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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what was the name of the injection for dupuytrens
I have had DC for about 12 years; living in Spain at first diagnosis, I was advised all I could do was have surgery but that if the condition recurred, no further procedure would be possible. Prognosis was not good. I scoured the internet and found a Doctor in Paris, who was in part responsible for the development of the Aponeuteronomy procedure ... a simple and relatively painless procedure for which I paid three hundred Euros - and each time successful outcomes for at least four years before needing a repeat procedure. Now living in the UK I am about to see if I can get the procedure on the NHS - if not, I can source it privately in the UK.
ok well ive got this in both little fingers and put up with it for years m,y index finger is slowly begining to go that way,now i m worried ,i was ok with the others , what should i do , i m 68 male
i am retired from work and i have had a stroke 2 years ago i am on the NHS and can i get dupuytren's for free as i don't want to have an operation as i have never had one before and my finger is getting really bad now i can not pick up a cup or a pint glass of juice
Dear Sir/Madam I suffer from dupuytren's how can i can it sorted before it to late i have had it for 4 years now and how can i get the injection and where can i get it sorted and can i get it in Plymouth
is it normel to have this as my thumb does this
could someone please tell me what the injection is called to treat Dupuytrens and whether it works and if anyone can get it on the NHS
I think it is called Xiaflex / Xiapex it is not available throughout the UK but visit the British Dupuytren's Society website and if needed ask them questions they are always helpful. I actually have the related foot condition and have spoke to some Dupuytren's patients that have had injections some say it helps some say it doesn't, I am going to try radiotherapy on my foot first as I have seen good evidence that this helps a lot of people but is only available privately.
I am suffering from Dupuytrens Contracture to the wedding finger. Can you advise on the injection solution as shown on Embarrassing Bodies. The finger is bent to about 90 degrees.
I have had a couple of accidents at work and I have rota cuff damage in both shoulders, and I have tennis elbows all 3 points in each arm, but I have been noticing for a while now that when I get up my left arm is swelled up, it wasn’t until a few weeks ago I noticed this small lump in the palm of my left hand, my hand feeds odd to be honest, and I work on PC’s for my job I am finding in hard to type as I use both of them, its also feels like when I put any weight on my hand it feels like I have sprained my wrist, my girlfriend’ who has seen the program said to me they will not do anything it has to get worse but I have private healthcare do you think they would do it now? My doctors said that it has to get much worse before anything can be done but surely get it now before it dose what is your advice?
My boyfriend may have Dupeydrens in both hands! Does anybody know if the injections are available in the Dordet area? Many thanks.
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