Dupuytren’s contracture is a condition that affects the hands and fingers, where the connective tissue under the skin of the palm thickens and forms nodules and cords. This thickening can eventually cause the fingers to bend inward towards the palm and restrict their movement. Here are some key points about Dupuytren’s contracture:
Treatment at our clinic: We offer Radial Pulse Wave and Laser Therapy with nutritional support to break down the fiberous tissue build-up and restore hand control and function. Dr. Kydonieus has had a lot a success using this form or non-invassive treatment here in the Central Virginia area. Unfortunately Insurance does not cover it. Call for more information today: 434-481-2012
- Cause: The exact cause of Dupuytren’s contracture is not fully understood, but it is thought to involve a combination of genetic predisposition and environmental factors such as repetitive hand use, smoking, and diabetes.
- Symptoms: Initially, Dupuytren’s contracture may present as a small lump or nodule in the palm. Over time, thick cords of tissue can develop, extending from the palm into the fingers. These cords can cause the affected fingers (usually the ring and little fingers) to bend inward, making it difficult to fully straighten them.
- Progression: The progression of Dupuytren’s contracture can vary widely among individuals. In some cases, the condition progresses slowly and may not require treatment, while in others it can progress rapidly and severely limit hand function.
- Diagnosis: Diagnosis is typically based on physical examination of the hand and fingers. Imaging tests like ultrasound or MRI may be used to assess the extent of the condition.
- Other invassive medical treatment options (which we do not offer or recommend) depend on the severity of the contracture and the impact on hand function. In mild cases, observation and monitoring may be recommended. For more severe cases, treatment options include:
- Needle aponeurotomy: Using a needle to break apart the thickened tissue.
- Collagenase injections: Injecting collagenase enzyme to dissolve the cords.
- Surgery: Surgical removal of the affected tissue to release the contracture and improve finger movement.
- Impact: The condition can impact daily activities that involve gripping or using the hand, such as writing, typing, and holding objects. In severe cases, it may affect quality of life and require adjustments in daily routines.