Dr Pess, close by http://www.centraljerseyhand.com/gary-pess-md.htm, was recommended in another thread.

I used the Xiaflex site but it is terrible. 3 of the doctors in my area had performed 3 or fewer procedures and none were certified hand surgeons and none of the 5 closest doctors had any experience with NA as well as Xiaflex.

It is important that you find a doctor with experience with both techniques as on the same hand there can be areas where there is a possibility of hitting a nerve and causing damage and Xiaflex is better and other areas where NA is a better choice and some areas where it is best to do both, Xiaflex on the first day one and NA on second day when the hand is being manipulated. It only takes 12 hours for Xiaflex to dissolve whatever tissue it will dissolve and better to do the manipulation before there is extreme swelling of the hand.

The doctor who did my first Xiaflex procedure has already performed the procedure on more than 100 patients at that time and had done NA on many hundreds of patients and that was in 2011. I had him do the Xiaflex again in July 2013 and he had refined his procedure over the hundreds of applications he had performed and refined it still further when I had him do a second round of Xiaflex (second vial) in November during which time he also did extensive NA work.

I now find myself nearly a year later and my hand is in the best shape it has been in the past 7 years. There is not a chance in a million that I would have obtained these results with any of the other doctors operating in my state of California.

I had Xiaflex treatment 3 weeks ago. I went to the UCLA medical center. I did some research and found that the doctors in my area had next to no experience. The doctor I saw, Dr. Prosper Benhaim, does all three of the major treatment types: surgery, NA, and Xiaflex. He has done the Xiaflex treatment on hundreds of patients, and confirmed that it would be the best treatment for my hand. If you have the opportunity, see if you can find a teaching hospital or university hospital that offers the treatment. They will be more likely to be up on the latest treatment techniques.

I had Xiaflex on my left hand 4 months ago and am extremely pleased with the results. I had ~30 degree contracture on middle and ring finger, I can now hyperextend my hand over 30 deg. So far I see no indication of cords coming back and there is no discomfort. I will most likely have it done on my right hand when the nodules develop into cords. If I could figure out how to post pictures here I'd show them. I can't emphasize enough how important it is to find a practitioner who has successfully done this procedure at least 30 times and who also does NA and complex hand surgeries. My doc is a plastic surgeon who specializes in hands. Success of the Xiaflex procedure depends upon the skill of the practitioner.

You sound like another successful Xiaflex customer! Glad it all went well. I have absolutely no side effects or discomfort from mine, I almost had surgery a couple of years ago, I am glad I procrastinated. Maybe by the time my right hand develops cords, there will be something even better than Xiaflex.