semmett:

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My first nodules appeared about a year ago. As they began to cord the pain began and increased as the cord sized increased. It is a small cords across the palm and one from ring finger to wrist. I was diagnosed a month ago when I went to a hand surgery. I was told Dupuytren's didn't cause pain. She did injections for trigger finger. I went back two days ago and again told her about the pain. She said all the literature said it was painless. I told that I didn't know why the literature says that ...because mine hurts. It is at the point that I can not grip the steering wheel of the car with my right hand when I drive.

Enough said...she is doing the surgery next week. I am glad we are doing it before the cords have my fingers drawn down. I think the healing process might go a little smoother. She said I would not need PT and the healing process was 6 weeks. I would appreciate your comment. I wonder how we can get this "literature" changed.

Hi, firstly you may be moving too quickly for the surgery option. How old are you.? On average one would not identify pain with Dupuytrens. But what is pain? Each individual's threshold is different. I have had many surgeries and never needed to take anything for the pain. I am a strong believer, in my case each and every surgery started the clock ticking towards the next surgery and also reduced the time span. Certainly treat the pain but get another opinion re the surgery. PNF or NA would be a better option once the contraction has reached 20 or 30 degrees.

If you read some of the comments from other users you will realized that a lot of people have pain with DD. To answer some of the questions, I am 62 years old. I have had plenty of surgeries including a triple by-pass heart sugery. The worst of all... being on a ventilator. Hey.. I know about pain.

I already had the open palm injections which made the pain worse. I do no know what you are talking about when you say PNF, RT, NA or Xiaflex.

As previous stated I have cords across my palm and one from my ring finger to my wrist. These are the cords the doctor will be removing. She indicated she will be making 3 or 4 tiny incisions. My pain does not come and go ... it is there night and day. If I move my hand during the night...it has woke me up and can keep me from fallings asleep.

Right now I am really confused. I don't know what to do?

econn:

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My DC is not painful but limits the use of my hands. I was referred to a plastic surgeon who is skilled in NA, open fasciectomy and Xiaflex injections. His recommendation, in my situation (DC in left hand, nodules beginning in right) is to go with the Xiaflex for the L hand and wait and see on the right. His experience is that Xiaflex will be effective for 7-10 years and can be repeated if/as needed. I am still able to pretty much use my left hand but my right hand bothers me because the nodules make it difficult to mow the lawn or grip things.

Thanks. It's unclear to me, though, how this 3 year data relates to that presented from the CORDLESS study (link below). Data points seem to be the same. I can personally attest to how some of this data/measurements were obtained and it ain't pretty!

https://www.efort.org/wp-content/uploads...FORT13-3649.pdf

wach:

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That's about the time that collagenase has been studied in trials. There can't be any much longer studies, at least not with a reasonable number of participants. Clayton Peimer, this year's winner of the Dupuytren Award http://www.dupuytren-online.info/dupuytren_award.html, presented 3-year data on recurrence after collagenase injection http://www.ncbi.nlm.nih.gov/pubmed/23200951. He had more than 600 patients and more than 1,000 joints treated, providing reasonable statistics.

Wolfgang