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LLLT
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11/14/2013 21:05
Elke 
11/14/2013 21:05
Elke 
LLLT

Hi

I am new to this forum, but have Dupuytrens on the palm of my left hand. (I am left-handed) Fortunately. I do not have a contracture yet, but could feel it getting worse. I have 5'ish nodes 1'ish ( one and a bit) for the middle finger, a cord and two nodes for the ring finger, and one node for the pinkie - which, thankfully, is still small.
I found a local physio who was willing to try LLLT on my hand (I am the first case of Dupuytrens to be treated with laser) - she said 6 sessions over 3 weeks as well as physio and exercises to do at home. I was at the point of pins and needles in my ring finger and in the palm of my hand - so quite early days!! And, of course, we forgot to take a photo before we started.
I have just had my third session, and I am really pleased with the changes... the cord seems shorter and not quite so thick, and the space between the two nodes on my ring finger has increased quite a bit. The pins and needles are also virtually gone - a slight sensation occasionally, that is all. The nodes don't seem to be quite so raised either.
I massage a mixture of Vitamin E oil and Horse Balsam (nothing to do with horses!!) into my hand at least twice a day, do my stretching exercises, and am hoping for the best. My father has the same - his was much worse. His was triggered by an injury to his hand many years ago, and by the time he had surgery, the ring finger and pinkie were immobile. After surgery, he could open his hand a little, so he could put on a glove, and, he says, could count his money!! But now the tendon has snapped and his pinkie can only be moved "manually". He is over 80, so they are not willing to operate to repair the tendon. The recovery after surgery seemed very long, and I really cannot afford to take that much time off work, so surgery is not an option. I will let you know how I get on over the next three sessions, and what we decide to do next.

Edited 11/14/13 23:12

11/15/2013 00:36
callie 
11/15/2013 00:36
callie 
Re: LLLT

Who decided to do the laser treatment? Why laser instead of RT? What is the cost? Where do you live?

11/15/2013 12:18
Jolene 
11/15/2013 12:18
Jolene 
Re: LLLT

Hello,

Thanks for this information. I have wondered why they have not tried laser. I pray it works. Would love for laser to work and then be used for the foot. Wow, I think that would be the best of best treatments!

11/16/2013 17:49
Elke 
11/16/2013 17:49
Elke 
Re: LLLT

Hi Callie and Jolene,

The reason I tried laser was that I had read a little about it online, and thought it was worth a shot.
I do not want to wait till it gets bad enough for surgery, and the physio has never treated Dupuytrens with
laser before, so she is just as interested as I am to see how far we can get. I definitely think there is
an improvement.

The physio charges me €40 per session. I live in Cork, Ireland.

I have not yet heard of anyone treating Dupuytrens with RT in Ireland, but if this fails, that will be
my next quest. My doctor has asked for an appointment with an orthopaedic consultant to discuss my situation,
but I could be waiting a while for that.

I will let you know at the end of the week whether the physio decides to continue the sessions or wait
for a while.

11/16/2013 20:16
Lanod 
11/16/2013 20:16
Lanod 
Re: LLLT

Elke:
I have not yet heard of anyone treating Dupuytrens with RT in Ireland

Hello Elke - I wish you success with the LLLT - but there have been no trials yet on using this therapy for Dupuytrens.
Fortunately, there is RT treatment available in Ireland as listed on this site. The detail is:

Prof. Frank Sullivan
Consultant Radiation Oncologist
Suite 8, Galway Clinic
Doughiska, Galway
Phone: 091 / 720044

I have had treatment there and I can recommend etc...

Kind regards.

11/17/2013 11:43
Elke 
11/17/2013 11:43
Elke 
Re: LLLT

Hi Lanod,

Thank you for that - can you give me an indication as to how this works? Do you have to go there on
consecutive days, how much does it cost, etc?

Thanks
Elke

11/17/2013 13:23
Lanod 
11/17/2013 13:23
Lanod 
Re: LLLT

Elke,
Prof. Sullivan would need you to see a hand surgeon to confirm diagnosis of Dupuytrens before he would accept a consultation. The treatment is in two rounds. A daily dose of radiation, that takes just a few minutes per day, goes on for 5 consecutive days and then 12 weeks later you go back for another 5-day treatment round. The cost is expensive. There are two rounds of treatment and each round will cost maybe 1,800 euro. So the total cost might be more that 3.5K euro. However, if you have VHI level B or equivalent you should be covered by insurance. If you do not have insurance there is a possibility that Prof. Sullivan might see you at the Galway University Hospital, rather than the Galway Clinic. You would could ring his office or email his office with a query.

11/23/2013 08:53
Elke 
11/23/2013 08:53
Elke 
Re: LLLT

Hi Lanod,

Thanks for that .... I do have VHI so I would have to check that out. But I am going to continue with
the Laser for now.

The update is that the 6 sessions are over, and the nodes seem to be a little smaller, and two that
were very close to each other are now definitely separate, and the cords don't seem to be
as raised on my palm. The physio and I have decided to do a further 5 sessions to see what the outcome will be.

I have noticed that when I am stressed or over tired I tend to clench my hand while sleeping, and am now
ordering the Fixxglove to keep my hand straight at night. I am hoping that will help with the stiffness in the
mornings. We will see....

Regards
Elke

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