What therapy do you do that was recommended for your DD ? And... What are some of the best splints that help you?

I have had surgery, NA, and Xiaflex injections in pinky. As my story goes each treatment has caused a flare each time. It started with one pinky and since surgery all fingers are contracting .

Every treatment has caused a Keobler effect. My DC physician agrees not to do any further treatments. He suggests therapy. Yet I am apprehensive that stretching may cause further flares as well as strengthening the fingers. I have sever stage 4 DD. I do wear a splint nightly and will try a spring splint soon. Have some exercises I did which were not helping they were making the tendons tighter.

At this point I use ultrasound treatments at home on my palms, it helps my foot with nodules. Has anyone else used a home ultra sound for DC TREATMENTS?

Also use warm wax treatments on hands and feet. Helps relax the tight tendons. Anyone try this treatment ?

I haven't tried the PSIO therapy since the Xiaflex injection last Feb. 2015, was a very painful experience for weeks & the dr does not recommend it on my other fingers since I had such a bad reaction the first time. Wearing a splint for a couple of years at night. They are very uncomfortable the type made by therapists. Since the Xiaflex injections it could be that I now have developed anti bodies against the drug Xiaflex which is basically an allergic reaction for future injections. Xiaflex did help the doctor open my pinky. The only thing that helped after surgery caused a severe flare of a 135' contracture on the finger and all other fingers began to contract since surgery three years ago. Hence the Xiaflex.

If anyone wants to share their PSIO therapy experiences and & how it helped , please let me know what was done and how long the therapy was continued. I suspect it's more maintenance to keep the disease from advancing to fast.

Also can you share your best gloves for treatment/ therapy. I have read of infrared gloves & splint gloves for DD anyone try them ?

Looking foreword to your suggestions and experiences as well as additional contributions you may have regarding management of this disease .

THANKX , Cherise

Edited 05/01/15 08:39

Hi
I read the post on the treatments on ultra sound and DMSO. IT WAS INCOURAGING . also want to try magnesium oil. Infrared gloves for DD IS NEW. Any one tried them. I wear arthritis gloves and they do not help DD. Heat and cold treatments seem to,be popular in the treatment section. Ice baths sound painful was one recommendation.

Physical therapy for hands is what PSIO is and I have tried some and wonder what outcome and therapy others have tried?

Also splints are a issue that are undomfortable and I have ordered the spring splint will wear when my finger gets stronger
Anyone recommend splints that are comfortable?

Yes thank you I Have browsed around the alternative subsection. There are also a lot of new gloves for DD ON LINE . Some from Norway, not included in the section and physiical therapy updated with the new excimer & cold laser therapy. Hoping to get a summery of therapy that will help manage this disease. Just curious if anyone tried them?

I read the horse liniment and massage with a laser treatment. Yet I know message hurts at first and can soften the nodes.
However I have arthritis so bad in my hands it is extremely painful to touch my fingers especially the joints. Physical and Occupational Therapy is next. Moving fingers that don't move well is the goal. I can't make a fist or hold on things.

Physical therapy, especially when augmented by the use of ultrasonographic waves and heat application, has a lot of benefits for the patient with Dupuytren’s contracture in its early phases. Not only may splints and braces be applied to help stretch the fingers, but stretching exercises may also be prescribed to achieve the same purpose. Furthermore, the patient may be required to undergo, several times per day, some range of motion (ROM) exercises. Occupational therapy is also vastly helpful. This treatment modality aids a patient in developing techniques to adjust to the deformity as well as help him use some assistive devices that will make daily living that much easier, despite the debilitating effects of the condition.
Thanks for your comments I will look for the ultrasound section. I use it a lot on my feet too!
Cherise

spanishbuddha:

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Ultrasound and a specific massage technique have been mentioned on the forum several times, also laser and infra-red, then there's an amazing story with TCM, and reports about other alternative therapies, magnesium, DMSO, etc. Try using the search box and viewing the results. I think that what appears to work for some does not work for others and vice-versa, and in general there's no overall consensus, so be cautious about trying (spending money) on some of these.

Gloves too have been discussed, for sports, cycling, tennis, etc, or just those arthritis compression gloves. I don't know what PSIO is? There is an alternative treatments subsection on the forum that you can browse around.

wach:

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Hi Cherise,

just my 5 Cents:
Some people, though not all, find the gloves convenient, e.g. the Fixxglove http://www.dupuytren-online.info/dupuytr...techniques.html or the Juzopro digitus http://www.juzo.com/uk/products/orthoses...zopror-digitus/. It's important that the night splint does not exercise pressure or any force on the finger. Its only purpose is to avoid curling of the finger at night.

Active splints are much more inconvenient and can become quite painful. They are usually not recommended for Dupuytren's. Stretching exercises are considered counterproductive by most experts. Massaging with a little bit of pressure but without stretching might be beneficial but if your hand is so sensitive it might be inconvenient as well.

Many different therapies have been proposed and praised on this Forum. Most of them did not work for other patients. Nothing wrong in trying them but don't expect too much and, as SB wrote, it might be a good idea not spending too much money either.

Wolfgang

Cherise:

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... Also splints are a issue that are undomfortable and I have ordered the spring splint will wear when my finger gets stronger
Anyone recommend splints that are comfortable?

...
Physical therapy, especially when augmented by the use of ultrasonographic waves and heat application, has a lot of benefits for the patient with Dupuytren’s contracture in its early phases. Not only may splints and braces be applied to help stretch the fingers, but stretching exercises may also be prescribed to achieve the same purpose. ...