On an average smoking causes an onset of about 7 years earlier, so your early disease might in part be caused by smoking. The prior surgery might have been an additional trigger.

Stop smoking, it's a waste of health and money.

Wolfgang

Edited 06/16/16 08:52

I appreciate the advice and if I make it through testifying Friday in the murder trial of my best friend with any sanity left I'll take your stop smoking advice under real consideration

! We are really all trying to help ! Sometimes the best advice is hard to hear.

From re-reading your posts it's not clear if you had surgery for Dupuytren's Contracture or something else; and despite your own noticing apparent nodules, it's also not clear if you have had a diagnosis of DD. There can be lots of reasons for swellings, stiff tendons, fingers bent, etc. You need to make best use of your follow up appointment on Monday 20th to clarify these things.

RavenCarlson:

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Sorry I joined your forum

It is wrong to toss out statistics that are fictions. When the data, if available, is for a very small population group then it is not going to be reliable for that cohort. One needs to find 50 or more non-smoking males in their 50's with Dupuytrens and compare them to 50 men in their 50's who are heavy smokers with Dupuytren's and be able to know accurately when the disease started its progression and not when the disease had progressed to a final state that affected use of the hands.

Tobacco as used to excess is detrimental to ones health but also very profitable for major corporations which is why it is still legal to produce and market and sell to each new generation of children around the world. Government officials that allow distribution and sales and then collect taxes on tobacco products are equally culpable and not sincere in their concerns about the health of the people.

With respect to surgery for Dupuytens it is unfortunate that there are many hand surgeons who choose to perform a fasciectomy with all the risks and long rehabilitation time involved as the doctors get paid 3 times as much as they make for a Xiaflex or NA procedure, and the time required is the same for all three procedures. I saw a noted hand surgeon in my area who also taught at Stanford Medical in California and he provided inaccurate information as to the risks with a fasciectomy and with the risks involved with NA (which he did not know how to do). The greatest risk is from having the blood supply to the hand cut off during the surgery as a tourniquet is used and this does do damage to the hand.

When I asked the surgeon about the physical therapy required after surgery and how long the rehabilitation would take he said he did not know and to go ask a physical therapist. I believe his cavalier attitude is typical of surgeons who once you are off the operating table you become simply an accounting concern for the billing department.

bstenman:

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With respect to surgery for Dupuytens it is unfortunate that there are many hand surgeons who choose to perform a fasciectomy with all the risks and long rehabilitation time involved as the doctors get paid 3 times as much as they make for a Xiaflex or NA procedure, and the time required is the same for all three procedures. I saw a noted hand surgeon in my area who also taught at Stanford Medical in California and he provided inaccurate information as to the risks with a fasciectomy and with the risks involved with NA (which he did not know how to do). The greatest risk is from having the blood supply to the hand cut off during the surgery as a tourniquet is used and this does do damage to the hand.

When I asked the surgeon about the physical therapy required after surgery and how long the rehabilitation would take he said he did not know and to go ask a physical therapist. I believe his cavalier attitude is typical of surgeons who once you are off the operating table you become simply an accounting concern for the billing department.