Dupuytren's flare and scar tissue |
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01/31/2011 04:51
newman
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01/31/2011 04:51
newman

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Re: Dupuytren's flare and scar tissue
Hi again Casey, You might use the putty which comes in different resistances . Ask the physio. Simply squeeze in the palm whilst making a fist .It will help with strengthening and also reduce any swelling, as the blood is pumped back through the viens by using the fingers. Again don't overdo things 4-5 mins a few times a day. The pain now will be the gain later. I found in my case (I've had 15 surgeries including 4 grafts) that the mobility gained in the first 4-6 weeks is what I finished up with. Try using' Elastoplast or product from Beiersdor'(Sport Elastowrap-self adhesive tape with holes over the complete surface) Place over the wound for protection- will help even when you drive your vehicle. Try wearing the cheap white cotton gloves and creame the hand before wearing. Also helps to prevent those knocks and bumps .Regards.
Edited 01/31/11 07:00
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02/01/2011 19:43
bstenman
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02/01/2011 19:43
bstenman
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Re: Dupuytren's flare and scar tissue
I would recommend getting DMSO and using it on your hand. It is very effective at dealing with scar tissue and preventing new scar tissue from forming. DMSO has been used effectively for treating arthritis where the scaring from the inflammation results in the lost of flexibility in the joints and pain. Dr. Jacobs has a website that sells in a lotion form with urea and it is not cheap but works well.
You can get less pure DMSO from a feed store as it is used as a lineament for horses. Only result of the impurities is the tendency to have breath like you have just eaten a whole clove of garlic.
Important to have clean hands before using DMSO as it is great at carrying anything past the cell membrane. This is also one of its benefits as it helps cells remove waste products.
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02/01/2011 19:48
callie
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02/01/2011 19:48
callie
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Re: Dupuytren's flare and scar tissue
I have heard nothing but negativity about the association of Dupuytren's and DMSO. Is there anything positive reported about the use of DMSO for Dupuytren's?
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02/02/2011 00:52
marjorieb
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02/02/2011 00:52
marjorieb
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Re: Dupuytren's flare and scar tissue
I am also very interested in DMSO. Read about it online, but I'm always leary of online ads. I worked as a hand therapist for 15 years. There were people who used it for arthritis and swore by it. I never heard of any negative effects. Then again, some patients used WD40, and swore by that. I probably won't try that, unless I become desperate. In 15 years of treating hand injuries, I sure never expected to end-up with D.D. But, here I am L.D. and D.D. I never saw D.D. patients until after surgery, and now I wish I had spent more time asking what they tried for conservative treatment for the pain..especially in the feet.
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02/06/2011 03:33
Rex
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02/06/2011 03:33
Rex
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Re: Dupuytren's flare and scar tissue
This is so hard to hear - it sounds like everyone did the traditional fasciectomy. My dad did that and had a similar nightmare. I think I would like to club all the doctors who do this procedure without considering a Needle Aponeurotomy. I had the NA - it was amazing. A simple office procedure, minimally invasive, entirely effective, a few bandaids that come off in half an hour, no pain, no rehab, the two fingers which were at fifty degrees entirely straight and functioning. The cost was $300 for the consultation, and $600 per finger, from Dr. Eaton, who does a couple thousand of these a year. As a musician, that was very reassuring.
The chances of recurrence are much less, too, because there is less scar tissue. Dups is a condition where healing scar tissue does not dissolve, so it is best to have as little trauma as possible.
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02/06/2011 15:52
David26not registered
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02/06/2011 15:52
David26not registered
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Re: Dupuytren's flare and scar tissue
Rex, great results! I think your post is spot on except the recurrence part. Everything I've seen, including Eaton's own website, says there are higher recurrence rates with NA. Even so, as you say NA should be preferred as a first choice in most instances.
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02/06/2011 17:29
LubaM.
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02/06/2011 17:29
LubaM.
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Re: Dupuytren's flare and scar tissue
David26: Rex, great results! I think your post is spot on except the recurrence part. Everything I've seen, including Eaton's own website, says there are higher recurrence rates with NA. Even so, as you say NA should be preferred as a first choice in most instances.
Totally agree...I also believe there are higher recurrence rates with NA.
I've had NA twice on same finger and both times it came back too soon, but I would rather have repeat NA than go through the difficult recovery of surgery. And, I have a feeling that if you have an aggressive form of the disease you might have a recurrence of the contracture even if you have surgery.
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02/07/2011 03:26
flojo
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02/07/2011 03:26
flojo
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Re: Dupuytren's flare and scar tissue
It makes me wonder, too, if you have aggressive Dups, recurrence may be as likely or more likely with surgery. It is definitely more trauma to the hand than NA.
One of those things we really can't know for sure.
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02/07/2011 15:22
callie
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02/07/2011 15:22
callie
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Re: Dupuytren's flare and scar tissue
In my situation the contraction went from 0 degrees to 90 degrees in 11 months. Since surgery (nine years later) I have zero contraction. The purpose of the surgery is to remove all of the diseased tissue. It worked for me. That is why an experienced hand surgeon is so important.
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04/02/2011 01:03
INW
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04/02/2011 01:03
INW
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Re: Dupuytren's flare and scar tissue
I am a 58 year old male, had a Dupuytren cord that started in the center of my palm that extended halfway up my ring finger on my left hand. My ring finger was pulled inward about 20 degrees in the last six months (Had the nodules for years). Anyway I had surgery 15 Feb of this year, my hand felt ok considering what I just went through. My scar did feel at times a couple weeks afterwards like it was badly burned. Bad weather seemed to increase the pain, swelling and stiffness. I do my own therapy three times a day using a hand massager I purchased on this web-site http://www.ncmedical.com/item_57.html and using store bought udder cream as a lubricant (stays slick longer than cream or lotion). The first two weeks after surgery I only excised and stretched my fingers a few times a day; used a splint during sleep or resting. I have gone to physical therapy two times per week starting the third week. From the third week on when get up my fingers are very stiff, so start with stretching than I start at the top of the wound on my ring finger and work the scar to the back and forth with the hand massager using the utter cream for five to ten minutes. Then I rub the scar with my thumb downward to the wrist lightly squeezing both sides of my hand and all fingers for a few minutes to work the fluids out (using the cream on both side of the hand). I than exercise and stretch the hand/fingers finishing with icing, both sides at the same time. I do this three times each day. On the fifth week my therapist recommended I use a silicone gel patch http://www.ncmedical.com/item_1151.html when sleeping with the splint, this helps soften the scar. Last Wednesday I have my final check-up with the surgeon, (six weeks after surgery) my hand had considerabl swelling, ached and burned. He could not believe how much my hand had swelled. Like I stated, my hand more discomfort during weather systems passing through. He asked me if I had rheumatoid arthritis, I said no but my mother does, he seemed to think this could be associated with my problem. He prescribed “Dicioefnac”, an anti-inflammatory and a compression glove. Today I seen my therapist, she started me with hot paraffin dips, than our normal routine. My swelling is 50% less and there is no burning near or at the scar; my motion has also improved three days later. INW
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