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Anyone have info on these doctors? Also NA stats--what is correct?
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09/13/2010 22:36
bstenman 
09/13/2010 22:36
bstenman 
Re: Anyone have info on these doctors? Also NA stats--what is correct?

Any open hand surgery is going to involve the use of a tourniquet that cuts off blood to the lower arm and entire hand and that is where the complications tend to arise. I had NA in March of 2007 and XRT in April of 2007. The XRT seems to have arrested the further development of Dupuytren's but the benefits of the NA have disappeared in the more advanced hand over the past 3 years.

In my case most of the problem is due to the development of nodules that impinge on the tendons so a Xiaflex treatment will be next. Do believe that the XRT did halt the further development of Dupuytren's to a large degree and had the treatment been done sooner I would not have needed either the NA or the Xiaflex.

09/16/2010 23:47
moondanc 
09/16/2010 23:47
moondanc 
Re: Anyone have info on these doctors? Also NA stats--what is correct?

flojo:
Quote:

I've had mixed results-- one NA procedure that lasted less than 6 months, two with Dr. Eaton- one lasted a couple years, another is almost 12 months old and much better but I had RT after that and Xiaflex hardly lasted a year.


Moondanc,

With all those different procedures and results, you're almost a research project all by yourself. Good information.

Dear Flojo,

Sorry to hear you have to have another round of RT but glad you have Dr. T on your team. Also, what a nice offer and price for your condo. I'll keep it in mind as I think if I ever have to have RT again, I'll go to Dr. T.

I guess I really am going to be a research project. A couple weeks ago I developed what I thought was a wart in the palm of my right hand. When I had RT on that hand the "tattoo" didn't take but they were able to use the puncture wound as a guide. I think the growth is where the tattoo would have been or very close. I contacted my radiologist and he said there was nothing to worry about but if I wanted to pursue it I should contact a dermatologist.

I saw my dermatologist yesterday and she said it was a corn! She said there's no reason to worry (easy for her to say :-) and suggested I use a small drop of OTC salicylic acid to get rid of it. Can't wait to see what happens next!

Diane

09/18/2010 01:08
flojo 
09/18/2010 01:08
flojo 
Re: Anyone have info on these doctors? Also NA stats--what is correct?

Diane,
Oh, my! A corn? Not to worry? You're right - easy for them to say. I hope it is what they say, but I know how you must feel considering the unpredictability of DD.
Good luck,
Flora

09/18/2010 21:50
bstenman 
09/18/2010 21:50
bstenman 
Re: Anyone have info on these doctors? Also NA stats--what is correct?

NA complications appear to be less than 2% from the little bit of data I could glean. With open hand surgery it is about 6% from similar sources. The difference is greater in that the damage from a NA procedure is going to be localized at a particular area of your hand while problems from open hand surgery, as with a fasciectomy, can affect the entire hand as the entire limb is without blood/oxygen for the duration of the operation.

As with any surgery, practice makes perfect so finding someone who performs the operation on a routine basis is likely to minimize the risks involved and probably worth the additional travel if necessary.

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