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What are the best treatments for Dupuytrens Contracture?

See the best treatments for Dupuytrens Contracture here

Dupuytrens Contracture treatments

Treatments for Dupuytren's Contracture


Dupuytren's contracture is a hand condition that causes the fingers to bend inward towards the palm. It occurs due to the thickening and tightening of the tissue beneath the skin in the palm of the hand. While the exact cause is unknown, certain risk factors such as age, gender, family history, and certain health conditions may increase the likelihood of developing Dupuytren's contracture.


There are several treatment options available for Dupuytren's contracture, ranging from non-invasive methods to surgical interventions. The choice of treatment depends on the severity of the condition, the impact on hand function, and the patient's preferences. Here are some of the best treatments for Dupuytren's contracture:



1. Observation and Monitoring


In mild cases where the contracture does not significantly affect hand function, observation and monitoring may be the initial approach. Regular check-ups with a hand specialist can help track the progression of the condition and determine if any treatment is necessary.



2. Physical Therapy


Physical therapy can be beneficial in managing Dupuytren's contracture. Therapeutic exercises and stretching techniques can help maintain hand mobility, improve finger extension, and prevent further contracture. Physical therapists can also provide guidance on hand exercises that can be performed at home.



3. Medications


Medications are not a primary treatment for Dupuytren's contracture but can be used in certain cases. Injectable collagenase clostridium histolyticum is an FDA-approved medication that can be injected into the affected tissue to break down the collagen and improve finger extension. However, this treatment is not suitable for all patients and should be discussed with a healthcare professional.



4. Splinting


Splinting involves wearing a custom-made splint to stretch the affected finger(s) and maintain them in an extended position. This can help slow down the progression of contracture and improve hand function. Splinting is often used in combination with other treatments, such as physical therapy.



5. Needle Aponeurotomy


Needle aponeurotomy, also known as percutaneous needle fasciotomy, is a minimally invasive procedure performed under local anesthesia. During this procedure, a needle is inserted into the palm to divide and release the contracted tissue, allowing the finger(s) to straighten. Needle aponeurotomy can be an effective treatment for mild to moderate contractures and has a shorter recovery time compared to surgery.



6. Collagenase Injection


Collagenase injection involves injecting an enzyme called collagenase into the Dupuytren's cord, which helps break down the collagen and release the contracted tissue. This procedure is typically performed in an outpatient setting and may require subsequent manipulation of the finger(s) to further extend them. Collagenase injection can be an alternative to surgery for certain patients.



7. Surgery


Surgery is often recommended for severe cases of Dupuytren's contracture or when other treatments have not been successful. The goal of surgery is to remove the thickened tissue and release the contracture, allowing for improved hand function. There are different surgical techniques available, including fasciectomy, fasciotomy, and dermofasciectomy. The choice of surgery depends on the extent of the contracture and the surgeon's expertise.



8. Radiation Therapy


Radiation therapy is a less common treatment option for Dupuytren's contracture. It involves the use of low-dose radiation to reduce the growth of abnormal tissue. Radiation therapy is typically reserved for cases where other treatments have failed or are not suitable. It may be used as an adjunct to surgery or as a standalone treatment.



It is important to note that the effectiveness of each treatment option can vary depending on the individual case. Consulting with a hand specialist or a healthcare professional is crucial to determine the most appropriate treatment plan for Dupuytren's contracture.


Diseasemaps
2 answers
Radiation Therapy slows or stops the tissue growth

Enzyme injections in to the diseased tissue - Xiaflex. Xiaflex is an injectable formulation of purified collagenase derived from the bacterium, Clostridium histolyticum. It is used for treating Dupuytren's contracture. A Dupuytren's contraction is caused by an abnormal accumulation of collagen (scar) in the tissue beneath the skin of the palm of the hand. www.medicinenet.com/dupuytren_contracture/article.htm

Surgical treatment
- Segmental fasciectomy
- Limited fasciectomy
- Dermofasciectomy
- Other surgical treatments (skeletal distraction, arthrodeses, amputation)
- Needle Aponeurotomy (NA) - making multiple punctures of the diseased cords then straightening the fingers

Cortisone injections

Ultrasound treatment

Magnesium supplements reduce the pain in hand and shoulder

Adversely effected by high alcohol intake

Surgery causes re-growth and heightened aggression of the condition

Posted Sep 10, 2017 by Jim 4055

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Four years ago at age 58, I noticed slight dimpling in the palm of my left, non dominant hand, below the ring finger. Research lead me to think I had Dupuytrens given that I'm of Scottish decent. Early in 2012 I noticed a lump on the arch of my left ...
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  1965: Tonsillectomy 1968: Odd skin 2 inch rash/wheal on inside of left lower leg. undiagnosed 1978: Zadek operation, botched removal of big toenail rootbed 1980: Contracted Glandular Fever - lasted 12 months of debilitation - never felt 100% sinc...
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finger swelled for months after a thorn injury - repeated antibiotics made no difference. Lump appeared in Palm , followed by lump in foot. I worked out I have Dupuytrens and lederhose disease. However I have to see multiple different consultants and...
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The first 2 years of lumps growing on both feet were not painful. I had an MRI to rule out cancer. The following two years were very painful. I had physical therapy with some electrodes hooked up and a pulsating anti inflamitory hooked to my feet. I'...
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Diagnosed at age 50, but had the condition for at least a year or more before diagnosis.  After researching and finding on Facebook, I engaged with other people that had Dupuytren's and Ledderhose Disease. I found out about using Radiation Therapy a...

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