Forum of Dupuytren Society

Any one know why you can't have some form of anesetic, or perhaps even hypnosis when the consultant snaps the cord following the injection, as the proceedure, I found to be extremely painfull.

batman

Wolfgang
Although I have no knowledge of the N/A treatment for Dupuytren's, I can see what you're saying with regards to the doctor " needing feedback if approaching a nerve with the needle" while stitching the cord.

However as you know with the Collaganase treatment the Doctor injects the Collaganase into your finger to weaken the cord and although this is slightly uncomfortable, the next day when He physically snaps the cord, I found to be extremely painfull and although I personally feel that the Collaganase injection treatment is far better than open surgery with much quicker results, some form of anesetic should be administered when snapping the cord !!!!.
P.S.
by the way I have just undergone second treatment for another finger and on this occasion knowing what to expect, I took 2 x500mg paracetamol pain-killers prior to the Doctor snapping the cord, which although I think helped when the secondary pain kicked in, did nothing to alleviate the pain while the snapping took place.
Perhaps I am just a wimp with extremely low pain thresh-hold and stand alone in the issue of pain involved !!!!!!!

Batman

Hi wolfgang
I aggree totally with your words of wisdom regarding pain involved and as you say "it is soon forgotten" or may'be put in the back of your memory, as the benefits of the teatment far outway the downside and yes I do consider myself to be very fortunate to be undergoing the clinical research trials here in U.K.
If I had not been chosen for the trials, the first finger I had injected in March was listed for surgery and as this finger had already twice undergone surgery over the last four years and the skin stretched to such a degree that a skin graft would have been neccessary and I believe it would have taken months to have full use of the hand.
Where as having the Collaganase treatment the finger was straightened within days and I had full and normal use of my hand within.a week. How good is that!!!!

Batman

I have heard that a few patients have had their tendons rupture after injection with this medication. I was wondering if anyone else has heard of this and how many patients it has happened to?

I suspect that the treatment was administered in the USA where the medical community and our society has a medieval attitude toward pain and pain management. I had throat surgery and was told by a retire doctor and former head of surgery at Walter Reed (USA military hospital) that pain actually inhibited the healing functions of the body and he believed most medical practitioners under proscribed pain killers.

I don't know the process but someone does need to confront the medical people involved and get them to change their procedure to include providing proper pain medication. Their cavalier attitude toward pain and the clinical trial volunteers needs to be challenged.

Bruce