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Dupuytren's & age
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05/02/2008 12:40
albertellaraymen 
05/02/2008 12:40
albertellaraymen 
Dupuytren's & age

Hi,

I have just started researching and all a bit mind boggling at the mo! I was diagnosed in my early 20's (female) now 37 and at a stage where the NHS have suggested operating. They have dismissed NA as being outdated but I will discuss injections/radiotherapy on my next visit. It's frustrating that the NHS will not accept it could be worsened by work, I also have RSI and Psoriatic arthritis so I think fairly obcious these things could be linked? I work in an office and have said if they think this would make my condition worse I would give up, it has certainly got a lot worse in the last 2-3 years. I also have pain although I am told Dupuytrens is not painful just maybe when it is growing? Maybe this is why....
I feel written off at a fairly 'young' age and do worry about the future and how much worse it will get.

05/02/2008 13:16
Wolfgang

not registered

05/02/2008 13:16
Wolfgang

not registered

Re: Dupuytren's & age

Are the NHS people aware of their own documents? The NICE paper on http://www.nice.org.uk/nicemedia/pdf/ip/...infoenglish.pdf is of 2004. Not THAT outdated. NA (also called PNF) is an established method to treat Dupuytren's contracture. Don't give up. Tell them to have a look at the proceedings of last year's ASSH meeting or on our web site www.dupuytren-online.info and the links there to UK sites.

Can Dupuytren's get worse through manual work? Maybe (see http://www.dupuytren-online.info/dupuytr...ure_trauma.html) but most office work is most likely not associated with it. Eventually the thing is just getting worse by itself.

Dupuytren's typically is not painful, at least not very painful. You might feel it when it grows. But there are exeptions. I read about a patients where the nodules actually got infected and must have been very painful.

Wolfgang

Quote:



Hi,

I have just started researching and all a bit mind boggling at the mo! I was diagnosed in my early 20's (female) now 37 and at a stage where the NHS have suggested operating. They have dismissed NA as being outdated but I will discuss injections/radiotherapy on my next visit. It's frustrating that the NHS will not accept it could be worsened by work, I also have RSI and Psoriatic arthritis so I think fairly obcious these things could be linked? I work in an office and have said if they think this would make my condition worse I would give up, it has certainly got a lot worse in the last 2-3 years. I also have pain although I am told Dupuytrens is not painful just maybe when it is growing? Maybe this is why....
I feel written off at a fairly 'young' age and do worry about the future and how much worse it will get.


05/02/2008 13:24
Wolfgang

not registered

05/02/2008 13:24
Wolfgang

not registered

NHS and NA

Just two citations from the NICE paper stated in my previos post:

"NICE has said that it thinks needle fasciotomy is especially suitable for older patients where open surgery is not advisable. It has also pointed out that Dupuytren’s contracture usually comes back eventually, whatever the treatment. Needle fasciotomy can be repeated if necessary."

"NICE has considered this procedure (= needle fasciotomy) because it is relatively new. NICE has decided that the procedure is safe enough and works well enough for use in the NHS."

Could it be that the NHS people you were in contact with confused NA with something else? Maybe they were not aware that NA = needle aponeurotomy = (percutanous) needle fasciotomy = PNF. Unfortunately many names for the same procedure. The above statement not at all sounds like "outdated".

Wolfgang

Edited at 05/02/08 16:27

05/04/2008 21:30
TrevB 
05/04/2008 21:30
TrevB 

Re: Dupuytren's & age

Quote:



Hi,

I have just started researching and all a bit mind boggling at the mo! I was diagnosed in my early 20's (female) now 37 and at a stage where the NHS have suggested operating. They have dismissed NA as being outdated but I will discuss injections/radiotherapy on my next visit.



Keep researching, it's your choice and the professional people who can help you to possibly avoid surgery at this point are listed on the site. IMO it's frustrating that we have to try to make difficult decisions on our own but that's the way it seems to be.

Good luck!

05/05/2008 01:32
JAnnRunner 
05/05/2008 01:32
JAnnRunner 
Re: Dupuytren's & age

I to am female and started showing signs of DC in my twentys but was not diagnosed until my early thirties and I am now 39. It seems to go in stages for me worse for awhile and thru a " vacation " period I call it when it is better. I was also told that repetative motion could be bad ( I workin a office so only computers no equipment used) so I stopped doing as much as I could that involved gripping and I watch my strenght go weaker and weaker as the months went by.. BIG mistake!! you must fight it and keep doing the thing you love in fact I think you need to work harder than ever. I stretch , do cardio, and light weights muti times a week and have seen no new growth and have become much stonger over the past two years. I think there is not much research out there for young women with DC for us to go by. I have been turnned down for NA and also test study for the new injections so I have nothing and no one to fall back on at this time but myself. So hang in there you have more power over your body than you thought. J Ann

05/05/2008 03:21
callie 
05/05/2008 03:21
callie 
Re: Dupuytren's & age

Surgery was the best decision I have made concerning Dupuytren's treatment. Now six years later, there is not even a hint of Dupuytren's in my fingers. My little finger was at 90 degrees contracture at the time of surgery.

05/05/2008 20:16
pixi 
05/05/2008 20:16
pixi 
Re: Dupuytren's & age

Hi JAnn, it has been a relief to read about other young women who have developed this. My mother is the only other person I know who has it; she first started showing signs in her early 50s, though her DC has manifested differently than mine. I am 33 and was recently diagnosed due to a now rather obvious knuckle pad (I also have nodules on the soles of my feet). I am wondering if and how you have explained your DC to other people. I'm a rower and my doctor suggested I wear fingerless gloves during training to protect my palms, so I had to explain this to my coach and fellow crew. It's not something most people have ever heard of and is a difficult thing to explain; of course the factoid about Viking ancestry does make it rather intriguing!

05/05/2008 21:57
JAnnRunner 
05/05/2008 21:57
JAnnRunner 
Re: Dupuytren's & age

Pixie,
It was hard at first to explain why my little finger had a knot on it and it was bent once I found out what it was I was in shock never heard of it and NO family history or to this day have ever seen another women even close to my age with it.. I am a very active and healthy person with no other health issues at all. I am a track coach and avid runner and enjoy any kind of exercise. Now that I have gotten use to the idea ( about 5 years now) I do not think of it everyday like I use to. My grip is not a strong as it should be but I have really worked hard with weights trying to gain back and maintain the strength I have been able to achive. My foot also use to bother me, my big toe would not bend much and the arch of my foot use to be really tight and sore but have since improved with stretching and a lot of foot exercise with weights and a step. I have know gained all mobility of my toe back and can bend my foot. I am not saying that it does not hurt sometimes but have been able to work thru it . In a weird way it was a wake up call for me. I work harder than I ever did before to stay healthy and eat right and besides my fingers being a little bent and not 100% I am in the best shape of my life and consider everyday a blessing and I know I can work thru anything that is put in front of me!

05/06/2008 10:28
pixi 
05/06/2008 10:28
pixi 
Re: Dupuytren's & age

That's really inspiring! Sometimes life throws us a curveball, and we can choose to either learn from it or be defeated by it. I'm trying to keep a positive perspective and remind myself that in the grand scheme of things this is quite small.

05/06/2008 10:52
J Ann

not registered

05/06/2008 10:52
J Ann

not registered

Re: Dupuytren's & age

that's right!! I was wondering do you have any digestive issues?? I have noticed when my DC flares up Mt stomach kinda gets out of wack....

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