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07/18/2010 20:03
ronmcham 
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07/18/2010 20:03
ronmcham
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Needle Aponevrotomy
Can anyone recommend a Doctor in Dallas (North Texas) that performs needle aponevrotomy?
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07/19/2010 11:20
patandpaula 
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07/19/2010 11:20
patandpaula
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Re: Needle Aponevrotomy
Ron, I am in the Dallas area and as far as I know (and I have called quite a few docs) there is no one who does the NA procedure here. I talked to the docs office in Houston, but it sounds pretty expensive (if I remember correctly, procedure is not done in his office, so possible "hospital" charges) also no email correspondence with this doc at least when I called them. I just found out about the doc in Austin so I havent had a chance to check him out. If you should find anyone in Dallas, Please let me know.
Paula
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07/19/2010 12:44
ronmcham
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07/19/2010 12:44
ronmcham
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Re: Needle Aponevrotomy
THanks for the information on the Doctor in Austin. Yes, I have run into the same problem. I found NA Doctors in Austin, San Antonio and Houston. Would sure like to avoid the plane ride and find a local Doctor.
I am 68 and have Dupuytrens in both hands, but only one "pulled in" little finger at this time, My Othopedic recommends surgery.
My Dad (still going strong at 92) had 2 radical surgeries in both hands when he was in his 60s.
Thanks, Ron McHam
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07/19/2010 13:36
flojo 
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07/19/2010 13:36
flojo
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Re: Needle Aponevrotomy
Sounds like you are looking for alternative treatments to surgery. I think that is wise.
It sounds like your disease is in the early stages and still active. If so, have you considered RT?
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07/20/2010 02:38
LubaM.
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07/20/2010 02:38
LubaM.
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Re: Needle Aponevrotomy
ronmcham:
THanks for the information on the Doctor in Austin. Yes, I have run into the same problem. I found NA Doctors in Austin, San Antonio and Houston. Would sure like to avoid the plane ride and find a local Doctor.
I am 68 and have Dupuytrens in both hands, but only one "pulled in" little finger at this time, My Othopedic recommends surgery.
My Dad (still going strong at 92) had 2 radical surgeries in both hands when he was in his 60s.
Thanks, Ron McHam
Ron,
I agree with Flojo....have you considered RT for your hand that has no contracture? It could stop the progression of the disease before you get any contracture...I have been very happy with the results of the RT I had in November 2009 on my left hand where I only had nodules, tigthness and itching/burning, all signs of active disease.
Glad to hear you are looking for a doctor to do NA on your "pulled in" little finger. Its a good idea to treat the contracture of the little finger early before it gets worst. If the contracture is in your PIP joint, thats the hardest contracture to correct. I've had NA twice on a PIP joint of the little finger. I wish I had done it when the contracture just started instead of waiting like I did.
Edited 07/20/10 05:39
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07/21/2010 19:23
pat.rucker@tx.rr.comnot registered
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07/21/2010 19:23
pat.rucker@tx.rr.comnot registered
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Re: Needle Aponevrotomy
Dr. Michael Doyle in Dallas told me he has had the training and I have been talking to him about being his first patient. He is on vacation now and I am waiting his return call. I'm 77 and have had four operation on my hands, three by Doctor Doyle. His phone number is 214-368-3776
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07/21/2010 20:08
patandpaula
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07/21/2010 20:08
patandpaula
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Re: Needle Aponevrotomy
Hi Pat,
Dr. Doyle's number is 214 368-3760. I had called their office about a week ago and was told by someone who answered the phone who supposedly "checked" that he doesnt do the NA surgery. (He might not have informed his staff that he is going to be doing it)
If that is true, and he is just now starting to do it, I would still be a little hesitant to be his first patient; that is just me. Admittedly I am paranoid because anything that can go wrong WILL go wrong with me, not complaining, just a fact. But since you have had such good experience with him, I can certainly understand why you would feel comfortable.
Paula
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07/21/2010 20:37
flojo
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07/21/2010 20:37
flojo
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Re: Needle Aponevrotomy
Just a thought - Since he is a hand surgeon, he knows the anatomy of the hand and where nerves, tendons, etc. are. I would be inclined to go with him because of his experience with hand surgery AND that he sees NA as an option to surgery for Dupuytrens.
Dr. Denkler told me that when he first read about NA, he thought, "I can do that because I know the anatomy of the hand." Dr. Denkler had done many surgeries for Dupuytren's as a hand surgeon.
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07/21/2010 20:40
dave tnot registered
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07/21/2010 20:40
dave tnot registered
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Re: Needle Aponevrotomy
Hi,
Occasionally I read that someone with Dups does not want to travel for a specific treatment (NA, Xiaflex, etc) and I am curious why. My thought has been to seek the doc with the most experience in the treatment one seeks, then travel to get that treatment. Being local may not work with an obscure disease and few practitioners experienced with treatment alternatives other than surgery.
I'd bite the bullet and travel.
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