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11/11/2013 21:19
karenhart 
11/11/2013 21:19
karenhart 
Re: New here.

I showed my hand to my P.A. in May and she said something about collagen ....so I looked that up and realized I had DC.
I had 5 days of radiation in October.
In the middle I freaked out, calmed down, did some research and called oncology radiation departments in my city until I found someone willing to do the RT. He insisted that I go to a hand surgeon for a confirmation of the diagnosis. Of course you know what the hand surgeon said...wait until it gets really bad and undergo surgery. I said that was not my preferred course of action. Action being the operative word here.
I am the first person in Pittsburgh to get RT for DC. I talked to one radiation doctor who didn't impress me and then I found the man I worked with. He had never heard of DC before.He did enough research that I felt confident in him doing the procedure.
I waited to schedule the RT until I felt the nodes were in an active state. My insurance company,Cigna, tells me this is covered.
I haven't gotten a bill yet.
I'd really have preferred to go to Germany but I also have other autoimmune issues, such as Chronic Fatigue Syndrome, and travelling is hard for me.
The price is Germany is @ 700 dollars .Total. For a week's radiation.
I will go back in December for another 5 days of radiation. Each session takes less than a minute. The doctor assures me that other than dry skin, or redness, I will have no side effects from this treatment.
I was aware of these lumps in my palm for a few weeks before I realized what they were. Asking around, I found a cousin on the German side of my family who also has nodes and din't know what they were.
I do not have contracture.
So that is my story. Karen

11/11/2013 21:38
Jolene 
11/11/2013 21:38
Jolene 
Re: New here.

Hello Karen,

Thanks for the update. I commend you for a 'job well done' in seeking the oncologist and his willingness to learn about this disease.
This great news! Thanks to you we now have one more state in the USA that is on board with treating this disease using radiation. Another great thing about getting treated in the USA is insurance will pay. Mine has paid for All treatments. If I went to Germany it would be air fare, hotel bill, and the cost of the treatment. Then if you end up having to go a 3rd time it would be more $$ for travel, etc. I was treated for LF and later got it in hands and right foot. This has caused me 3 trips to the radiation room.

best of luck & prayers to you

11/11/2013 23:42
karenhart 
11/11/2013 23:42
karenhart 
Re: New here.

Jolene, I hope it is the end of this disease for us both! Karen

11/13/2013 12:04
Jolene 
11/13/2013 12:04
Jolene 
Re: New here.

Awesome news Karen!

My 1st week after RT I notice the tiny little looking callus (a nodule) was already going away.
But, also, during the 1st week after, I experienced the most intense, painful, burning, crawling sensation. Way worse than before RT. I did sleep holding and ice-pack. And as Callie mention in one of her post she drove wearing gloves. I tried doing that too. It helped a lot having the extra padding while holding the steering wheel. I am 9 weeks out and still wear gloves driving. Not so much because of pain but more just to help protect my hands. I posted on this site about it and others told me 'Don't Panic' it is signs that the radiation is eating away at the active disease.

Edited 11/13/13 14:05

09/14/2014 18:14
Tracylee 
09/14/2014 18:14
Tracylee 
Re: New here.

lori:
nanhands,

I also wear them for driving. the padding helps. I also tend to clinch or grip the steering wheel rather tightly when it rains or traffic gets heavy. the glove tends to help when I rest my hand on the steering wheel. It sort of protects the nodule and cord.

Lori

I am so glad to find this thread. My affected hand is always uncomfortable, but any activity that requires "grasping" really aggravates it. So tired of MD's telling me DD doesn't hurt. A lightly padded bike glove may be just the ticket. Any other "tricks" would be greatly appreciated.! -Tracy

09/14/2014 18:36
nanshands 
09/14/2014 18:36
nanshands 
Re: New here.

Hi Tracylee,

Sometimes the padding to the bicycle gloves can be pretty thick making it hard to grip things. I have found some thinner padded weight lifting gloves to be better and adequate for most things. I use the bicycle gloves when I really want to protect my hands.

Also, I was told after my RT and have found this to be true, to avoid any heavy lifting with your hands. Lifting pulls on the cords and aggravates them. Everyone is different of course, but for me the lifting is what I really have to watch to avoid unnecessary pain.

Nan

03/04/2017 07:08
Aely1977 
03/04/2017 07:08
Aely1977 
Re: New here.

Wasabi_jones:
Hi everyone,

I went to a hand surgeon today because I have had a bump on the palm of my hand for the past year. He looked at the x-rays and felt around my hand, and he told me it isn't a cyst. He said it is Dupuytren. He felt my other hand and said a much smaller nodule is present too.

I broke a small bone in my left hand near my pinky last year and the bump on my palm under the ring finger started being noticeable a few months later. I also have a small bump on top of my pinky joint that is more swollen in the mornings when I wake up. Sometimes when I am reading I notice that my pinky is a little numb.

Is this a correct diagnosis? Should I go see another ortho that specializes in this?

Hello wasabi jones, i read your post and i just figure it up what kind of diseas have my father, exactly the same think have my father at his both hands, in the beginning he has been trying to take anti inflammatories like Locoid cream, but that's too much so... he is 69 now and we dont know should we do surgeri or not ...!

Edited 05/29/17 10:45

03/04/2017 07:34
wach 

Administrator

03/04/2017 07:34
wach 

Administrator

Surgery?

Only have surgery when needed because it takes quite a while until the hand has recovered and, most likely, the hand will not be as before (surgery is making scars and your hand will feel different with scars in the palm).

You might familiarize yourself with the various options for treatment by reading some of the info on this website, maybe starting with http://www.dupuytren-online.info/dupuytr..._therapies.html .

Maybe most important: if your father has just small nodules, no contracted fingers, and no problems using his hand, he might as well do nothing. Most patients with mild symptoms of Dupuytren's will never need any treatment. But if the nodules are growing quickly or if your father has pain in the hand, radiotherapy might be the right thing. If a finger is alreday bent causing problems, your father might consider collagenase injection or needle aponeurotomy (that sounds all pretty complicated but you can read more about these on the website; it's actually much simpler than it sounds). Surgery is more like a last resort.

Wolfgang

Aely1977:
Hello wasabi jones, i read your post and i just figure it up what kind of diseas have my father, exactly the same think have my father at his both hands, he is 69 now and we dont know should we do surgeri or not ...!


Edited 03/04/17 09:36

03/04/2017 07:34
Stefan_K. 
03/04/2017 07:34
Stefan_K. 

Re: New here.

Aely1977:
Hello wasabi jones, i read your post and i just figure it up what kind of diseas have my father, exactly the same think have my father at his both hands, he is 69 now and we dont know should we do surgeri or not ...!
Hello Aely1977. You are reacting to a post from four years ago. There are many more discussions, descriptions of the disease and treatment options on the website which are well worth reading.

To answer your question. Surgery should be the very last option when others have been tried or ruled out. I suggest you look at the following, from "treatment" on the main menu:

If fingers have started to bend:

Needle aponeurotomy (NA/PNF): http://www.dupuytren-online.info/needle_aponeurotomy.html

List of practitioners: http://www.dupuytren-online.info/NA_list..._countries.html

If there are only nodules (lumps) and cords, especially if they are growing fast, radiotherapy may be effective treatment:

http://www.dupuytren-online.info/radiation_therapy.html

If the bending of the fingers isn't strong yet, but seems to progress, it might help to wear a night splint glove to prevent the fingers from natural bending (making a fist) during the night.

But first of all, if you are unsure about the diagnosis it can't hurt to get a second opinion, both on the diagnosis and treatment options. Be suspicious of any doctors who only talks about surgery which is often unnecessary and can make things worse in other parts of the hand. This is just advice from someone who has successfully avoided surgery so far and for whom NA/PNF, RT and splinting have worked.

Stef

[54 year-old male, DD diagnosis 2006, RH contracture and NA/PNF 2014, RT 2015, wearing night splint glove]

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