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04/05/2013 05:46
Randy_H 
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04/05/2013 05:46
Randy_H
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Re: DOCTOR EDUCATION
No, Web MD is not really out to lunch as they do site NA and Xiaflex on other pages, but I fond the above verbiage on Dups that someone left up, giving all that nonsense. Here is another example of WebMD not giving it's readers the less invasive options when considering surgery. Here, clearly, OS is presented as the only serious medical intervention and one that should not be entered into lightly.
I find that surprising as I do use them as a trusted source. The point I was making is that while change is being made, the old thinking that Open Surgery is the only choice has not yet been completely corrected, even on a site like WebMD. While OS may be exactly the right choice for some, all the facts are still not always being presented. WebMD will eventually review the pages I have found and get it right eventually. Just not yet.
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04/05/2013 14:14
callie
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04/05/2013 14:14
callie
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Re: DOCTOR EDUCATION
Randy,
I agree that the link you referenced did not tell the complete options of treatments for Dupuytren's.
The link you referenced was for the question, "Should I have surgery for Dupuytren's disease?" It was a narrow question that was answered. The question wasn't about, "What are the treatments for Dupuytren's?". That question is answered fully in other links on WebMD. I think you were looking in the wrong place to get the answers you desired about the different treatments for Dupuytren's.
There is a direct link from the link you had to "Dupuytren's Contracture Directory". The first link there is "Dupuytren's Contracture: Causes, Symptoms, and Treatment".
From that link, "It's important to note that finger splints do not help patients with Dupuytren's contracture and may even be harmful. Stretching the finger forcefully can actually speed up the inward curling of the finger."
"A new, less invasive procedure, called needle aponeurotomy, is an alternative to traditional surgery for Dupuytren's contracture. It uses a smaller surgical cut, which may help you recover faster."
"If a nodule is extremely tender, your doctor may recommend a corticosteroid injection, also called a steroid shot. A corticosteroid is a powerful anti-inflammatory medicine, which reduces swelling and inflammation. It may help ease your pain and in some cases may prevent finger contractures from getting worse, but won't straighten your finger if you already have a contracture. You might need a series of shots to see long-term results.
If your fingers are already bent, Xiaflex, a mixture of enzymes that help dissolve the thick and tight tissue may be injected into the affected area by your doctor. This weakens the tight bands and may allow your doctor to then stretch the tightened area. The most common side effects seen with Xiaflex are swelling, bleeding, bruising, or pain at the injection site. Rarely, tendon or ligament damage may occur that requires surgery to fix. Your doctor can help you determine if enzyme injections or surgery is right for you."
Edited 04/05/13 17:40
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04/06/2013 11:08
BRIANB 
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04/06/2013 11:08
BRIANB
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Re: DOCTOR EDUCATION
I had steroid injections in hard and uncomfortable nodules several weeks prior to N.A. the injections softened and did shrink the nodules. But keep in mind , the trauma of the injections could accelerate N.A. so pick your poison .
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