Thank you for the link to the abstract. Is the whole paper available anywhere?

When I had NA done by Dr. Denkler week before last, he was very excited about the opportunity to present his paper. He hopes to change the minds of his peers about NA. He submitted a paper last year to a different group and it was not accepted. I understood him to say that this group that accepted his paper is smaller but an elite plastic surgeon's group. I hope they are open to his attempts to educate them.

I'm educating my GP, my dermatologist, my dentist and any other person who may be in position of recommending treatment for Dupuytren's. I'm also educating friends and anybody else that I can about NA and other alternative therapies and that surgery is not the only option.

I, too, say "Thank you, Keith." for putting patients first and being an advocate for us.

Dr. Keith is taking the right course by promoting NA as the "first step", rather than a replacement for Open Surgery. While Eaton told me that he thinks NA will prevent the need for surgery for >50% of new patients in their lifetime, this claim might be hard for long time surgeons to swallow. To simply say it's worth a try before going the usual OS route is a softer approach.

And in fact, that really is the case. Because of higher rates of recurrence in aggressive disease NA may run out of gas, forcing the patient up the ladder of treatment to more invasive measures. But that's the case in most treatment modalities anyway.