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POST OP
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04/01/2007 15:41
trubleu 
04/01/2007 15:41
trubleu 
Re: POST OP

Frank, Like you, the scar is looking really good now, but my pinkie finger wants to shrink into my palm, too. The palm itself also becomes tight. I'm told it is because of the formation of scar tissue during the first 5 weeks or so after surgery. I found that if I leave my hand out of the splint for several hours, my pinkie will curl to about 40 - 45 degrees. I have had to fight to get it back by soaking my hand in warm water and then coaxing it back with exercises to about 5 degrees, and stretching and massaging my palm. (I still have some swelling at the PIP joint.)

Now, as much as I like the freedom without the splint, I've decided just to leave it on for the next few weeks except to shower, do the PT exercises, and prepare meals. I do hope the result will be a permanently straighter finger...

I think you mentioned before that you were not wearing the splint. Is it painful for you? Mine is just inconvenient. (Like typing - ! Whew! What an understatement!) Where it was uncomfortable (too much bend in the wrist), I asked the PT to adjust it. Perhaps yours needs some tweaking?

04/01/2007 20:35
DaveS 
04/01/2007 20:35
DaveS 
Re: POST OP

After reading previous postings, I'm starting to look more closely at my own recovery. For me, it is now almost 9 weeks since my op. I wear a hand splint at night, which is quite comfortable and try to wear it for 1 hour during the day, though this is not always possible. In the morning the finger is still bent slightly and gradually bends more during the day, as do my other three fingers. By the evening, the affected little finger is at approx. 30 deg. so the splint can't really do it's job. I've been told to massage the scare tissue with Vaseline Derma Care and do a full range of exercises every two hours, but again this is just not practical unless I spend all day at home waiting for the next session. I still can't make a fist without help from the other hand due to swelling, although it is improving very slowly.

I cannot return to work because as an engineer I need to have a good grip to operate machinery etc. and when I do return it will mean an end to all the massaging and exercising.

It's hard to know what to do for the best. I don't want to look back in a years time and realise I could have done things better / differently.

Thanks to everyone who posts on this site and to those who got the whole thing up and running.

Dave

04/03/2007 11:24
BIGFRANK 
04/03/2007 11:24
BIGFRANK 
Re: POST OP

Hi Trubleu and Dave
It would appear we are all at a similar stage of recovery. I had to stop
wearing my night splint for a short period because it was not letting the
wound heal. I am now wearing it again at night. The splint itself does
not cause any problem, it is comfortable and it does not chafe.
In the morning my finger is fairley straight but the problem is when I
remove the splint my whole hand is stiff.It takes half the day to get my
hand to the stage where I can make a fist, or as near to what you might call a fist. By bedtime the finger is back to 45 degrees.
The weather has improved here so I spent a day in the garden, the
constant work throughtout the day really loosened the hand and I could
open and close the hand very well but again by evening time the
finger was pulled well back into the hand. It would appear we are in no
win situation here. I suppose we are all making headway, all be it slow frustrating headway.
We may have to settle for some degree of bend in the finger.
Good luck to all.
Frank.

04/04/2007 10:58
BIGFRANK 
04/04/2007 10:58
BIGFRANK 
Re: POST OP

Hello Wolfgang, Could you answer a question for me. Is there a definite
link between Dups and frozen shoulders. I developed frozen shoulders
12 years ago, both at the same time. It got to the point where my sons
had to put my coat on. I attended my doctor for about 2 years, he
gave me a number of injections and I exercised a lot myself. After a long
period the shoulders returned to normal although I still get a little pain
and stiffness in my left shoulder from time to time. By the way the
Dupuytrens is more severe in my left hand.

Thanks for your input on this site
Frank.

04/04/2007 18:39
Randy_H 
04/04/2007 18:39
Randy_H 

Re: POST OP

BIGFRANK

I am unaware of any studies showing there is direct correlation between Dups and FS, however the connection is similar to the connection with the same problem in the feet and penis. This connective tissue disorder is a buildup of rouge scar tissue under the skin in the first three manifestations and within the *joint* of the shoulder in the fourth. I believe Bios Collegenase is expected to be a treatment for FS eventually.

My personal experience is that I while in recovery for an Open Surgery for Dups on my left hand I developed FS on that same arm. I don't need statistics to know there is a connection. So, we have identified four manifestations of this disease. One wonders if there are others that we don't know about. Problems with the hip for instance.

04/04/2007 20:05
jim_h 
04/04/2007 20:05
jim_h 
Re: POST OP

They're closely connected, and part of a group of conditions called superficial fibromatoses.


This abstract shows the high statistical correlation between DC and FS.
http://www.ncbi.nlm.nih.gov/entrez/query...md=Retrieve&;db=PubMed&list_uids=11307078&dopt=Abstract


04/05/2007 11:00
wach 

Administrator

04/05/2007 11:00
wach 

Administrator

sw bug with long links

Hi Jim, unfortunately our forum sw has a bug and can't handle long links. The link came through OK in the e-mail notification but in the forum it is only partially activated as link and a ";" is wrongly inserted. This bug will be fixed, as usual, in the next release, which is due early June.

Sorry about that!
Wolfgang

Quote:



They're closely connected, and part of a group of conditions called superficial fibromatoses.

This abstract shows the high statistical correlation between DC and FS.
http://www.ncbi.nlm.nih.gov/entrez/query...md=Retrieve&;db=PubMed&list_uids=11307078&dopt=Abstract


04/06/2007 19:33
jim_h 
04/06/2007 19:33
jim_h 
Re: POST OP

Here's some text from the abstract

"Fifty-eight patients with the diagnosis of primary frozen shoulder were independently examined by 3 surgeons for evidence of Dupuytren's disease. The disease was found in 52% (30/58) of the patients reviewed. These figures were compared with previously reported figures for a population of similar age. This showed that Dupuytren's disease is 8.27 (95% CI, 6.25-11.2) times more common in patients with frozen shoulder than in the general population; the difference between the two was highly statistically significant (P < .001, chi(2) test)."

04/07/2007 04:35
Mark_D 
04/07/2007 04:35
Mark_D 
Re: POST OP

Jim:

Thanks.

I've always suspected a connection between my frozen shoulder & my Dups.

Mark

04/07/2007 08:05
Wolfgang

not registered

04/07/2007 08:05
Wolfgang

not registered

Frozen shoulder

For Frozen Shoulder you might also have a look at our web site

http://www.dupuytren-online.info/IPP_and_others.html

It's not much but includes a (not broken) link to the paper that Jim cited. That pages also lists several other diseases that are possibly related somehow to Dupuytren.

Wolfgang

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