Hello Aku.

I see no need in your case to even think about (invasive) surgery. That would be the ultimate step and based on your description you seem to be very far from that. You may one day, when you have contracture of a finger, be a candidate for NA, a very simple procedure unlike surgery, or RT. Meanwhile, I'd follow Prof. Seegenschmiedt's advice and keep monitoring your hands, perhaps taking notes and photos.

Opinions on the potential risks for targeted RT of hands vary. I was myself prepared to try it and have not yet made a decision because I am not sure it is the right moment and worth the cost and inconvenience. I have been thinking about going to Hamburg for several months because the contracture of my right hand pinky seemed to start again and nodules grow, but it has since receded and I would have falsely attributed improvement to RT had I done it. So I am still undecided myself, although I don't think that if done right as apparently in Hamburg there is significant health risk from RT to small areas of the hand.

Hello again

And thank to Newman and Stefan. Sorry for not responding to your messages. At the time i was really stressed out on this(and still am) so kinda just ignored thinking about it or doing anything.
Time for a new update. After my last message i did my best to ignore what was going on on my hand, i continued going to a massage therapist who did research to treat the nodules on my hand. I go there about once a month.
The small nodules seemed to stay stable untill beginning of august when i noticed the one on my ring finger tendon had started to grow. About a month later it was definetly bigger and now two months later it is visible. Also, i think it may have a cord developing.
I guess my question now is, am i experiencing a agressive version of DD? I have gone from no nodules(that i knew of) to two visible nodules with cords in less than 12months?
Am i already too late for RT(bedause i have cords)?
One thing i haven´t really found any info on is if it is a possible option to wait and not do RT untill after a surgery(if one is needed).
My reasoning is that this way i could leave the RT option open so that if i ever need surgery and the DD flares i could still use RT in that situation to control it.

Again, really thankful of any input you might have.

BR

Aku

Edited 10/12/15 21:17

Hi Aku
Firstly I wouldn't stress too much over Dupuytrens ,cross your bridges when you come to them . I am in my 70's still have full function and strength in both hands having had surgery/skin grafts/Radiotherapy/PNF or NA as it is called in the states. I am still pretty fit and active. I am not sure if remedial massage will do much good I did all that, feels great at the time . You need to protect you hands ,when doing any physical work . These days there are really soft cotton working gloves on the market ,that have either rubber knobs on the surface or some silicone type product for grip. Should you choose the rough cheaper leather gloves for gardening , I would suggest using plenty of hand crème or Vasoline on you hands and then insert them into the gloves .(softens the leather as well as protecting you skin.) Don't use screw drivers, which put extreme pressure in the palm or power tools that cause vibration for any extend periods. Should you find that contraction is starting you might experiment by using a night splint ,which is a passive splint and does not exert any pressure on the finger to straighten it . Dr Meinel of Wuerzburg Germany has advocated the use of night splints for decades.

Hello

Thanks again for your input.
To SB, i think the cords are soft as i can lift my fingers off the table(the table top test). No contarction.
I have visited the Hamburg clinic once last may for consultation. Oddly i havent received an answer from them to my emails in july and august. I guess ill have to try again or maybe call them up.
I think i have my plans sorted if i need treatment, its NA -> xiaflex -> surgery i recon, in that order. Xiaflex is available here public healthcare, also NA but they dont do it much here so it might be best to travel to France.
About RT im not so sure.
In the mean time it seems to be the "only" action i could take in hopes of avoiding the more invasive alternatives in the future.
Not sure about the benefits or long time affects but also at the same time worried about missing the buss by waiting too long. Not easy to decide.

Ill check out bio oil, guess at least it cant do any harm :) And will go see the surgeon to ask about night splinting.
About massage, i dont think it does much to the nodules or cords. But since i started it, a small "pit" next to a nodule has dissapeared so it might help with skin involvement.

BR

Aku

Edited 10/14/15 18:55

Hello Wach

Ok, this comment i got from a friend of mine who is a MD but in a different field.
I sent some of the links i have about RT on dupuytrens and asked for his oppinion on the "evidence". I sent a link to the dupuytren sosiciety page listing research(among others) but not the one direct link to the study you have here. I edited my post to remove my comment about the reference group. Don´t want anyone to have doubts based on my writings and will discuss it again with my friend after he reads the link submitted by you.

Thanks

Aku