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07/23/2010 13:34
cindy850 
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07/23/2010 13:34
cindy850
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Cords
Its been almost 5 months since i have RT and glad i did it. But i have a huge cord in the palm of my right hand that keeps my hand very tight. My question is has anybody did a NA after having RT? And if you do a NA after RT do you take a chance of activating this disease because you have disturbed it?
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07/23/2010 13:59
wach  Administrator
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07/23/2010 13:59
wach Administrator
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Re: Cords
Surgery might activate the disease but I think it's quite unlikely that NA does that. Creating minimal wounds is one of the advantages of NA and it's probably the healing process that occasionnally triggers the disease into new activity.
Wolfgang
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07/23/2010 16:52
callie
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07/23/2010 16:52
callie
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Re: Cords
wach,
That is interesting. Could it be said that NA does not arrest the activity of Dupuytren's, but interrupts the activity? The diseased tissue is still in the hand and continues to grow.
I think about this because of my situation with my limited fasciectomy and the micro surgery techniques used. My surgeon felt fairly confident that he removed all of the diseased tissue. It has now been 8 1/2 years since surgery and there is zero indication of Dupuytren's in my hand.
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07/23/2010 17:04
cindy850
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07/23/2010 17:04
cindy850
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Re: Cords
Should i wait a little longer before i think about a NA done on this cord? I know RT doesn't do much on cords but is there a chance that it might loosen up so my hand wouldn't feel so tight. So i guess what i'm saying is it to early to jump in and have NA done? It gets confusing about cords and nodules and you read so much you try and decide what part is the disease in your hand? Question question question-thats me today!
Edited 07/23/10 20:06
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07/28/2010 14:08
cindy850
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07/28/2010 14:08
cindy850
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Re: Cords
Got up the morning and my right hand was aching nothing new because they both ache most of the time. As i'm sitting there drinking my cup of hot tea i looked at he palm of my hand. That stupid cord in the palm was red - looked like a red line in my hand but it was the cord. What's up with that! IS THERE ANY END IN SITE FOR THIS?
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07/31/2010 02:21
flojo
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07/31/2010 02:21
flojo
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Re: Cords
Cindy850, You are right. There is so much information because every hand is different. The hard part is deciding what you need to do for your hand. At some point, I think it will come together for you and you'll be able to make a decision.
Even after I made my decision about NA then RT, I still wondered. I do now believe it was the right thing to do, but I don't think you can be absolutely positive about what is the right thing - 99.44%, but 100% sure. This disease is too weird. I just knew that I didn't want to wait for extreme contracture and then do surgery.
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07/31/2010 07:32
wach Administrator
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07/31/2010 07:32
wach Administrator
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Re: Cords
callie,
that's certainly true. NA does not stop the activity, though it might interrupt it for a while.
Removing the diseased tissue has always been the reasoning for surgery. Yet on an average recurrence also happens after surgery. You have been lucky having no recurrence for 8 1/2 years and no surgery induced extension into other areas. A thorough and experienced surgeon certainly helps but as long as we don't know how the disease starts he can't be sure that he removed all diseased tissue. The disease might e.g. still be in the skin and would then require transplanted skin from elsewhere. But for the time being nobody knows that.
I myself had surgery 10 years ago and still no recurrence, which is good, but I had massive extension into other areas. That sure doesn't happen to each and everyone, probably only to a minority, but's it's a risk and might start a series of surgeries.
Wolfgang
callie:
wach,
That is interesting. Could it be said that NA does not arrest the activity of Dupuytren's, but interrupts the activity? The diseased tissue is still in the hand and continues to grow.
I think about this because of my situation with my limited fasciectomy and the micro surgery techniques used. My surgeon felt fairly confident that he removed all of the diseased tissue. It has now been 8 1/2 years since surgery and there is zero indication of Dupuytren's in my hand.
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