zinkadoodle:

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FYI I thought this was interesting. I didn't read the entire article, but just the synopsis on this page. Maybe this is why some of us experience more pain than others; why an injection of Xiaflex, or even lidocaine can cause so much pain in one person, and next to nothing in another. Also, everything else I've read stated that the cords themselves don't have nerve tissue, which is why only shallow lidocaine injections prior to NA is required. And, from what I've read, even in NA people experience the pain differently.

http://www.ncbi.nlm.nih.gov/pubmed/22560560/

~Diane

Excellent find. Thanks for sharing. My nodules have always been tender and can be somewhat painful although on the lower end of the scale. I mostly ignore the discomfort. When it gets annoying I run very warm water on my hands for 5 minutes and that really helps.

I would have to be in severe pain before I let anyone cut on me, absent any functional impairment as the abstract indicates.

We, therefore, suggest that the indication for surgery in Dupuytren disease be extended to painful nodules for more than 1 year, even in the early stages of the disease in the absence of functional deficits, with assessment of tissue samples for histological changes in nerves.

The pain in my left hand stopped a few weeks after RT treatment, that was about 3 years ago, unfortunately it has started again. Does this mean the condition is progressing again?

I have suffered with DD for nearly 20 years but only last February did I first have a needle fasciotomy on my left hand rind finger, followed a few weeks later by a full operation.

Since the operation I have suffered far more pain than before and the DD has become very aggressive in both hands.

My consultant said that DD raley causes pain but despite trying all the drugs prescribed, I have not been pain free for over a year. The pain seems to get far worse at night causing me to stay up all night long.

Fortunately the pain seem less when I am working and as I am self employed and work from home, I just stay up and work all night.

I am getting in a bad state, my consultant wanted to discharge me, my physio said that they cant do anything until the pain is under control but both GP and Consultant are arguing as to who should refer me, I feel that I have been left on the shelf.

If anyone knows of any treatment that may not have been suggested I would love to hear from you.

Leighs,

It sounds to me like you may have a condition called Complex Regional Pain Syndrome. I had it after my OS, or before, or something. I don't know. My hand was just a miserable mess before and after surgery. My neurologist suspected that I had it, mostly because the skin on my hand, particularly around my knuckles was an incredible shade of purple, along with the severe pain. Ohhhh, the pain. Back then, it was called Reflex Sympathetic Dystrophy. I was in therapy for months and months, but it eventually subsided, and my hand is absolutely fine now. In fact, it's like I never had DC in my left hand, except for the telltale scar on my palm. Anyway, the doc wasn't sure if it was the condition itself, the associated tenosynovitis that I also had, or what that caused the CRPS, or if I even had it before the surgery. My hand was a mess even prior to the surgery. In fact, I do believe that the surgery actually made it all better, when all was said and done, but the pain did persist for months.

Anyway, check out this site, http://www.rsds.org/2/what_is_rsd_crps/index.html , do some more google searching, and see what you come up with. If you do have CRPS, know that it will resolve eventually, that physical therapy is critically important for you, and find a doc who can maybe diagnose you. I am not a doctor. Just a person who when through it.

Hope this helps,

Diane