Dupuytren's Contracture: overview, causes and treatment options

Patient

Q: What is Dupuytren's Disease and what treatment exists?

Doctor

A:    Dupuytren’s contracture is a hand deformity that usually develops slowly, over decades and affects the tissue under the skin of your palm, forming knots and later on a thick cord that can pull one or more of your fingers into a bent position. The cause is unknown, but maybe associated with autoimmune reactions. Some factors as diabetes and tobacco and alcohol use may increase the risk of the disease. Treatment involves removing or breaking apart the cords that are pulling your fingers in toward your palm. This can be done in several different ways. The choice of procedure depends on the severity of your symptoms and any other health problems you may have; Needling (to puncture and "break" the cord of tissue that's contracting a finger), Enzyme injections (collagenase clostridium histolyticum (Xiaflex), and finally surgery for the severe cases, after which you will require months of physical therapy.

Related Q&A

Q: I have Impetigo - and need cream and antibiotics asap. can you help

Q: I had unprotected oral and protected vaginal sex with a sex worker. I had unprotected vaginal sex with my wife ( who...

Q: I have had continuous lower back pain for the past few months that has not been resolved. I went to a chiropractor a...

Q: I am awaiting an MRI due to what my Doctor thinks could be a trapped nerve. I've had pins and needles, pain and weakn...

Q: I had sex for the first time with my now ex gf (unprotected) and barely 3days after, i noticed peeling on my penis ...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews