Is Dupuytren’s Contracture Progressive?

A Dupuytren’s contracture typically progresses very slowly, over a period of years. Signs and symptoms of the condition may include: Nodules. You may develop one or more small lumps, or nodules, in the palm of your hand.

What aggravates Dupuytren’s contracture?

Smoking and drinking.

Both alcohol and smoking are frequently mentioned as risk factors for Dupuytren’s contracture. “The evidence for smoking is stronger than for drinking, and it makes sense because smoking, like diabetes, decreases blood supply to the hand,” Evans says.

How do you slow the progression of Dupuytren’s contracture?

Doctors may use steroid injections to ease pain or radiotherapy to help slow the progression of the disease. Enzyme injections with collagenase clostridium histolyticum or a needle aponeurotomy can help loosen the fibrous tissue in cases of moderate to severe Dupuytren’s contracture.

Should I have surgery for Dupuytren’s contracture?

Surgery can improve, but may not completely restore, the use of your hands. And it can’t cure the disease. The disease can cause the tight cords to form again. Even after a successful surgery, you may need another surgery later to keep the use of your hands.

How serious is Dupuytren’s contracture?

The condition is not dangerous. Many people don’t get treatment. But treatment for Dupuytren’s contracture can slow the disease or help ease your symptoms.

Can Dupuytren’s contracture go away by itself?

A:Dupuytren’s contracture does not go away on its own. It is a slowly progressive condition. Treatment does not stop the condition from worsening, but it can help manage and reduce symptoms.

Is Dupuytren’s a form of arthritis?

Dupuytren’s contracture: This form of arthritis causes the tissue beneath the hand to develop nodules in the fingers and palms. These lumps can cause the fingers to stick in place.

Is Dupuytren’s an autoimmune disease?

The root cause of Dupuytren disease is unknown. Many, but not all patients appear to have a family or genetic predisposition. In some ways, it may resemble infection or cancer, but it is neither. The immune system is involved, but not exactly like an autoimmune disease.

Can I get disability for Dupuytren’s contracture?

This condition causes a limited range of motion in one or both hands. This complication can result in an inability to perform work tasks. If the condition is severe enough to prohibit them from working, individuals suffering from the condition can apply for Social Security disability insurance.

Does Dupuytren’s go away?

Unfortunately, there is no cure for Dupuytren’s Contracture, but there are some treatments a hand specialist can recommend and perform to break apart the cords of tissue that have formed, which pull the finger to a bent position.

What are the stages of Dupuytren’s?

Dupuytren contracture progresses through three phases: (1) proliferative, (2) involution, and (3) residual.

How successful is surgery for Dupuytren’s contracture?

Surgery to treat Dupuytren’s typically involves removing the diseased cords that are causing the contracture in the finger. In many cases, this surgery successfully eliminates Dupuytren’s contracture. Results usually are long-lasting, and the rate of recurrence is low.

Are there any new treatments for Dupuytren’s contracture?

The University of Michigan is also using a new FDA-approved treatment for Dupuytren’s disease: clostridial collagenase (XIAFLEX) injections that destroy the excess collagen causing the thickening and shortening of the tissue. In some cases, only one injection is needed to dramatically improve the function of the hand.

Why is Dupuytren’s contracture called Viking disease?

Why is Dupuytren’s contracture called Viking disease? Dupuytren’s disease has been given the moniker “the Viking disease” due to its prevalence in the north of Europe and those of Northern European descent.

How effective is Xiaflex for Dupuytren’s contracture?

Xiaflex has an average rating of 3.3 out of 10 from a total of 23 ratings for the treatment of Dupuytren’s contracture. 22% of reviewers reported a positive effect, while 74% reported a negative effect.

Can Dupuytren’s be misdiagnosed?

It’s commonly misdiagnosed, which is unfortunate because then people live with this” —often not getting the early treatment that could help them. Dr. Pess recommends finding a Dupuytren surgeon through the American Society for Surgery of the Hand (www.findahandsurgeon.com).

Does alcohol cause Dupuytren’s contracture?

Dupuytren’s contracture often runs in families. Tobacco and alcohol use. Smoking is associated with an increased risk of Dupuytren’s contracture, perhaps because of microscopic changes within blood vessels caused by smoking. Alcohol intake also is associated with Dupuytren’s.

Is Dupuytren’s surgery painful?

Surgical incisions will vary based on the extent of your Dupuytren’s contracture but may look like a zig-zag on the palmar surface of the finger and hand. Dupuytren’s contracture release can be painful. You will receive a prescription for narcotic pain medicine.

Why does Dupuytren’s itch?

Dupuytren’s is often not painful at all. But according to the U.S. National Library of Medicine, about one in four people with the condition report tenderness, burning, itching, or pressure when trying to straighten fingers, because of increased inflammation in the hand.

Does magnesium help Dupuytren’s contracture?

Magnesium. Although more research is needed, a magnesium supplement may be able to help relax a contracture. The Dupuytren Foundation shared a report of a woman with Dupuytren’s contracture who began taking a magnesium supplement and found some improvement in her condition.

When is surgery needed for Dupuytren’s contracture?

Surgery for Dupuytren contracture generally should be performed on an affected metacarpophalangeal (MCP) joint if the contracture is 30° or greater. Such contractures most likely cause some debilitation for the patient.

Is Dupuytren’s disease hereditary?

Dupuytren contracture is usually passed down through generations in families and is the most common inherited disorder of connective tissue. The inheritance pattern is often unclear. Some people who inherit gene changes associated with Dupuytren contracture never develop the condition.

Can Massage Help Dupuytren’s contracture?

Massage therapy may delay the progression of contractures and decrease recurrence in post-operative patients. Massage therapy treatment for Dupuytren’s disease should not be vigorous and stretching should be a gentle exploration of range of motion.