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Diagnosed with Dupuytren following an injury, I have a few questions
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08/18/2024 16:32
martinfr75 
08/18/2024 16:32
martinfr75 
Diagnosed with Dupuytren following an injury, I have a few questions

Hi all,

Late last year, I have been diagnosed with Dupuytren's disease following a minor fracture at the MCP (base) joint of the ring finger, unfortunately on my right hand. The MCP has been fractured on the side, meaning the joint itself was not badly damaged.

A nodule at the location of the MCP joint can be felt, but is hardly visible (if at all). More worrying, two very slim cords are visible (and can be felt if you touch) starting from my thumb - though they do vanish into my palm. The skin is pretty thin there, between the thumb and the index finger, making any kind of problem kind of obvious, but still, I am worried to see the disease is developing at this location. Is this frequent?

Two different doctors at the hospital and in a private clinic have been hopeless so far: first, they were "unaware" an injury could be a cause, though it obviously is when reading the scientific litterature on the matter. Second, they pretend the disease "does not come back" when removing the aponeurosis... which is, to the best of my knowledge, simply incorrect. They were saying "we remove the aponeurosis, how can it come back?". I can't believe how incompetent they can be. I live in France and am 50. I am slim and have a few Dutch ancestors (grand mother).

So far I have been trying to control my diet (no alcohol, I'm on a low carb diet, I eat a lot of food rich in vitamin E...).

I do not do much hand work, only (lots of) typing on a computer.

I have burning sensations developing during the day, it is a bit unpredictable. My hand palm and ring finger feel a bit swollen or a bit itchy, though it sometimes feels normal. No red marks or anything, no change of color.

My ring finger feels stiff, but I can't tell if this is because of the fracture last year or because of DD developing. This is, at the moment, my main question: is pain because of DD, or because the fracture takes some time to heal?

It is equally difficult to see if exercice is good or bad. Even swimming (breast stroke) can leave my finger in pain sometimes, and sometimes not.

Anybody sharing similar symptoms?

08/19/2024 16:31
spanishbuddha 

Administrator

08/19/2024 16:31
spanishbuddha 

Administrator

Re: Diagnosed with Dupuytren following an injury, I have a few questions

Hi Martin

Sorry that you have no responses on here, but your circumstances and questions are rather specific. My own initial thought would be that perhaps the injury has not healed properly, or fully, or as well as provoking a Dupuytren flare, may also have some other side effect such as arthritis, other related ligament, tendon (pulley), injury or inflammation etc in the affected finger or hand. Finger and hand joint injuries can take ages to heal as I have encountered from my own experience. Of course you need an experienced hand specialist to help advise and diagnose with this and you have fared badly so far or just been unlucky. However all or some of the pain may indeed be Dupuytren related. I would be inclined to reduce inflammation if possible, by icing, gentle massage with heat and a topical NSAID, ultrasound, wearing a warming finger sleeve, whilst also looking for options to treat a contracture should it occur; and being in France you are well positioned to use the expertise of the NA practitioners in Paris. Of course avoiding a contracture is to be preferred and if the pain also indicates Dupuytren is active right now then RT is probably worth looking into. I wonder if the NA experts in Paris can advise further on the symptoms, diagnosis and treatment plan?

Best wishes SB

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