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05/07/2015 13:01
markusher 
05/07/2015 13:01
markusher 
New Member

New member here. 62 year old white male. I was diagnosed about six weeks ago and am still in the research and learning mode. No other known history in my immediate family, but we are of Scottish heritage, so I guess I fit the profile.

Have a nodule on my right palm between my ring and pinky finger. Originally thought I had injured a tendon in my hand while hitting golf balls. The pain persisted, which convinced me to go see my doctor.

My doctor diagnosed it as DD immediately. Have a constant low-grade ache or burning sensation in my hand. Fingers are a bit stiff, but no contracture as of yet.

My doctor gave me a cortisone injection and suggested I get one every three months or so for now. Other than that, he is suggesting a "wait & see" strategy and doesn't think I need to see a hand surgeon until I start to develop contractures.

I've also noticed that I seem to be dropping things more frequently, though not 100% certain it's related to the DD. I've always been a bit of a klutz anyway.

Hope to learn from the rest of you here. Thanks in advance.

Not going to say that I'm glad to be here, but it is what it is....

Mark

05/07/2015 13:40
econn 
05/07/2015 13:40
econn 
Re: New Member

Welcome! The GOOD news is, at your age (mine too), the DC has progressed somewhat slowly, at least compared to some who are afflicted with this condition. Mine started in my late 30s. For years I thought I just had callouses and maybe some early arthritis in my left hand. I began losing wedding rings, didn't realize there was a cord developing in my ring finger that would slide my ring off any time I stretched my fingers out. Then in my 50s I noticed the cords starting to curl my fingers and began to realize something was going on so I did some research and figured out what was going on. In my 60s I talked to a hand surgeon and was going to have surgery to correct the contracture but decided I couldn't take the time off from work for rehab because I worked with my hands, so I put it off. I found out about Xiaflex a couple of years ago and last year I decided to try it. I am very pleased with the results, although there isn't a sure fire long term fix and my right hand is becoming a candidate for a DC procedure. I will probably have the same thing done when the need comes to do something. Do lots of research, talk to lots of fellow DD and keep up on the latest procedures and pay careful attention to finding a good doc who knows the best procedures.

05/07/2015 15:10
markusher 
05/07/2015 15:10
markusher 
Re: New Member

Thanks, econn.

I had carpal tunnel surgery a number of years ago, and don't relish the thought of hand surgery again anytime soon. I'm hoping for slow progression, but am trying to educate myself about treatment alternatives if necessary.

At this point the Dupuytren's is more annoying than anything else.

Mark

05/07/2015 16:40
spanishbuddha 

Administrator

05/07/2015 16:40
spanishbuddha 

Administrator

Re: New Member

Hi Mark

Welcome to the club, and forum. The Dr's advice is partially correct, although many don't accept this. Wait and see is fine as it appears to be active in cycles, and for the majority does not lead to a contracture. Use the waiting, as you are, to research the approved or proven non-surgical treatment options, keep a record with photos of any progression, and make a plan, then 'park it'. There are a host of anecdotal cures or treatments, be sceptical, and hold onto your money. Protect your hands, more so perhaps than you have done. There is also more info on the Dupuytren's Foundation website and there is a quite active FB group with lots of US users.

Best wishes
SB

05/14/2015 15:39
MelioraDockery 
05/14/2015 15:39
MelioraDockery 
Re: New Member

Mark,
I second everything that everyone has said so far. Research and wait and see. I just had the Xiaflex procedure done on the PIP joint of my pinkie today and so far am very pleased with the result. Of course, it's too soon to tell the long term effects but as a first go round, this would be my recommendation.

The disease is so fickle and so varying that it's hard to predict what will be the best for you. My doctor advised no treatment if the effect is at the base of the fingers and Xiaflex as the first attempt at straightening if the curvature is at the PIP joint (knuckle) as it is in my case. Other treatments can then be tried if Xiaflex is unsuccessful. (It has a 60% record of complete straightening and an 80% record of partial straightening which are pretty good odds in my opinion. The downside is possible nerve damage -rare- or tendon damage depending where your cord is.)

Let us know how you're doing and if you have questions. And be sure to stay in touch with this forum. Everyone has been so helpful and supportive to me.

Mel

05/14/2015 18:08
ruthkirk1962 
05/14/2015 18:08
ruthkirk1962 
Re: New Member

Hi and thanks for your advice. I will go back to my GP and get another opinion.

Thanks again, Ruth

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