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Can you straighten out your contracted finger?
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02/20/2015 23:57
Tusk 
02/20/2015 23:57
Tusk 
Can you straighten out your contracted finger?

My pinky is contracted at least 45 degrees but I can straighten it without any pain. When released it goes back to the contracted position but I was wondering if this was typical. For some reason, I'm thinking most cannot straighten a contracted finger. I know the common thinking is to have NA, etc on that finger with that much contracture but so far I have no loss of hand function. I don't want to have treatment and risk stirring things up a bit just to get that finger straightened. And, yes I've read that is you delay treatment, especially on the pinky, the finger may never go all the way straight. I'm fine with all that. Another reason I'm waiting is I have aggressive disease that will surely be recurrent so not wanting to get things rolling with that.

02/21/2015 08:00
spanishbuddha 

Administrator

02/21/2015 08:00
spanishbuddha 

Administrator

Re: Can you straighten out your contracted finger?

I have a finger that naturally bends to about 20 degrees, dragged there by soft scar tissue, but I can straighten it by consciously extending the hand. Do you feel a cord holding yours, perhaps a quite soft cord which has not yet hardened? If you can straighten it using the other hand I wonder why you cannot do so normally. Or perhaps something else is going on.

02/21/2015 16:42
Tusk 
02/21/2015 16:42
Tusk 
Re: Can you straighten out your contracted finger?

There are two cords in that pinky, also a big PIP nodule, one big central cord that was pre RT and the other is a spiral cord on the side, the spiral cord is what I believe is causing the pinky contracture, to answer your question when I straighten the finger without using the other hand, I can get it sort of straight but not all the way, I can get it all the way straight using the other hand. The contracture is clearly DD and nothing else.

That finger is also interesting because I have a big cord from a nodule just below the MCP running was down into the palm but there is no MCP contracture, only PIP contracture, I chalk that up to the RT which pretty much killed that MCP nodule, but the palm cord has continued to grow and I can feel it heading towards the thumb, I have palm cords pretty much on all ten digits but no palm contracture in either hand so far, I have tightening and loss of extension so contracture may be coming later.

02/21/2015 18:46
spanishbuddha 

Administrator

02/21/2015 18:46
spanishbuddha 

Administrator

Re: Can you straighten out your contracted finger?

In your case, since you have had RT (?), maybe investigate the massage that seems to help some, or plan your treatment for NA or Xiaflex once you hand is 'non-functional.' I think non-functional means different things to different people (maybe can't reach a piano octave or variations of for me), but it's not good to leave a joint in a restricted position for any length of time. My own plan, at my age, is NA ahead of Xiaflex, although I might try the massage or a steroid shot.

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