment
Lifestyle and Home Remedies
Preparing For Your Appointment
