| Lost password
317 users onlineYou are not loggend in.  Login
Can DD start in the wrist ?
 1
 1
09/20/2025 12:28
sweex 
09/20/2025 12:28
sweex 
Can DD start in the wrist ?

My right wrist started to be painful in December last year (2024). I got a wrist splint/support end of February (this year), but I didn't get to see my GP until end of April, by which time my fingers were hurting. At the April appointment the GP ignored my fingers and booked a wrist x-ray which was normal, then in June a blood test for Rheumatoid factor level, which was Normal. I then spent a lot of time on the internet and came to the conclusion it was DD - this was confirmed by the GP at an appointment in August.

I can only move my right wrist about plus and minus 30 degrees; my forefinger, middle finger and ring finger are contracted to about 20 degrees; and I can only grip with my thumb and forefinger. Left hand so far unaffected.

So my question is - can DD start in the wrist, or is it a coincidence ?


[location - UK; other potentially relevant medical info - aged late 60's, Type 1 diabetic for several decades, right frozen shoulder 2004, left frozen shoulder 2009]

09/20/2025 15:08
spanishbuddha 

Administrator

09/20/2025 15:08
spanishbuddha 

Administrator

Re: Can DD start in the wrist ?

Hi sweex

Well maybe but not typically. DD is typically a hand condition associated with the palmar fascia or aponeurosis and associated pretendinous ligaments that reach up into the fingers. However DD is also associated with a more general fibrosis condition that can occur in other parts of the body, including feet, shoulders, lungs, internal fascia and the penis. Many people experience their first DD symptoms following a wrist injury of sorts, including a broken wrist, or after wrist surgery for carpal tunnel which is a thickening or one of the palmar ligaments. So in the case of carpal tunnel, even before surgery there were symptoms, not of DD but problems in the wrist with tendons or ligaments. Finally the typical case of DD with cords in the palm can include cords forming down into base of the palm towards the wrist although it is less common.

You say a GP has confirmed you have DD, is that based on typical nodules and cords in the palm or fingers, maybe some skin pitting and resistance to flexion? A hand surgeon in the UK would be your next port of call, but they wont do anything until you have a contracture past a certain amount, and hopefully by browsing our website and forum you will see there are a few other options before getting to the stage of needing surgery.

Best wishes SB

09/28/2025 00:55
sweex 
09/28/2025 00:55
sweex 
Re: Can DD start in the wrist ?

Initially, back in February when it was just the wrist that was painful (no contracture of fingers), I thought it was carpal tunnel. But use of online diagnosis methods didn't confirm it, and when I got to see the GP (end of April) he came to the same conclusion that it wasn't (although the contracture of fingers was starting by then he took no notice). In the days between my initial post and now, I've been reading online about tendonitis of the wrist, and that seems to be the problem in the wrist, and indeed I'm getting some movement back.

But the contracture of the fingers remains, and I'm not sure whether there are nodules on the palm or not, at least, not same as nodules I've seen online. The main symptom in the fingers is resistance to flexion in all four fingers, with contracture in the forefinger, middle finger (worst), and ring finger. It was this that the GP observed, thugh he did comment that there is thickening of a cord (which I cannot see).

So I suspect that tendonitis started in the wrist, and for whatever reason, DD then started in the hand. I'm hoping that, like frozen shoulder, my "frozen wrist" will at least unfreeze itself, though obviously the DD won't reverse itself.

I would like a referral to a hand specialist but,as things stand here in the UK, that is going to be difficult.

09/28/2025 06:22
spanishbuddha 

Administrator

09/28/2025 06:22
spanishbuddha 

Administrator

Re: Can DD start in the wrist ?

sweex:
Initially, back in February when it was just the wrist that was painful (no contracture of fingers), I thought it was carpal tunnel. But use of online diagnosis methods didn't confirm it, and when I got to see the GP (end of April) he came to the same conclusion that it wasn't (although the contracture of fingers was starting by then he took no notice). In the days between my initial post and now, I've been reading online about tendonitis of the wrist, and that seems to be the problem in the wrist, and indeed I'm getting some movement back.

But the contracture of the fingers remains, and I'm not sure whether there are nodules on the palm or not, at least, not same as nodules I've seen online. The main symptom in the fingers is resistance to flexion in all four fingers, with contracture in the forefinger, middle finger (worst), and ring finger. It was this that the GP observed, thugh he did comment that there is thickening of a cord (which I cannot see).

So I suspect that tendonitis started in the wrist, and for whatever reason, DD then started in the hand. I'm hoping that, like frozen shoulder, my "frozen wrist" will at least unfreeze itself, though obviously the DD won't reverse itself.

I would like a referral to a hand specialist but,as things stand here in the UK, that is going to be difficult.
In the UK you can self refer for physiotherapy. I am not sure if this applies to members of the 'British Association of Hand Therapists' https://www.hand-therapy.co.uk/default.aspx but a phone call to your nearest one might be worth trying? Or your GP could refer to the closest and that may be quicker than seeing a hand surgeon.

09/28/2025 20:53
sweex 
09/28/2025 20:53
sweex 
Re: Can DD start in the wrist ?

spanishbuddha:
In the UK you can self refer for physiotherapy. I am not sure if this applies to members of the 'British Association of Hand Therapists' https://www.hand-therapy.co.uk/default.aspx but a phone call to your nearest one might be worth trying? Or your GP could refer to the closest and that may be quicker than seeing a hand surgeon.
That is an extremely useful link, many thanks.

I noticed that, in the "Find a Hand Therapist" section, the first 7 were all at a Hand Centre based in a hospital 15 miles from me. So I'll start by asking the GP for a referral to that Hand Centre.

However this NHS link suggests that I might need to be artful with the requirement to see someone

 1
 1
thickening   ligaments   shoulder   aponeurosis   conclusion   associated   started   fingers   forefinger   contracture   resistance   spanishbuddha   appointment   pretendinous   physiotherapy   Association   specialist   nodules   hand-therapy   tendonitis