What is Dupuytren’s Contracture and How to Manage It

Date: October 14, 2024

Dupuytren’s Contracture Explained:

Dupuytren’s contracture is a progressive condition that affects the connective tissue in the palm of your hand. This connective tissue, known as fascia, thickens and tightens over time, pulling one or more fingers toward the palm. The condition typically progresses slowly, often taking years before significant changes are noticed. While Dupuytren’s can affect any finger, it most commonly affects the ring and little fingers, and in some cases, both hands may be involved.

Symptoms of Dupuytren’s Contracture

Early signs of Dupuytren’s may be subtle, but recognizing them can help you seek treatment before the condition progresses too far. Common symptoms include:

  • Nodules: Small lumps of tissue may form under the skin in the palm. These lumps can feel firm and are often the first noticeable sign of Dupuytren’s.
  • Cord Formation: As the disease progresses, the tissue thickens into cords that run along the fingers, pulling them into a bent position.
  • Finger Contracture: The hallmark symptom of Dupuytren’s is the inability to fully straighten one or more fingers, particularly the ring and pinky fingers.
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Preventing Dupuytren’s Contracture

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Since the exact cause of Dupuytren’s is unknown, there isn’t a guaranteed way to prevent it. However, maintaining a healthy lifestyle may reduce your risk. Quitting smoking and managing conditions like diabetes can help improve overall health, which may lower the likelihood of developing Dupuytren’s contracture. If you’ve been diagnosed with Dupuytren’s, it’s important to speak with your doctor about monitoring your condition. Regular visits to a hand physiotherapist can help you manage the symptoms.

How Is Dupuytren’s Contracture Treated?

There are several treatment options that can help manage symptoms and restore hand function, while working closely with a physiotherapist to optimize outcomes and maintain mobility. Two possible treatment options include:

  • Shockwave Therapy: Involves applying high-energy sound waves to the affected area. The mechanical energy can help break down the scar tissue and stimulate healing.
  • Dry Needling at the Common Flexor Origin: Dry needling involves the insertion of fine needles into specific points of the muscle and fascia, targeting areas of tightness or spasm.

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