Fortunately, there are many treatment options available for Dupuytren’s contracture. These options include enzyme injections and surgery. However, not all people will be eligible for surgery.
Whether you are suffering from a mild Dupuytren’s Contracture or a severe case, there are treatment options for you. A qualified hand surgeon can review your medical history and symptoms to determine the best course of treatment.
Some of Dupuytren’s Contracture treatments involve injections. Corticosteroid injections can be used to treat the pain and swelling of the lumps. These injections also help to slow the disease’s progression. Some patients may need up to three injections.
Another treatment option involves injecting collagenase into the cords of the Dupuytren’s tissue. This enzyme is extracted from bacteria, and it breaks down the cords. Collagenase is not effective for all patients with Dupuytren’s.
Another surgical option involves fasciotomy. In fasciotomy, the surgeon cuts the diseased tissue and then leaves a small incision open. The incision will heal over time. Typically, patients wear a splint after this procedure.
Another option is low-energy radiation therapy. This treatment can help to slow the progression of the disease by stopping the cords from growing.
Other treatment options include needle aponeurotomy and fasciotomy. This treatment is minimally invasive and can improve the motion of the fingers. However, it is not a cure. There are risks, including infection, minor nerve damage, and swelling.
Surgery is usually the best treatment option for more severe Dupuytren’s Contracture cases. However, there are more risks and a longer recovery time than nonsurgical treatments. The risk of recurrence is also higher with surgery.
If you are suffering from Dupuytren’s Contracture, your doctor will create a treatment plan for you based on your age, symptoms, and overall health. Your doctor may order imaging to better understand the mass. Your doctor will also review your medical history and medications.
Dupuytren’s Contracture is a chronic, progressive disease. It causes thick bands of tissue to form in the palm and fingers. It is most common in the ring and little fingers, but it can affect any finger. Symptoms include lumps in the palm, cords that pull the fingers toward the palm, and rough cords that can make it difficult to straighten your hands.
You may be able to avoid surgery if you make small lifestyle changes. These changes include removing sources of strain, avoiding long wrist positions, and gently moving your fingers to relieve the pain.
During a Dupuytren’s contracture exam, your doctor will look for bands or nodules in your palm and fingers. He or she will then test your range of motion and your grip. The test can reveal if your fingers are pulled inward and if your fingers are curled.
If the exam shows that you have Dupuytren’s contracture, your provider may suggest treatment. Some of the treatment options are surgery, nonsurgical measures, and injection-based therapies. The type of treatment you get will depend on the severity of your condition.
Surgery is usually a good option if you have a severe case of Dupuytren’s contracture. In a mild case, your provider may suggest injections of collagenase, a solution that breaks up the cords. You may also need repeated injections of collagenase over the course of a few years.
Your provider may also recommend a procedure called needle fasciotomy. This treatment involves breaking apart the cords that are pulling your fingers toward your palm. The procedure can be performed in your medical office or in a procedure room.
Nonsurgical measures include splinting, which can provide some relief. The treatment isn’t as effective as surgery, but it can help increase your range of motion. Some types of splints include exercise splints, Dynamic Extension Splints, and Volar splints.
Your provider may also recommend steroid injections, which are powerful anti-inflammatory medications. The effectiveness of these treatments varies from patient to patient. In severe cases, your provider may recommend skin grafts.
If you have any of the symptoms of Dupuytren’s contracture, you should schedule an appointment with your provider. Your provider may also suggest a laboratory workup. The lab will be able to test for other problems that could be causing your contracture.
Dupuytren’s contracture is a disease that affects the ring and little fingers of the hand. The condition causes bands of fibrotic tissue to form under the skin of the palm of the hand. This results in flexion of the finger and makes certain functions of the hand difficult.
There are several surgical treatments for Dupuytren’s contracture. These surgeries are performed by experienced hand surgeons.
Treatment with enzyme injections
XIAFLEX(r) is a new treatment for Dupuytren’s disease. This nonsurgical treatment is injected into the collagen cord of the hand. It breaks down the cord and allows the fingers to straighten. It is administered up to three times per cord at four-week intervals.
The procedure is performed in the office under local anesthesia. Patients can go home within 48 hours. It is effective in reducing symptoms of Dupuytren’s contracture. However, half of the patients treated with this procedure reported that the contracture returned within two years. XIAFLEX(r) has been approved by the FDA.
Injecting the enzyme therapy into the cord breaks down tight bands of tissue that cause the finger to bend. The treatment allows the finger to straighten and restores full mobility. Some people may require up to three injections. This non-surgical treatment has been approved by the FDA for patients with Dupuytren’s contracture.
It is important to note that these injections are relatively expensive. They can cost anywhere from $1,500 to $4,000. In some studies, enzyme injections are less expensive than needle aponeurotomy. Those who choose to treat with enzyme injections may need to do hand exercises at home. In addition to this, it may take up to six weeks for the treatment to be completed.
The most common side effects are bruising, pain, or swelling at the injection site. Other rare but serious adverse reactions include nerve injury or damage to the tendon.
The best procedure for your case depends on the severity of the contracture, your overall health, and the cost of the procedure. If your symptoms continue after a minimally invasive treatment, doctors may recommend surgery. However, if your symptoms are not too bad, nonsurgical treatment may be sufficient.
The FDA approved Xiaflex on February 2, 2010. Xiaflex is administered into two or more cords in the hand at four-week intervals. The treatment has proven effective in breaking down the cord and allowing the fingers to straighten. However, it should be administered by a healthcare professional experienced in the procedure.
The FDA approved the treatment on February 2, 2010. XIAFLEX(r) can be performed at the Hand Center of Louisiana.
Surgical treatment for Dupuytren’s contracture is typically only used after nonsurgical treatment has failed to improve the condition. The procedure is also used to treat severe cases of the disease. This treatment may help the contracture to heal and is effective in some cases.
A minimally invasive method of treatment for Dupuytren is enzyme injections. The enzyme is extracted from bacteria and is injected into the cord of the Dupuytren’s tissue. The enzyme breaks down excess collagen and improves the function of the hand.
Other nonsurgical treatment options include stretching and night splints. These methods may temporarily relieve symptoms, but recurrence is a common occurrence. Depending on the condition and patient, the best course of treatment may include both surgical and nonsurgical treatments.
Collagenase injections are also a minimally invasive method of treatment. An injection of the enzyme clostridial collagenase (Xiaflex) breaks down the cord in the Dupuytren’s tissue. It also improves the range of motion in the joints. Collagenase injections are usually administered with local anesthesia.
Another minimally invasive procedure is percutaneous aponeurotomy. This procedure treats the entire hand. It is safe and effective. This treatment has been shown to have significant beneficial effects on Dupuytren’s disease.
Radial extracorporeal shock wave therapy is also a novel treatment for Dupuytren’s. This procedure uses shock waves to break down the cords. The cords can prevent straightening the hand. This procedure has some potential negative effects, including pain and bleeding. However, it may help the nodules to heal.
Other procedures include needle aponeurotomy and limited fasciectomy. Needle aponeurotomy is a nonsurgical procedure that uses the point of a needle to break cords. Similarly, limited fasciectomy involves removing abnormal structures and then a hand therapy program. However, this procedure has a higher risk of complications.
If you have Dupuytren’s contracture, it is important to consider the different options for treatment. The best course of treatment depends on your overall health, the stage of the disease, and how the disease affects your daily life. A good provider will assess the condition and decide the best course of action.
The recurrence rate of Dupuytren’s is high, but treatment can prevent the disease from progressing further. If you are considering surgery for Dupuytren’s, it is important to discuss the risks and complications with your provider.
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