I have a question I hope someone can help answer. For someone with MCP contraction only (about 30 degrees), is there any advantage to partial fasciectomy surgery in terms of preventing extension of a palmar cord into the finger and ultimately PIP problems? The nodule below the ring finger has sprouted a cord that goes upward and now stops at the line where the finger meets the palm. It seems that removing the diseased tissue with surgery will be preventive, whereas NA will not.

Get advice on this question from a surgeon who does both NA and open surgery. In my case, removing all the nasty tissue in a 3 hour open surgery on pinky did not stop it from coming back lower in my hand ( it started in the distal joint). For some people the surgery makes it go away and stay away but for others it seems to stimulate the tissue to make it come back worse. Thats why a surgeon who actively performs both types of procedure is the best bet for good advice.