After effects of surgery (3) | Dupuytren Disease | Forum for Dupuytren's and Ledderhose

millerfamily5 · 2009-01-12T12:06:59+00:00

Hi I am 57. My employment is principally office based and involves some driving. No one in my family that I know of has had Dupuytren's Disease. I am not diabetic. I am right handed. Recent surgery appears to have stimulated the disease process. Before surgery the little finger of my left hand was contracted by 90o at the proximal interphalangeal (PIP) joint to the extent that if my palm was face up and my hand was horizontal my little finger beyond the PIP was vertical, also there was obvious thickening of the fascia in my left palm. No other fingers were affected on my left hand. Despite some thickening of the fascia on my right hand no fingers are contracted. The progress of the disease had been coming on for several years. In August 2008 my GP agreed that I should be referred to a consultant at my local hospital and I was admitted as a day patient for surgery on 7th Oct 2008. Following surgery my hand was bandaged to enable the zigzag shaped wound to heal and I had to wear a splint 24 hrs a day for 4 weeks, on my forearm and the back of my wrist and hand, to keep little finger extended. I have been advised to wear the splint every night since the operation. I am due to have a review of my condition in mid February 2009. Problems following Surgery:- 1. The first thing that happened was that the stitches split along the wound along the crease at the base of the little finger where it joins the palm. I was informed that an open wound here was normal and that in the past following surgery this wound would not have been stitched anyway to avoid scar tissue type contractures. 2. My hand swelled after surgery around the left little finger and the finger next to it which are about half again as thick as the same fingers on my right hand. Also the back of my hand is swollen over the knuckles and the PIP joints of the same fingers. 3. There is thickening in my palm below these two fingers which may be scar tissue but a course of ultra sound treatment and frequent and regular manipulation of this area and the swollen fingers using an aqueous cream has done nothing to relieve the situation. 4. My left wrist has become swollen and stiff and is very painful if I try to flex it or extend it in a similar manner to my right wrist. I have tried lots of exercises and heat pads around my swollen wrist and fingers with no relief of the swelling or pain. 5. My left little finger has never gone completely straight and is now contracted towards the palm in a flexed position of 45o to the horizontal at the PIP joint. 6. The finger next to my left little finger is also now contracted towards the palm in a flexed position about 35o to the horizontal, and the central finger next to that although almost straight has some thickening below the PIP joint and is painful if I try to force into full extension. Any advice concerning what to do about this situation particularly from those who have suffered the same fate would be gratefully appreciated. Regards Rich

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After effects of surgery

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09/26/2009 22:55 callie not registered
09/26/2009 22:55 callie not registered	Re: After effects of surgery Jan, Dupuytren's has almost no relationship to the tendon.
09/26/2009 22:55 callie not registered	Quote

01/06/2014 08:01 hopefulme not registered
01/06/2014 08:01 hopefulme not registered	Re: After effects of surgery Hey I'm having the same problem as you but mine came from getting stabbed when I was 19 which was ten years ago.I had surgery but it didn't help especially the therapy. Now I'm without medical coverage and it's been hard for me to work with the constant pain. It's been very overwhelming for me. I cannot extend my pinky which looks so similar to your picture. After years of having this problem its been effecting my daily activity. It's good to know I'm not alone.
01/06/2014 08:01 hopefulme not registered	Quote

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