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06/12/2009 01:01
deeproot 
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06/12/2009 01:01
deeproot
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hand picture,comments
Thought I would share a picture of my hand. I have been debating having surgery on the left hand in pic, to remove the nodule and cord. It worked well in my other hand and my dr. said he would remove them if i wanted to. This hand was completely normal 9 months ago, seems to be progressing rapidly. I have no contracture in either hand but do have pain. You can see a nodule below ring finger in center of palm and next to that is a small cord below pinkie. It almost seems the tissue above the cord and nodule have been dissolving. Almost like the tisse is being absorbed by the nodule and cord. Seems very strange, wondering if anyone else has a similar situation.
Edited 06/13/09 02:52
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06/12/2009 06:16
wach  Administrator
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06/12/2009 06:16
wach Administrator
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Re: hand picture,comments
How long after surgery did the nodule start to grow in this hand? Sometimes surgery triggers aggressive growth elsewhere.
Wolfgang
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06/12/2009 23:46
deeproot
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06/12/2009 23:46
deeproot
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Re: hand picture,comments
This is my left hand. My right hand was operated on back in 2001, which they thought was a cyst. Turned out to be DC instead.
My right hand has been doing great since the surgery, that is why I am wondering if having surgery on this hand would have the same success.
I have heard of a lot more negative opinions on surgery, but am still considering. I just am concerned about the rapid progression in this hand. Hopefully this picture works better.
Thanks
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06/14/2009 13:52
callie 
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06/14/2009 13:52
callie
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Re: hand picture,comments
deeproot,
Consider this, there are thousands of surgeries done each year for Dupuytren's. There are an unbelievably small percentage that make their way to this forum with "bad" results. If "bad" results were prevalent, this forum would be overwhelmed with complaints. That is not the case. Most people have had very positive results from the limited fasciectomy procedures done by experienced surgeons using micro surgery techniques. It has been 7 1/2 years since my surgery (90 degrees contracture) and my finger is as good (zero contracture) as before Dupuytren's. Naturally, there are some people who might not respond to surgery in a positive manner, just like any other surgery. Since you had positive results from your last Dupuytren's surgery, you should probably consider it again. But, that is your decision. For me, the longer my finger remains totally fine, the more reason to do the limited fasciectomy should the need ever come up again.
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06/14/2009 18:12
deeproot
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06/14/2009 18:12
deeproot
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Re: hand picture,comments
Thanks for the post, I guess i am just trying to weigh my options. The pain from the nodule isnt terrible,but is annoying and can be painful when working. My family thinks i should have the surgery, but im holding off until I am sure of this. I have heard about collagenase being available within the year, but not sure if it would work in my situation. I had the cortisone shot about 3 months ago and have not seen any difference. I tried a no sugar diet for about 2 months to see if the pain improved but felt no results. Right now im thinking my options are:
Do nothing, surgery, wait for collagenase, or miracle cure:
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06/14/2009 19:27
callie
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06/14/2009 19:27
callie
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Re: hand picture,comments
My suggestion would be to do nothing. I wouldn't consider surgery just because of the triggering possibility. You don't want to mess with unintended consequences. It is one thing to be inconvenienced from some pain, it is another to give the disease a reason to expand. The "pain" could easily moderate in time and you could live with this the rest of your life.
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