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Dupuytren and non stenosing flexor tenosynovitis
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02/15/2015 15:28
anvi123 
02/15/2015 15:28
anvi123 
Dupuytren and non stenosing flexor tenosynovitis

I already wrote on this forum looking for help to make a diagnosis, but now I have a diagnosis and I wanted to share my experience.
I'm 59, a few months ago I fell on a hard surface on the palm of my right hand, with the hand outstreched. This generated three separate problems, which I have finally diagnosed after several visits with had doctors: scapholunate ligament tear, Dupuytren disease and non stenosing flexor tenosynovitis (also called "trigger finger"). I'm pretty sure that at least the last two are strictly correlated and I'm curious to hear if anyone else had the same experience.
My symptoms are: for Dupuytren, the classic lumps on the palm of my hand, near the 4th and 5th fingers. For tenosynovitis, the 4th and 5th fingers are stiff and swollen near the junctions; in the morning when I wake up I can hardly flex them, and when I try to do that I feel considerable pain along the path of the flexor tendons (on the fingers and even more on the palm).
As a treatment for tendonitis, my doctor prescribed a custom made thermoplastic splint, to wear at night. This is made of hard plastic-like material and covers most of my forearm and my hand, keeping my 4th and 5th fingers in a semi-bent position. I have been wearing it for one month now, but the situation got even worse and I'm considering stopping this treatment. The issue here is that I didn't find any other alternative treatments... maybe the Dupuytren is causing my tenosynovitis and for this reason it cannot heal properly?

02/15/2015 22:05
spanishbuddha 

Administrator

02/15/2015 22:05
spanishbuddha 

Administrator

Re: Dupuytren and non stenosing flexor tenosynovitis

IANAD and have not had trigger finger but do have DD, have had a scaphoid wrist break, and also plenty of tendonitis injuries from sports.

The wrist injury was treated via a soft or hard splint. Took about 6 weeks splint with total 3 months to gain full mobility and maybe longer without pain under loading. The tendonitis with rest (maybe partial immobilisation = splint), and/or NSAIDS, and/or steroid shots, and/or massage with ultrasound, and/or ice and heat, and/or acupuncture or needling, and/or ESWT. I've had tendonitis that cleared quickly in a couple of weeks but also cases that lasted months and months (currently biceps tendonitis with rotator cuff that is nearly 10 months and ongoing). The DD treatments as described on this site.

It is highly possible that DD nodules adjacent to a tendon sheath are aggravating trigger finger. I've not had this but similar due to a ganglion (bursitis?).

In all cases that you describe I would expect your doctor, hopefully a hand and wrist specialist, would help? But my experience is there is often no quick fix. Do the treatments, mix them up, and be patient.

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