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My doctor has just said nothing can be done until my fingers contract
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07/17/2009 15:57
Irenecollier 
07/17/2009 15:57
Irenecollier 
My doctor has just said nothing can be done until my fingers contract

I have just been told this by my doctor all he gave me was a NHS print out which basically said the only option was surgery when the fingers were totally bent

07/17/2009 22:27
Diana 
07/17/2009 22:27
Diana 
Re: My doctor has just said nothing can be done until my fingers contract

Hi Irene. I was pretty bummed out when I was diagnosed with Dupuytren's and was told the same thing by a few doctors - orthopedist, OD, and hand surgeon. I really believe that we have to assist our doctors with medical issues - they can't know everything - and began researching this disease on my own.

This is an excellent website to learn about the various alternatives to surgery. There are other websites out there too but this one is my favorite although I really recommend going to others as well so as to get a well rounded education. I did Google searches and over a few weeks learned about Dupuytren's. One thing I learned is that there is conflicting data on the causes and treatment. Since it appears that doctors disagree about this disease I did as much research as I could and came up with my own conclusions for treatment.

In my particular case, I decided to go for radiation therapy as I don't have contraction yet. Both my parents have Dupuytren's and their siblings have it too. My dad and his brother had surgery - they waited till their fingers curled. I wanted to try and avoid that if possible and I was encouraged by the studies on radiation during the early stages.

After a 3 month back and forth with my HMO, they approved the radiation. Other people on this website have had great results with Needle Aponeurotomy. I encourage you to read the forum posts, do more reasearch, and wish you the best of luck.


Diana

07/17/2009 23:33
callie 
07/17/2009 23:33
callie 
Re: My doctor has just said nothing can be done until my fingers contract

Irene,
Keep in mind that a large percentage of those with Dupuytren's have no contracture, or very little. Usually nothing is done until contraction reaches about 30 degrees. In my case I waited until the contraction was 90 degrees in my little finger. The contraction happened within 12 months. I had surgery 7 1/2 years ago and have no sign of Dupuytren's in my hand, no contraction and no noticeable scar.

07/18/2009 00:50
jocond 
07/18/2009 00:50
jocond 
Re: My doctor has just said nothing can be done until my fingers contract

Diane,
If you don't mind me asking, what is your age? From what you just posted it sounds as if your in your 40's, 50's. Did you receive radiation treatments? Just curious. My brother who has a nodule on his hand was recommended NOT to get treaments because of his age. He is currently 44. I have many contractures in both hands, had N/A on left hand and collagenase injections on the right. I am only 40 yrs old.

Thanks,
Joe Conrad

07/18/2009 15:12
Lori

not registered

07/18/2009 15:12
Lori

not registered

Re: My doctor has just said nothing can be done until my fingers contract

Joe,

I am 53 and was diagnosed with DC this past winter. My grandmother and aunt both had it but thought it was arthritis because they did not get any symptoms until close to 80. My mother just started getting it in her pinkie and she is 78. I am in the middle of RT treatment and go back 8/17 for my 2nd round. I also could not find any doctor who would help me unless it involved waiting till srugery.

I like Diana saught out my own treatment plan. It is a little unnerving because you have to go with your gut and research. Since my family had contracture I assumed since I started really early and it came on fast (nodule and cord within 6 months) I doubted I would be the one that would not have contracture. So, I chose RT. No one said anything about waiting for treatment due to age. My oncologist in Charlotte agreed this was the only and best route to take to try and stop the growth. Who knows ...maybe it is all for naught. Maybe I would be the one without contracture. I was not willing to gamble knowing that I had a small window of time that RT would work since my hand was beginning to tighten and dimple. I was also in pain.

I am not sorry I began the RT. I feel for me it was the best route to go. I am not interested in waiting for surgery unless it is the last resort. The people that I talked to who had surgery were pleased, BUT they had long and painful recoveries, and were for the most part retired. They were also much older than me.

I felt for my age this was the least intrusive and had the best long term positive reports for treatment. I can already see that my cord and nodule have gotten smaller.

Regards,

Lori

07/18/2009 16:56
Diana 
07/18/2009 16:56
Diana 
Re: My doctor has just said nothing can be done until my fingers contract

Hi Joe.

I could echo Lori's post. I'm 52 and am trying to avoid the contracture. My mom doesn't have contracture but she is 84. My dad had contracture in his 70s, his brother in his 60s.

I'm sure that they don't know when they actually got nodules - in my opinion many people don't seek treatment until their fingers begin bending. I went to the doctor when I found the lump/nodule. The radiation took place about 5 months after I noticed the nodule, it took 3 months for my insurance to approve the radiation.

I had radiation the week of July 6. So far I haven't noticed any difference (bummer) in my hand but am hopeful. If the node/cord never get smaller BUT it stops the progression I believe it will be worth it.

Diana

07/18/2009 17:47
TrevB 
07/18/2009 17:47
TrevB 

Re: My doctor has just said nothing can be done until my fingers contract

Quote:



I am 53 and was diagnosed with DC this past winter. My grandmother and aunt both had it but thought it was arthritis because they did not get any symptoms until close to 80. My mother just started getting it in her pinkie and she is 78. I am in the middle of RT treatment and go back 8/17 for my 2nd round. I also could not find any doctor who would help me unless it involved waiting till srugery.

I like Diana saught out my own treatment plan. It is a little unnerving because you have to go with your gut and research. Since my family had contracture I assumed since I started really early and it came on fast (nodule and cord within 6 months) I doubted I would be the one that would not have contracture. So, I chose RT. No one said anything about waiting for treatment due to age. My oncologist in Charlotte agreed this was the only and best route to take to try and stop the growth. Who knows ...maybe it is all for naught. Maybe I would be the one without contracture. I was not willing to gamble knowing that I had a small window of time that RT would work since my hand was beginning to tighten and dimple. I was also in pain.

I am not sorry I began the RT. I feel for me it was the best route to go. I am not interested in waiting for surgery unless it is the last resort. The people that I talked to who had surgery were pleased, BUT they had long and painful recoveries, and were for the most part retired. They were also much older than me.

I felt for my age this was the least intrusive and had the best long term positive reports for treatment. I can already see that my cord and nodule have gotten smaller.

Regards,

Lori



What a good post. I have no family history (that I know of) and had to make my own decisions (I'm 49 on Jul 22) because I only have the use of one arm and didn't fancy surgery, recovery with potential complications. I have seen an improvement since RT. I have to say that RT was also a concern to me (as is anything medical) but it's time to cross your fingers so to speak, and make the best of a potential bad job
Cambidgeshire, UK.

Edited 07/18/09 20:51

07/18/2009 20:30
lori 
07/18/2009 20:30
lori 
Re: My doctor has just said nothing can be done until my fingers contract

The posting showed I was not registered. Sorry, I am on my husbands computer and I guess I forgot to log in. It usually shows me logged in already. Don't know what happened.

Lori

08/18/2009 20:47
ahari43 
08/18/2009 20:47
ahari43 
Re: My doctor has just said nothing can be done until my fingers contract

I agree with all of you who decided that the treatment available in the UK for DC is really very biased and limited. Why can we not learn from other countries? RT in Germany is quite common and well researched, the same is true for NA in France etc. At least the medical establishment in the UK is now accepting NA, but RT is still frowned upon.
When I discovered that I had DC 18 years ago, aged 48, with a strong family history, I still trusted the advice I was given and waited until my finger contracted 9 years later for an operation. I have to say that this has been quite successful, but I was very incapacitated in the use of my finger shortly before the op. Also, a full anaesthetic and a day in hospital with a lot of hand exercises afterwards were all quite unpleasant.
As I also had an index finger on the same hand which already had quite a lot of nodules and chords and had contracted about 10 degrees, I did some research on my own and discovered the availability of RT in Germany for this finger. At the time, the consultant thought that it might already be rather late and sure enough, after an initial improvement DC recurred and my finger had contracted again 6 years later. This time, I was treated by NA in Brussels and was delighted with its painlessness, simplicity and the result. Sadly, at present, contracture is happening again, but I am determined to simply go for another NA treatment with this finger when necessary.
In the meantime, however, I had discovered a new third small nodule in my other hand and by sheer coincidence talked to my chiropracter about all this. She suggested that I try ultrasound and to my delight, I found that it softened this nodule almost immediately. I have continued regularly treating this finger over the last 9 years and the size of the nodule has gradually reduced. I also have no contracture as yet, in contrast to my previous 2 fingers which over a similar time period had contracted to about 90 degrees!
However, as for RT, there seems to be a short initial period where ultrasound treatment is effective.
So my advice is not to wait! Go for RT or if you want to see if ultrasound works for you, give that a go. Just a basic machine should do it, I have treated myself 2-3 times a day for 5 minutes. It is safe with no known side effects, it just takes a little time. But act during this early phase, don't wait!


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contracted   complications   grandmother   incapacitated   contract   treatment   Cambidgeshire   fingers   waiting   surgery   because   contractures   improvement   contracture   Aponeurotomy   Dupuytren   establishment   nothing   radiation   contraction