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Conditions

Dupuytren's Contracture

Dupuytren’s Contracture is a condition affecting the hands and fingers, in which the finger bends in towards the palm. More than one finger can be affected and it is not always limited to one hand. The condition is most common amongst the older population, with 20% of men over 60 and 20% of women over 80 suffering from it. It is believed to run in families.

The main symptom of Dupuytren’s Contracture is small hard lumps on the palm of the hand. These may be accompanied by tenderness, a thickening in the skin, dimples or pitted marks, and an inability to straighten your fingers as much as you used to. The ring finger is usually the first to be affected. Dupuytren’s contracture is progressive, meaning it gets worse over time and fingers may end up being permanently bent. This can make activities such as doing up buttons or tying a shoelace tricky.

Dupuytren’s contracture occurs when the connective tissue beneath the skin thickens. When nodules subsequently form, they produce excess collagen (the protein that makes bones, skin and tendons) which is what causes the lumps to appear on the skin. The nodules can form a cord over time, which contracts the connective tissue in the hand, making it more difficult to extend the finger.There is no definite cause of Dupuytren’s contracture, however genetics do seem to play a role, as 70% of those diagnosed have a family history of the condition. Men are more prone than women and white northern Europeans develop the condition more than other ethnicities.

Dupuytren’s contracture affects some people more severely than others. When diagnosing the condition, the angle of each joint in the affected finger will be measured. Generally, people start having trouble with everyday tasks when there is a bend of more than 30 degrees. If the bend in the joint where the finger joins the hand (the metacarpophalangeal joint) is more than 40 degrees, minor surgery may be recommended. In mild cases, this will involve the connective tissue being cut to relieve tension, whereas in cases where the hand’s functionality is more severely affected, the connective tissue may be completely removed. Therapy will be helpful after either surgical procedure to improve the function of the hand, however there is a strong possibility that Dupuytren’s contracture may recurr at a later date.

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hi recently noticed small lump on right hand,asked my doctor she explained the condition.in just over two weeks another lump has appeared ,is there anyway to stop this getting worse in this early stage??





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You are wasting your time mate it still comes back

Im 70 and have had four operations two on each hand over the last twenty years and can say that the problem is now as bad as ever. Next time im going to make sure i have the injection into the hand instead





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My 3yr old son has this condition witch happens quite a lot to him he's never in any pain although it tends to happen a lot I've had him to my g.p and they dnt no what the cause is can any one help thanks

Unfortunately the injection can kill the good tissue and you end up with a finger that permanently straight.

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I am a 72 year old female.20 years ago I noticed a hard nodule on the palm of my right had but since it wasn't painful I ignored it.Aroud 2 years later the pinkie on my right hand began to bend inwards and started to get caught on door handles, taps etc - very painful! I sought medical advice and Du Puytren's was diagnosed.I had 2 "sraightening" operations which were unsuccessful, the pinkie just went back to where it was before, if anything a bit worse.10 years ago I had the entire finger amputated with no ill effects although I have yet to locate 4 fingered gloves! By the way the pinkie on my left hand has gone the same way and I'm currently awaiting a further amputation, a bit drastic but it worked for me.





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Hi, I think I am suffering from Dupuytrens Constacture after reading all your comments. My little finger as got worse over the last few years and I am shortly to receive Surgery to have it straightened. is this a good idea I ask myself after reading some of the comments..Any alternative help would be greatly appreciated.





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Surgery worked wonderfully for me! I had dupuytrens on little finger of right hand. The and following few days after was SO much easier than I expected. 5 weeks later and I'm progressing well. MOST IMPORTANT, be SURE you have a qualified HAND surgeon with plenty of dupuytrens surgical experience, and do your therapy exercises and massage regularly exactly as prescribed. Do NOT slack off! You will be glad you chose surgery over other procedures because up is less likely to come back. Good Luck!! You'll be fine! Its a lot easier than you think. More inconvenient than painful! Jill

I have dupuytrens in two fingers on my right hand can I get the injection





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Hi, sir/Madam for a few year now I have suffered with hard skin in the middle of all my finger. i have tried various things many cream all to know avail. The only thing that reduces the condition is to file the affected areas every few days. I am sure you can appreciate this is rather laborious and can be rather embarrassing for me in some situations. I am hoping you can recommended any cream or anything that could be applied to the condition to help reduce the symptoms or make it easier to file.





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Hi, My Dupuytren`s Contracture (DD) started about 7 years ago, i am 46 now. So far i have had 1 operation on my right palm to remove the nodules that were affecting my ring finger. The operation was a complete success, with a 3 month healing and lots of physiotherapy after this. In the meantime my left hand palm was growing nodules and affecting my little finger so badly that every time I washed my face my little finger would go up my nose. 1st operation on my left hand to release the little finger and ring finger, operation successful, however I lost some feeling in little finger, 3/4 Months recovery and lots of Physiotherapy. A few years later 2nd operation on left hand, ring finger and little finger progressively got worse, the nodules on my palm got bigger and harder. This time, although the operation worked well it left my fingers bony, with some tendons exposed and a permanent tingling sensation, also needing skin grafts. To date as I write this message, my right hand ring finger has started to grow nodules, not in the palm but on the finger itself, the finger bends forward at the PIP knuckle. My left hand, the growths have returned with a vengeance in the palm and pulling the fingers forward, while the fingers themselves have their own nodules growing on them and pulling the fingers forward in a claw like manner. Other conditions of my both hands include: Club Nails: I have had this condition as far back as I can remember, maybe not from birth. Nodule growths on all the tops of my finger joints on the PIP joints, these nodules starting growing about 20 years ago and are unsightly and extremely painful when you rub them, the surgeon who performed my first right hand operation for (DD) surgically removed them from all finger, however some of the nodules came back with a vengeance and on other fingers no growth at all. After three operations and going through the physiotherapy 3 times my conclusion is this: Although the operations done to remove the nodules are mostly successful, i.e. to straighten the finger, there are other issues to consider due to the complexity of the operation, loss of tissue resulting in bony fingers, skin grafts, possible loss of feeling or a permanent tingling sensation in affected fingers. The after effects of the operation are painful with a 3 to 4 months recovery. Although the Physiotherapy worked really well for me after the 3 operation the hand splints they gave me worked well to start with then started to give way. About 8 months ago I started to sit on my hands and noticed that my fingers started to straighten although sometimes painful, it did work, by putting you hands palm down while on the sofa under your bum, the weight of your body and softness of the sofa or pillow gradually stretch the finger down. It helped me to carry on playing the guitar. I am sure that if a product was available to fit over the hands that were light enough and strong enough to keep the fingers straight this in turn would stop the fingers bending at night and may stop the growths? If I can avoid these operations again by finding other alternative methods that achieve similar or better results that would be fantastic. In my opinion I don’t believe that this condition has received the public attention that it deserves, I am sure that there are thousands of people out there who suffer with this demeaning, embarrassing and mostly depressing condition. I hope you find my comments useful, as I have found your comments very useful and extremely encouraging, thank you





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I had carpal tunnel surgery in September last year on my right hand and now I have noticed I have 6 small lumps under the skin of my right palm. Could this have been caused by the surgery?





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Personally, I would say yes. Surgery is known to stimulate DC and indeed my surgeon said surgery could do just that - and it did!

My left palm of my hand has four nodules and have connected. I have been diagnosed with Dupuytren's. Has an research been done about trying acupucture?





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i have had surgery on both hands [ palm and finger] but it didn't work ..i have now been given xiatex injection on two fingers and it is a much better procedure one injection and the next day go back for manipulation and hey presto a straight [ or nearly straight ] finger ..i advise anyone with this condition to speak to there G.P.to see if it is available on the N.H.S in there area ..

I just had a treatment by a plastic surgon on my left hand for Dupuytren condition. This was done without making any incisions. He destroyed that hard cord causing this condition just with a needle. My fingers are straight and after two weeks now one can"t even see a needle puncture. The other procedure he does is one injection with a fairly new drug ciatex.

Hi im 24 years old and in my gamily most of the women have the Dupuytren’s Contracture disease it started of feom my great grandfather which has gone on. Im starting to notice that my little finger and ring finger on my right hand are curling into the palm of my hand I tend to wake up and my fingers are very stiff because they where in a clenched position all night and when I tend to draw which I enjoy they get very sore my knuckle starts to hurt and go red on my little finger and when I place my hand flat the little finger stays some what bent.What can I do about this as im watching my grandmother live with this plus arthritis and I dont want to be in suffering pain like she is. Why im I seeing symptoms at such young age?? How can I prolong this as its already causing me pain. Thanks





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My friend got dupuytren's contracture a couple of years ago and it gradually got worse. He's 66 years old and it was very embarrassing for him as he'd be at a restaurant and his fingers would curl back and the fork would go flying out of his hand onto the floor. He'd then try and bend them back under the table hoping noone would notice which he said was extremely painful. He bought a TENS machine called 'SportsMed'. He loves it and said it's like a massage. I put the pads on my shoulders the other night. It's awesome, and now I want one! I looked up their website. It's called ActivLife. They're in Melbourne but appear to send them everywhere. It's changed his life. His fingers no longer curl back. Maybe try one? Good luck!


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