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Dr. just said to live with it
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06/26/2009 17:48
nan

not registered

06/26/2009 17:48
nan

not registered

Dr. just said to live with it

I'm a 57 yr. old female that was just diagnosed with Dupuytren. I lived with lumps in my right hand after being told it was from over use but when the lumps jumped to my left hand, I went back to the doctor. One morning I could get my wedding ring on but two hours later, I couldn't remove it. I finally got it off but the lump on my ring finger now prevents me from wearing it.

After an MRI, my family doctor said it was fine. I said, how could it be fine if there are lumps, pain, etc. He sent me to a Rheumatologist who said there was nothing they could do for the Dupuytren. I went to a bone specialist who said the same thing. He said to stretch my hands.

I have lost mobility in the right hand, both hands hurt, I have lumps and indentations, and my right hand will "spasm" with the finger curling up. Wow, that hurts.

I've searched on line to see if there's anything that works. Even if I found something that a doctor does, it's hard to find a doctor in the Dallas area. I don't want to become crippled. Is there anything I can do? Is there a relation with this disease and autoimmune disorders? Thanks.

06/26/2009 19:42
SteveAbrams

not registered

06/26/2009 19:42
SteveAbrams

not registered

Re: Dr. just said to live with it

I think you need to see a hand surgery specialist, just to make sure that the initial diagnosis of Dupuytren's is the correct one. Once you are certain of the diagnosis, you could then explore avenues of treatment.

Steve Abrams

06/26/2009 22:45
callie 
06/26/2009 22:45
callie 
Re: Dr. just said to live with it

nan,

Your problem doesn't sound completely like Dupuytren's. You said, "my right hand will "spasm" with the finger curling up". That is not typical of Dupuytren's in which contracture can take months/years. Als, generally there is very little pain involved with Dupuytren's.

06/27/2009 14:38
nriedell 
06/27/2009 14:38
nriedell 
Re: Dr. just said to live with it

I concur with both of the above comments. You definitely need a second opinion. My guess is that the doctors you have seen are not that familiar with Dupuytren's. I also have Dupuytren's in both hands and saw a hand specialist. He told me if I didn't get surgery immediately, I'd get damage in both my nerves and my blood vessels.

You may have something else as well as Dupuytren's as Dupuytren's alone does not cause pain (at least that was true for me).

If you don't have a doctor familiar with this disorder, I would recommend that you fly out of state to receive care. There are very well-qualified doctors who are recommended on this site.

Good Luck!

06/27/2009 15:32
nan

not registered

06/27/2009 15:32
nan

not registered

Re: Dr. just said to live with it

Thank you for your input. I saw four doctors and all gave the same diagnosis. The pain comes from the tightness in my palm. A couple doctors thought Dupuytren was going on along with something else. A hand surgery specialist isn't one I saw. The orthopedic sergeon came the closest. I looked at photos on line and saw my right hand. The orthopedic sergeon was the final doctor I saw and he said he could do surgery but it's very painful and that I should stretch my hand to keep it from freezing up more. He suggested Physical Therapy. Thanks for your help.

06/28/2009 12:09
patandpaula 
06/28/2009 12:09
patandpaula 
Re: Dr. just said to live with it

Nan, just wanted to tell you that I had very bad pain in my palms for months, so bad it would wake me up at night. It finally more or less went away but it was literally months. Right now, just one of my nodules hurts and is very sore when I touch it, but nothing I can't stand.

06/30/2009 12:53
MissMyGuitars 
06/30/2009 12:53
MissMyGuitars 
Re: Dr. just said to live with it

Nan - I've been seeing hand specialists, rheumatologists, and ortho docs in the Dallas area for about 4 years now. If you like, you can email me at "b.scott.williams (at) tx.rr.com". My experiences may be very helpful.

Others of you may interested in a comment that came from my cousin who is a reconstructive surgeon in New Mexico. I've recently been in contact with him regarding my symptoms. He wrote that his clinic sees more cases of Dupuytren's than all other types of fibromatosis combined! I knew Dups was fairly common but this comment surprised me. With this rate of occurrence, all hand specialists, rheumatologists, and ortho docs are quite familiar with the disease. They may not be experts in the treatment but they should certainly be familiar with the symptoms!

06/30/2009 15:25
wach 

Administrator

06/30/2009 15:25
wach 

Administrator

Re: Dr. just said to live with it

Scott, that part of the issue: most doctors know about Dupuytren's but only a few are knowledgable about other therapies besides surgery. Surgery helps a lot of people but, in my opinion, it should not be the only line of defense.

Wolfgang

Quote:



... With this rate of occurrence, all hand specialists, rheumatologists, and ortho docs are quite familiar with the disease. They may not be experts in the treatment but they should certainly be familiar with the symptoms!




Edited 06/30/09 18:25

06/30/2009 15:46
MissMyGuitars 
06/30/2009 15:46
MissMyGuitars 
Re: Dr. just said to live with it

Yes, of course....

I've learned that all doctors focus their practices and their research efforts on the conditions/diseases in which they have a particular interest. When a patient does not fit the preferred profile and is deemed relatively difficult to treat (as many Dups patients are), he/she gets passed along to the next physician. This forum is excellent for assisting people in getting to the doctors who do happen to have an interest in Dups more quickly saving folks time and money.

The internet often is more dangerous and destructive than people tend to believe but it's certainly wonderful for this type of communication!

06/30/2009 19:48
bstenman 
06/30/2009 19:48
bstenman 
Re: Dr. just said to live with it

The longer treatment is delayed the more severe the consequences, the more costly and fewer your options become. It is a PROGRESSIVE disease and most doctors just don't get it. X-ray therapy works in the early stages, and NA works up to a point. Open hand surgery or a fasciectomy has the highest risk of complications and the longest recovery time - 3-12 months with the need for regular physical therapy the first month.

With my hands any rigorous activity will affect my ability to use them for days afterwards and the spasms you mention are something I too experience. I have had a NA done by Dr. Denkler and X-ray treatment done by Dr. Seegenschmiedt in Essen, Germany.

Whatever you decide to do act now as your treatment sounds like it has already been delayed significantly. The list of competent doctors in this country for helping or advising patients with Dupuytren's is very short. You will get a lot more useful information from this forum than from hundred visits to GP's.

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