| Hand trauma |
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09/27/2007 20:55
kiwi 
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09/27/2007 20:55
kiwi
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Hand trauma
I've monitored many of the topics on this forum with great interest especially on NA, other treatments and possible causes of Dupuytrens. I recently spoke with my GP who stated that Dupuytrens was caused by alcohol abuse, because that is what he'd been taught during his training some decades ago. It seems the thinking hasn't moved on much at all. It is quite possible that alcohol is a contributing factor, but I'm more interested in a discussion around hand trauma, and how that may trigger the disease.
I now work in a professional occupation but have spend many years also doing heavy manual labour, while carrying out house revovations. My dupuytrens started in 1992 when I was studing in the USA. I was in my early 40s. Immediately preceding the trip to the States I spent 3-4 months carrying out extensive house renovations, much of it very heavy work involving vibrating power tools and sledge-hammers. I didn't made the possible causal link with the onset of Dupuytrens until I read a post on the high incidence of the disease in rock climbers, who naturally are putting their hands under considerable stress. I wonder if anyone else can match the onset of the disease to a triggering event. I imagine that a predisposition to the disease and other environmental and lifestyle factors also contribute. I have celtic and scandanavian heritage, and will partake of fine New Zealand wines.
I now have Dupuytrens in both hands and have had the left hand operated on twice, unsuccessfully. I'm now looking at NA in Australia, and would not have full surgery again.
Edited at 28.09.07 02:12
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09/28/2007 16:34
Randy_H 
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09/28/2007 16:34
Randy_H
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Re: Hand trauma
kiwi:
I have absolutely no question that trauma to the hand can trigger this disease in those already predisposed to it. In my case I agreed to switch off between drums and congas in band I was in. Not being trained in the proper technique, I banged away on those things until the vibration to my hand cause my fingernails to dig into adjoining fingers and cause bleeding. That is some serious trauma hour after hour. My hands would swell and ache afterwards. Within a few months of this activity my Dups began and grew rapidly until I hand a 45 D PIP contraction about a year later.
It was my left hand that was first affected, which is also the hand that *really* took the worst beating. As a drummer that is my "stick" hand used on the snare, so that is the one I really hit hard width.
Obviously I've sworn off hand drums and fortunately the pace of my disease is slowed dramatically. Coincidence? I don't think so. I don't even like to clap very hard at the end of a concert. Obviously Dups can start with no trauma at all. However, I believe trauma can get it going earlier in one's life, and perhaps stronger.
Wear as thickly padded gloves as you can. The lack of flexibility could pay off in less disease. Get Cortisone shots in the nodules and use NA to avoid further surgery if possible. Surgery itself is trauma. That's why when surgery is done they must get *all* the diseased tissue they can find and leave none behind. Some would go so far as to say that surgery begets more surgery, but that is highly controversial since there is no way to test that idea.
Is it Cabernet you like? We don't hear much about New Zealand wines in California. Had any Zins?
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10/03/2007 03:51
kiwi
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10/03/2007 03:51
kiwi
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Re: Hand trauma
Hey Randy
New Zealand wines have really taken off in last 10-15 years and regularly win awards at international shows. NZ conditions suit Sauvignon Blanc and Pinot Noir although we produce Cabs and Chardonnay as well. We also produce "french-style" sparkling wines. Much of our wine development goes back to immigrants from Croatia in 1940s and 50s. And I have had the pleasure of drinking fine Californian wines in the US.
Cheers
Tony
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10/05/2007 02:42
ceegee
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10/05/2007 02:42
ceegee
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Re: Hand trauma
Hi Kiwi
ABSOLULTELY I believe trauma can play big part in someone who is predisposed to Dupuytren's. (if you like you can read my post (Alternative therapy...Surgeon At Duke) Hand trauma really got me! I'm sure there are many factors. But my mother had eight sisters and five of them developed DD. They were daughters of a Southern Baptist Minister and never had a drop to drink in their lives. I like my wine at night but don't believe it has caused my DD. I am also a piano teacher and years of that may have contributed to my DD. There are so many factors out there but from everything I've researched I believe heredity plays the biggest part.
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10/16/2007 16:00
wach  Administrator
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10/16/2007 16:00
wach Administrator
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Re: Hand trauma
We have added a new page to our website which lists research publications addressing whether Dupuytren's contracture can be work or trauma related. I don't think that there is any doubt about it that a trauma might trigger Dupuytren, specifically if your are genetically predisposed. Maybe you find something interesting on
http://www.dupuytren-online.info/dupuytr...ure_trauma.html
Wolfgang
Edited at 30.01.08 08:38
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10/17/2007 09:35
newman
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10/17/2007 09:35
newman
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Re: Hand trauma
Hi Australia Calling , Kiwi -I would not worry about a few glasses of wine. Have a look at previous forums 8/07 "Alcohol any relation to M.D. " Note from wach - shows link to 50 yr German Study from Erlangen University. After reading you will be able sit back and enjoy.Furthermore there were persons on an earlier forum who have had surgery and have never consumed any alcohol. I am interested where in Australia do you propose to have N.A.Please let us know.Regards from down under.
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10/30/2007 18:40
kiwi
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10/30/2007 18:40
kiwi
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Re: Hand trauma
Hey there
David Hunter-Smith, a reconstructuive surgeon who operates at Beleura Private Hospital and The Bays Hospital Mornington, Vic, now offers NA.
Kiwi
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10/30/2007 19:34
wach Administrator
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10/30/2007 19:34
wach Administrator
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Dr. Hunter-Smith
Thanks for the info! We are listing him with another hospital:
http://www.dupuytren-online.info/NA_list..._countries.html
Do you think we should add those two addresses as well or is the contact info sufficient? We thought once you called him he will direct you to the appropriate hospital but who knows?
Wolfgang
Quote:
Hey there
David Hunter-Smith, a reconstructuive surgeon who operates at Beleura Private Hospital and The Bays Hospital Mornington, Vic, now offers NA.
Kiwi
Edited at 30.01.08 08:39
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11/01/2007 01:38
rcjobs
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11/01/2007 01:38
rcjobs
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Re: Hand trauma
I was the one that introduced David Hunter-Smith to NA. I was originally treated by Dr Badois in Paris, and wanted an Autralian to do NA.
David was open to the idea, but has not been to Paris, so is doing it from 'first principles'. He is a very experienced plastic surgeon, but is nervous of the 'blind' procedure. He has treated me 3 times. Twice using a needle, with success. His latest treatment was a 'hybrid', where he put me under general anesthetic, cut my finger, then used a needle to break the band. It healed far quicker than full operation, but I will not let him do it again. Especially as Paris will no longer touch that finger - scar tissue they say.
I recommend that you discuss which procedure he is proposing with you.
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01/29/2008 19:37
No Namenot registered
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01/29/2008 19:37
No Namenot registered
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Re: Hand trauma / Renovations
I experienced a similar event and am convinced trauma is a part of this. I was doing heavy renovation and while I had done this type of work for a few years, I noticed a lot of pain in my hand and shortly thereafter dups set in. This was 7 years ago. I had surgery 4 years ago, which went well. You would never know.
I now notice the same type of discomfort in my other hand when I am doing yard work or home repair and I suspect that round two of surgery is not far away. m
But, I am convinced that trauma is related.
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