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weight lifting, xiaflex, radiation therapy
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07/23/2011 14:41
msk 
07/23/2011 14:41
msk 
weight lifting, xiaflex, radiation therapy

I was recently diagnosed with DC. I have minimal contracture but have significant nodules on each palm which are quite painfull when I grasp tightly. I have been using neoprene padded gloves along with yoga mat material to cushion my hands while weight training, but I still get a lot of hand pain. Does anyone have any experience with the pain resulting from weight training, and and insight re whether or not this will subside as the condition progresses?

Also, I was informed that my condition has not developed enough to warrant xiaflex, and I do not want surgery.
I have seen 3 Chicago area doctors (2 hand surgeons and one rheumatologist) and they say radiation does not work...I would really like to speak with someone who has gone through this process but feel very alone....

07/23/2011 16:36
Larry 
07/23/2011 16:36
Larry 
Re: weight lifting, xiaflex, radiation therapy

Only Nodules, Rapid Progression - Preservation of Function required ? I think the only solution is early use of radiation therapy to stopp the proliferation of the bibrous tissue ... I think there is no other Chance !

Just anothert question : do you take chondroitin sulfate / joint protection medication ? If YES, stopp it ! Best regards, Larry

07/24/2011 22:40
cindy850 
07/24/2011 22:40
cindy850 
Re: weight lifting, xiaflex, radiation therapy

I HAD RADIATION TREATMENTS ON BOTH OF MY HANDS 16 MONTHS AGO. AND YES IT DOES WORK. I'M SO GLAD I DID THIS BECAUSE I KNEW FROM THE BEGINNING I DIDN'T WANT SURGERY. THIS WAS PERFECT - 10 DAYS OF TREATMENTS AND I WAS DONE. I WOULD DO IT ALL OVER AGAIN IN A FLASH WITHOUT EVEN THINKING ABOUT IT. I HOPE THIS HELPS. GOOD LUCK!

Edited 07/25/11 21:51

07/25/2011 18:43
lori 
07/25/2011 18:43
lori 
Re: weight lifting, xiaflex, radiation therapy

MSK,

I had one nodule and a cord that was from my middle finger to my wrist. Beginning contraction, puckering, and dimpling. I had a lot of pain associated with DD. I had RT 2 years ago, about this time of year and have had no progression, and all pain stopped. You can see before and after pictures by going to my name and looking for the heading "pictures of my hand from MRI to now". The last picture is from almost 1 year ago and my hand has improved since then. Nothing like seeing to believe!! It worked for me and I would do it again in a heartbeat.

Lori

07/26/2011 09:56
Larry 
07/26/2011 09:56
Larry 
Re: weight lifting, xiaflex, radiation therapy

Dupuytren & Ledderhose occur due to a "wrong natural soft tissue healing process" ...

Normal soft tissue healing occurs through a series of intertwined processes. Throughout the cascading process there are events associated with each phase that stimulate the following phase.



The first stage of tissue repair occurs at the time of a "trauma" or "injury". The purpose is to provide regenerative and inflammatory cells to assist in the cleansing of the "wound". The other cells can build "new tissues".

In the inflammatory phase, damaged tissue debris are removed. This process releases factors that attract cells involved in the proliferation phase.

The proliferation phase is characterized by fibrogenesis (formation of fibrous tissue) and sometimes angiogenesis. These newly formed cells support the recruitment of other tissue repair cells and provide nutrition to support their function.

In the tissue repair phase cells begin to replace the traumatized tissue with new repair material, however the starting proiliferation process does not stop and causes the nodule formation .

The final phase, tissue remodeling, builds up a stronger and more highly organized scar tissue.

AS FAR AS I UNDERSTAND : YOU ARE IN THE EARLY - PROLIFERATIVE PHASE and can prevent the more advanced SCARING PHASE by stopping proliferation by means of Radiotherapy ...

07/26/2011 14:22
msk 
07/26/2011 14:22
msk 
Re: weight lifting, xiaflex, radiation therapy

Larry, Lori, Cindy,
Thank you for your replies. Perhaps you can address this issue: Is my DD early stage? I now realize that the last several years of weakened(and painful) grip strength and increasing soreness is attributable to my DD. (I have had my blood tested for arthritis markers and that was negative).
My fingers are still straight, but I can sense a slight pulling/warmth feeling in my palm. The single nodule on each palm is fairly hard to palpitation, it feels like an extra joint, and is quite pressure sensitive and becomes reddened after it is irritated(which happens rather easily).
I do have come chords, but I was told they are not well enough defined for NA...but I am not attaching a great deal of confidence to that because it came from the doctor who dismissed RT and wanted to perform surgery.
I am prepared to proceed with RT, but it is the hardness of the nodules that is causing me a bit of confusion. Can the nodules in the palm be hardened in the early stage?
Thank you very much for your input, I value it greatly.

07/26/2011 14:54
cindy850 
07/26/2011 14:54
cindy850 
Re: weight lifting, xiaflex, radiation therapy

YES THEY CAN AT LEAST MINE WAS. I COULDN'T HOLD AND GRIP THE ELLIPTICAL HANDLES BECAUSE THEY WERE HARD, RED AND VERY PAINFUL.

Edited 07/26/11 17:55

07/26/2011 17:45
lori 
07/26/2011 17:45
lori 
Re: weight lifting, xiaflex, radiation therapy

My nodule was as hard as a rock. My doctor's first reaction was that it felt like a bone, even though a bone in that location would not typically be round. Mine was red and quite noticable in my palm. It was extremely painful to the touch. I realized after I was diagnosed that the weakness in my hand that I had been experiencing for about 6 months was because of the DD (dropping of glasses, plates, extremely clumsy). I too figured it was arthritis. I would say for me that the tenderness, pain, a feeling of tingling, or a crawling sensation in my palm convinced me that mine was active and that I was a candidate for RT. Of course while I was debating the issue, my cord grew from a 2-3 inche cord to to a 4-5 inch cord, I developed the beginning of contraction, and a puckering below my middle finger. The nodule disappeared after RT. The cord regressed a little into my palm, but the puckering at the base of my finger did not disappear. Sounds like your DD is active.

Lori

Edited 07/26/11 20:47

09/02/2011 06:53
CollogenBuster 
09/02/2011 06:53
CollogenBuster 
Re: weight lifting, xiaflex, radiation therapy

I had the same problem with weight lifting. The next day my hands were harder to open and my nodes got bigger over time. Small chords developed. Then I made a mistake. I got stretch elastic bands and used them instead of dumbbells at home. When they stretch, they dig into the pinky area. I quickly developed big nodes in that area that have not gone away. Do not traumatized the area. As someone posted earlier, the healing process is the kicker. That's when the disease spreads most. I also snow-shoveled too much last winter. That made things worse permanently too. Nowadays, I try to minimize hand trauma with workout gloves and positioning weights closer to my lower palm. Also isometrics, so I won't have to grip a bar. I have cut down on bike riding for similar reasons. Watch out for tool use too. Hammers, saws, and screwdrivers are potential trouble. I had NA this week. It helped, but my fingers are not flat. NA and RT seem like good first steps. I'm aiming for RT next...

12/17/2011 19:57
msk 
12/17/2011 19:57
msk 
Re: weight lifting, xiaflex, radiation therapy RT UPDATE & new issue

Hello,
I had RT "German Protocol" (but w/ full hand) 3 months ago. I had multiple chords and nodules but no visible contraction. Since then, the nodules just below my fingers have softened considerably, and my grip strength has improved somewhat. Whether or not this is attributable to the RT is impossible to ascertain.

One aspect of my condition has worsened, however. I have no visible contraction(never did), but my middle finger on one hand, where there is a smaller and relatively younger nodule, has a constant sensation of contraction, as if it is being pulled back away from the palm. Has anyone experienced this? I want to emphasize I have no visible contraction, but this particular finger is very tight and often the source of pain, and it limits my ability to hold large objects.

I have seen 2 surgeons(one prior to RT, who said it would be of no help, and one recently who never heard of RT but said "I guess it makes sense".) Needless to say, both are quite eager to get invasive.

Thanks!!!

ps: total cost of rt was roughly $32,000 USD, Aetna pain all but about 4K.

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