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Dupuytrens and all the baggage
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02/23/2008 05:44
katezea 
02/23/2008 05:44
katezea 
Dupuytrens and all the baggage

I am 46 and first started showing signs of DC at 31. I have it in both hands an will need to have the left hand operated on this year. In researching this disease, I came across the needle aponeurotomy procedure - would love to hear from someone that has had that procedure and how it compares to the surgery. Also in my research, I came upon DC related diseases - of the four I found, I have had frozen shoulder (non-injury onset - once in each shoulder); letterhose and knuckle pads. Other than the above, I am in very good health - am concerned about lifestyle as I get older. Pain in my feet is not too bad, but the nodules are getting bigger. Any comments would be greatly appreciated.

02/23/2008 06:26
Wolfgang

not registered

02/23/2008 06:26
Wolfgang

not registered

Re: Dupuytrens and all the baggage

Did you have alook at our web site yet? www.dupuytren-online.info might answer some of your questions.

Wolfgang

02/24/2008 02:09
katezea 
02/24/2008 02:09
katezea 
Re: Dupuytrens and all the baggage

Yes, thanks. I have checked out every website I have come across. My concern in DC in both my hands an letterhose in both my feet and I am only 46 - my doctor said I have the most advanced case for anyone my age he has ever seen.

02/24/2008 03:20
newman 
02/24/2008 03:20
newman 

Re: Dupuytrens and all the baggage

Hi Australia Calling.
I was 35 yr when diagnosed and have had some 15 hand surgeries. About 7 yrs ago I developed a lump in my left foot.(Ledderhose.)and was advised to do nothing. Late 07 I had Radiotherapy on both feet as I had developed a large cord ,from the heel to my big toe and another cord in the other foot. In total I received 30 Gy. to both feet. I am really happy with the progress. The original pea sized lump has gone and the cord has softened and reduced ,so to find it ,I have to extend the big toe upwards ,stressing the arch of the foot to feel it. I can now walk bare foot over shells etc. on the beach, which was virtually impossible before. A lump on my other foot was only discovered during my second radiothery and has received only 15 Gy but it has reduced ,so that it does not trouble me walking. I go back in May for a check up . I was advised I could expect noticiable improvement for the next 12 months. You may not know that" knuckle pads " is an indication ,that the disease may be in an aggressive form ,as in my case. I also had Radiotherapy on my hands ,as I developed a number of lumps on my hands .The result which I previously posted is positive.
I have no experience of needle aponeurotomy , but I would certainly look at it before Surgery. You did not mention anything about contraction to your hands.Do you have any, is so how bad? Regards from down under.

02/25/2008 17:31
Randy_H 
02/25/2008 17:31
Randy_H 

Don't go Nuclear unless you need to

katezea

The fact that your surgeon did not offer NA as the first line procedure doesn't mean that this procedure isn't slowly being accepted by some excellent hand surgeons. Don't let anyone tell you that Open Surgery (OS) is a "cure". Newman's 17 surgeries attests to that. At the same time NA is not nescessaraly a replacement for OS but the least invasive first thing to try.

I have had both OS and NA. One on each hand. For me the outcome is night and day. My OS hand has never recovered, whereas my NA hand is as good as new. You owe it to yourself to respectfully disregard your surgeon's current state of ignorance on NA and go elsewhere. For a crash course on NA check out Dr. Eaton's site.

http://www.handcenter.org/newfile16.htm

He is the main reason NA is even available in the US. However, there are many fine NA practitioners around the US as it is an easy producer for a CHS. Take the shortest plane ride to the closest guy. It's worth the money.

With a particularly aggressive case you may wind up needing OS, perhaps with skin grafting, but just jet.

All the best,

Randy

Edited at 25.02.08 19:33

02/25/2008 19:53
TrevB 
02/25/2008 19:53
TrevB 

Re: Dupuytrens and all the baggage

Why the title "Don't go Nuclear unless you need to" Randy H Are you saying that radiotherapy is a overly risky option or am I reading into it something which isn't there?

02/25/2008 22:53
newman 
02/25/2008 22:53
newman 

Re: Dupuytrens and all the baggage

Randy. Hi Australia Calling
I too was surprised at your choice of the word -Nuclear- More Information please.
Did you know that in the year 07 in Germany alone 40,000 patients were treated with low dose Radiation for 28 different Disorders. Reference: " Radiotherapy for Non-Malignant Disorders" Seegenschmiedt.(Springer publication)
Katezea also has Lederhose and I would not have any surgery on my feet. Her age is not a barrier, infact when I was in Germany they had just treated a 12 year old girl for Ledderhose. This word -Nuclear- worries even me. Dont look to close at the Exit signs everywhere they have the Nuclear symbol on them , Regards,

Edited at 26.02.08 01:04

02/25/2008 23:37
Randy_H 
02/25/2008 23:37
Randy_H 

The nuclear option :)

No no, I'm sorry guys. I meant "going nuclear" as in the "nuclear option", which is always your *last* option strategically. I wasn't saying *anything* about radiotherapy. I just have a strong opinion abut going OS before exhausting the NA option. I've personally seen Wolfgang's nuke treated hand and you can't tell he has the disease.

02/29/2008 07:49
Tom 
02/29/2008 07:49
Tom 
Randy and other's comments on radiotherapy

I have ring finger nodules on both hands with cords that are causing 30 plus degree contractures. I was planning on NA after reading your forum but now I wonder if radiotherapy wouldn't be a better first choice. I was intrigued by Randy's comment that he has seen Wolfgang's post radiotherapy hands and that you couldn't tell that he has the disease. Even so Randy recommends NA. I'm a bit confused. What is good opinion on this? Are there any doctors in US who do radiotherapy for this?
Thanks.

02/29/2008 08:47
wach 

Administrator

02/29/2008 08:47
wach 

Administrator

Re: Randy's comments

Hi Tom,
Radiotherapy works best on the initial nodules, not on already contracted fingers. To release a contracted finger NA is a very good means. What Randy referred to were small nodules that I had developed and that vanished after radiotherapy, at least shrank to a size that you can't see them anymore. Actually I had developed those nodules immediately after I had (classical) surgery on a contracted finger. The grew very fast and radiotherapy stopped them. On two fingers I had already developed cords prior to radiotherapy and they kept growing, though much slower.

Summary: if your fingers already contracted, have NA.

Wolfgang

Quote:



I have ring finger nodules on both hands with cords that are causing 30 plus degree contractures. I was planning on NA after reading your forum but now I wonder if radiotherapy wouldn't be a better first choice. I was intrigued by Randy's comment that he has seen Wolfgang's post radiotherapy hands and that you couldn't tell that he has the disease. Even so Randy recommends NA. I'm a bit confused. What is good opinion on this? Are there any doctors in US who do radiotherapy for this?
Thanks.




Edited at 29.02.08 10:47

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