Personal choice. My surgery I had over ten years ago was as perfect as one could expect. No trace that I ever had Dupuytren's in that hand except a very faint scar. I would be looking for a repeat.

This nodule is at the base (MCP joint) of my little finger. It is looking like an identical (if there can be such a thing with Dupuytren's) to the start of the situation on my other hand that was operated on 10 years ago except this is a nodule and my other contraction started with a "dermal pit". I was lucky I guess the way the last surgery turned out. My scar was from the DIP joint all the way to the base of my palm.

I will not let this get contracted nearly as much as the last time (90 degrees) and before it gets to the PIP joint.. The last surgery I can remember the surgeon saying how much tissue he removed surrounding the obvious Dupuytren's diseased tissue. I think that might have been the key to the success.

The advantage I have this time is that I know what is going on. I didn't have a clue the first time. I appreciate the caution about the knuckle.

Edited 03/01/12 05:20

I just got back from my appointment inquiring about RT for my hand. This doctor has done RT for a patient following NA from Dr. Kline. It was a good conversation and he was very interested in Dupuytren's. He did say that Medicare would NOT cover RT for Dupuytren's. I did learn something that I didn't realize. He said that Medicare is divided into several regions and they don't cover procedures the same. And, a person wouldn't know that until after the procedure whether or not it is covered. He is still going forward to see if my insurance company will cover the costs. He did want to copy the paper from J.Vernon Luck