Needle Aponeurotomy and Cortisone (Kenalog) Injections in Family Practice Journal July 1st 2007 |
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07/27/2007 18:02
kdenkler
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07/27/2007 18:02
kdenkler
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Needle Aponeurotomy and Cortisone (Kenalog) Injections in Family Practice Journal July 1st 2007
Nice review of Dupuytren's published in the American Family Physician Journal
Link:
http://www.aafp.org/afp/20070701/86.html
The article discusses steroid injections for early disease and needle aponeurotomy.
Link is available to the public!!!!
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08/05/2007 22:43
Donald
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08/05/2007 22:43
Donald
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Re: Needle Aponeurotomy and Cortisone (Kenalog) Injections in Family Practice Journal July 1st 2007
That is a great article . Thank you Dr. Denkler for posting it. A course of steroid injections have been recommended to me for a lump located on my little finger. The article refers to possible complications. Does anybody have any experience or knowledge of the potential side effects of steroid injections? Donald
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08/09/2007 04:47
Sandie1141
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08/09/2007 04:47
Sandie1141
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Re: Needle Aponeurotomy and Cortisone (Kenalog) Injections in Family Practice Journal July 1st 2007
My husband had the injections when he had the NA procedure. That was on June 28th and now he has only one small nodule. Prior to the procedure he had numerous lumps in his palm. He thought they were calluses. He is very happy with the results.
Sandie
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08/09/2007 14:17
Joe
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08/09/2007 14:17
Joe
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Re: Needle Aponeurotomy and Cortisone (Kenalog) Injections in Family Practice Journal July 1st 2007
Since I have stage zero dupuytrens, lump and cord with no contracture, I am interested in Kenalog injections. But when I went to a local hand specialist, she said Kenalog showed no evidence of working and did not recommend it. She just said to wait it out until it was bad enough for surgery. She didn't even mention NA. When I brought it up, she said she has heard about it.
So I would like to hear more about results from Kenalog and has there been any proper studies and what were the results?
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08/09/2007 14:39
raynora
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08/09/2007 14:39
raynora
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Re: Needle Aponeurotomy and Cortisone (Kenalog) Injections in Family Practice Journal July 1st 2007
Joe,
I agree with you... my hand surgeon ruled out Kenalog injections right away, said that radiotherapy was dangerous and ineffective and even warned that NA could be something that I would regret. I can see how a surgeon is biased to his speciality, but I don't understand how they can give you misinformation or ignorance about other helpful alternatives.
That report sounds encouraging and I would consider trying it; I just won't go to a hand surgeon looking for it.
raynora
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08/09/2007 14:46
wach Administrator
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08/09/2007 14:46
wach Administrator
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hand surgeons
Actually I think that hand surgeons are the ideal specialists for NA. They know more about the hand than anybody and I trust they can do the right thing it the inlikely event of a serious damage, like massive skin rupture or nerve damage. There is a lot of educational work to do until NA becomes taught to hand surgeons at university ... we will succeed eventually.
Wolfgang
Edited at 08/09/07 17:47
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08/09/2007 14:49
Joe
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08/09/2007 14:49
Joe
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Re: Needle Aponeurotomy and Cortisone (Kenalog) Injections in Family Practice Journal July 1st 2007
I know what you mean about conflict of interest. But I hurt right now in a very sensitive place due to a botched surgery 6 years ago. Doc never seemed concerned after the surgery, but before he was real talkative. I guess I was subject to some marketing.
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08/09/2007 18:56
Sandie1141
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08/09/2007 18:56
Sandie1141
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Re: Needle Aponeurotomy and Cortisone (Kenalog) Injections in Family Practice Journal July 1st 2007
My husband started getting the lumps in his right palm at least 10 years ago. While at the Dr. office for something else, my husband showed him his palm and asked if there was any treatment. My husband thought they were calluses from pushing on his handdrill at work. The idiot doctor told my husband that all of us used to walk on our knuckles and there wasn't any treatment.
My husband's father had Dupuytren's but never had it diagnosed. When my husband's fingers started bending over I came across an article from the Mayo clinic that discribed it. That was five to six years ago. My husband just ignored the condition, saying that it was his right hand and didn't really need it because he is left handed. Then it got to the point a year ago that he couldn't put on gloves, shake hands and basically started to lose the use of the hand altogether. He couldn't open his hand enough to pick items up to move them, couldn't grasp a rope, etc.
He went to a new family doctor, who sent him to a hand specialist. The specialist did discuss the enzyme treatment, but said that due to the severety of his ring finger, he wouldn't be a good candidate. He never mentioned NA. He did say that we need to have the surgery done and discussed the different types of surgery. I spent weeks investigating all the different treatments available. The decision we made was that surgery should be the last treatment, if all else fails.
What really mad us angry is the fact that none of the surgeons or doctors are even acknowledging that NA exists. With everything that we find on the internet, you can't tell me that these "specialist" no nothing about it. This is their profession of course they are aware of it. They just can't make as much money performing NA as performing "surgery".
Anyway, we chose Dr. Kline who is in located right next to the border of Idaho and Oregon. He requested that we send him specific of my husband's hand, so he could diagnose the percentage of contracture and determine if NA would be a possibility. He said that my husband was a very good candidate so we made an appt for the procedure. He charges $650.00 per finger, which my husband needed it done to his ring and pinky finger, and $125.00 for the injections to the lumps. After looking at the ring finger in person, and due to the fact that due to other family matters, we couldn't book the procedure for 2 months, Dr. Kline felt that he might not be able to get the ring finger to 100%. The finger had been pulled in so tight for so long that he actually had a yeast infection growing up in the closed creases of the finger. There was little pain during the procedure. The only painful part was when the doctor manually straightens the finger to break any remaing cords that were too small to find with the needle. CONTINUED >>>>>
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