Quick Answer: What Is The Best Treatment For Dupuytren’S Contracture?

How serious is Dupuytren’s contracture?

Since the thumb and index finger aren’t usually affected, many people don’t have much inconvenience or disability with fine motor activities such as writing.

But as Dupuytren’s contracture progresses, it can limit your ability to fully open your hand, grasp large objects or to get your hand into narrow places..

Does stretching help Dupuytren’s?

Dupuytren’s disease may get worse slowly. 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.

Does heat help Dupuytren’s?

“You can try hand massage or heat if it helps with discomfort, but it won’t change the course of Dupuytren’s.” Hand exercises may be used as part of physical therapy after Dupuytren’s contracture treatment to strengthen your hand and help it heal properly.

Does massage help Dupuytren’s?

In the early stages of Dupuytren’s contracture, manual physical therapies, including stretching, the application of heat and massaging the hand and fingers to relax the fascia, have improved range of motion (ROM) and decreased tendon fibrosis.

Why does Dupuytren’s itch?

One hypothesis is that pain and itching are due to immune-related pathways, consistent with a growing body of information that specific immune abnormalities and fibrocytes play a role in some Dupuytren patients.

How do you fix Dupuytren’s contracture?

Treatments for Dupuytren’s contracture may include:Surgery. This is the most common treatment used for advanced cases. … Steroid shot (injection). If a lump is painful, a steroid injection may help ease the pain. … Radiation therapy. … Enzyme injection. … Needle aponeurotomy.

Is Dupuytren’s a disability?

When advanced Dupuytren’s contracture makes it impossible to use your hands effectively, disability benefits are possible. Dupuytren’s contracture is a condition that causes deformities of the hand, most often in the middle finger, ring finger, and pinky.

When should you get surgery for Dupuytren’s contracture?

Surgery for Dupuytren contracture generally should be performed on an affected metacarpophalangeal (MCP) joint if the contracture is 30° or greater. Such contractures most likely cause some debilitation for the patient.

Does magnesium help Dupuytren’s contracture?

Magnesium isn’t necessarily a cure. Instead, low magnesium levels may be the culprit. Low magnesium levels may act as a stressor, amplifying the effect of calcium on Dupuytren biology. I’m not suggesting that taking extra magnesium will somehow turn off Dupuytren disease.

What is the recovery time for Dupuytren’s contracture surgery?

After Dupuytren’s surgery to straighten out your fingers, the toughest part is regaining finger flexion and the ability to make a tight fist. Most patients have good grip at one month but recovery may take 1-3 months for full finger flexion and strong grip with the hand.

Does Dupuytren’s affect other parts of the body?

They may also feel pressure or tension, especially when attempting to straighten affected joints. People with Dupuytren contracture are at increased risk of developing other disorders in which similar connective tissue abnormalities affect other parts of the body.

Can you reverse Dupuytren’s contracture?

Changes like a healthy diet and certain supplements can help improve your overall health and may help slow the progression of the disease. The medical community has yet to find a cure for Dupuytren’s disease, so there is a possibility it will return following treatment.

How is Dupuytren’s disease diagnosed?

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.

What aggravates Dupuytren’s contracture?

Smoking and drinking. Both alcohol and smoking are frequently mentioned as risk factors for Dupuytren’s contracture. “The evidence for smoking is stronger than for drinking, and it makes sense because smoking, like diabetes, decreases blood supply to the hand,” Evans says.

What is the non surgical treatment for Dupuytren’s contracture?

XIAFLEX®, the only FDA-approved nonsurgical treatment, is a prescription medication that is injected directly into the Dupuytren’s cord and within 24-hours post injection a release is performed. This procedure can be done in the convenience of the Hand Surgical Associates office.

How do you slow down Dupuytren’s contracture?

Steroid injections may help slow progression of the condition but won’t help straighten your finger if you already have a contracture. If your finger is already bent, your doctor may recommend Xiaflex, a mixture of enzymes that is injected into the affected area to break up the tough tissue.

Is Dupuytren’s an autoimmune disease?

In some ways, it may resemble infection or cancer, but it is neither. The immune system is involved, but not exactly like an autoimmune disease. Because it affects the connective tissues, it is a rheumatic disease, but because there is not yet an effective medicine, treated as a surgical disease.

How is Dupuytren’s disease prevented?

There are no proven ways to prevent Dupuytren’s disease or limit its progress. Hand therapy and rehabilitation using thermoplastic night splints and regular physiotherapy exercises may aid in the postoperative recovery period.

Can physical therapy help Dupuytren’s contracture?

Physical therapy Stretching with the application of heat and ultrasonographic waves may be helpful in the early stages of Dupuytren contracture. The physical therapist also may recommend that the patient wear a custom splint or brace to stretch the fingers further. ROM exercises should be performed several times a day.