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NA without contraction?
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05/04/2016 15:06
ET160 
05/04/2016 15:06
ET160 
NA without contraction?

I have a cord but no contraction. Has anyone undergone NA without contraction?

05/04/2016 16:26
spanishbuddha 

Administrator

05/04/2016 16:26
spanishbuddha 

Administrator

Re: NA without contraction?

ET160:
I have a cord but no contraction. Has anyone undergone NA without contraction?
Sorry, no.

But curious, do you have other difficulties because of the cord such as reduced flexion, side extension, etc? Also if you have found a doctor willing to do it in your case? I play piano and have cords, but they cause me no problem and I will leave them alone until they do, just in case it makes things worse.

05/04/2016 19:19
ET160 
05/04/2016 19:19
ET160 
Re: NA without contracture?

I am looking for a doctor who may be able to release my cord. My hand can be a little stiff sometimes, and I don't like the feel of the cord. I stretch it, but it doesn't feel good doing so. I think in theory there should be a way to break up the cord with a modified NA procedure, although I recognize that one would have less leverage to snap a cord without contracture.

I live in Maryland. The closest Dr. who does NA seems to be Dr. Leinberry in Philadelphia. Unfortunately, it seems that I would have to been seen for them to tell me if I would be a candidate for NA without contracture.

05/04/2016 19:55
econn 
05/04/2016 19:55
econn 
Re: NA without contraction?

I think you will be hard pressed to find a doctor who will do an invasive procedure unless there is about 30 degree contraction because insurance won't cover it. You might find a doctor willing to do surgery, NA or Xiaflex if you don't mind paying the entire cost out of your own pocket. My doc who performed my Xiaflex procedure is a plastic surgeon and they are accustomed to doing procedures outside the scope of insurance coverage.

05/05/2016 05:49
wach 

Administrator

05/05/2016 05:49
wach 

Administrator

Re: NA without contraction?

Dupuytren's usually starts with a small nodule glueing together the usually very elastic connective tissue of the palm. Using the hand then pulls on this nodule, and creating a cord might be a reaction of the body to this pulling. Pulling on an aleardy existing cord might thus aggrevate it. Pressure massaging the cord is probably better.

Persoanlly I would not mingle with a cord that is fairly stable. Surgery can trigger disease extension and NA might or might not work but in any case will add some scarring to the tissue. Not worth the money I would think.

Wolfgang

ET160:
I am looking for a doctor who may be able to release my cord. My hand can be a little stiff sometimes, and I don't like the feel of the cord. I stretch it, but it doesn't feel good doing so. I think in theory there should be a way to break up the cord with a modified NA procedure, although I recognize that one would have less leverage to snap a cord without contracture.

I live in Maryland. The closest Dr. who does NA seems to be Dr. Leinberry in Philadelphia. Unfortunately, it seems that I would have to been seen for them to tell me if I would be a candidate for NA without contracture.

05/06/2016 21:45
ET160 
05/06/2016 21:45
ET160 
Re: NA without contraction?

Wolfgang,

I appreciate your comments. I recognize that I do need to think about stirring things up. I have found a doctor who says he will treat a cord without contracture. I think that I'm going to pursue it, as I find the cord rather annoying.

05/07/2016 00:28
cschieber 
05/07/2016 00:28
cschieber 
Re: NA without contraction?

I know from experience that Dr. Leinberry will probably not do NA on a cord with no contracture. He wouldn't do NA on my contracted fingers at all. He told me he only uses it for older patients who can't undergo surgery. He also told me that DD isn't painful and that my pain and contractures were probably due to trigger finger and not DD. I may have trigger finger in addition to DD but I had already had NA 4 years ago which straightened my fingers for a short time, so I know it's DD causing the bend (and the pain). He's a smart guy and probably an excellent surgeon but I wouldn't go back to him for DD. Hope this helps.

05/07/2016 12:04
Seph 
05/07/2016 12:04
Seph 

Re: NA without contraction?

I'm with Wolfgang. If you have no contraction leave it alone. Interfere and you are likely to cause more problems than you currently have.

cschieber; Any Doctor that says he only uses NA for older patients who can't undergo surgery knows very little about this disease. I have been managing this disease for 45 years. Had NA existed and I had known about it in my 20's, 30's or 40's it would have been of great assistance.

NA is not a cure it is a procedure for managing DD. I see it as similar to going to the dentist but less often if you are lucky. I have now had NA done 8 times and I expect that I will have the procedure every 12-18 months for the rest of my life.

I have had surgery once. I will probably have to have it done again. It is not a cure either and there is a limit to the number of time you can have it done.

05/07/2016 21:45
ET160 
05/07/2016 21:45
ET160 
Re: NA without contraction?

cschieber:
I know from experience that Dr. Leinberry will probably not do NA on a cord with no contracture. He wouldn't do NA on my contracted fingers at all. He told me he only uses it for older patients who can't undergo surgery. He also told me that DD isn't painful and that my pain and contractures were probably due to trigger finger and not DD. I may have trigger finger in addition to DD but I had already had NA 4 years ago which straightened my fingers for a short time, so I know it's DD causing the bend (and the pain). He's a smart guy and probably an excellent surgeon but I wouldn't go back to him for DD. Hope this helps.

Thanks for the info!

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