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Personal experience
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07/03/2012 20:59
marigail 
07/03/2012 20:59
marigail 
Re: Personal experience



Alicat, you have no idea how glad I am that you responded regarding the surgery. I've been getting more and more discouraged by the moment. Many have been suggesting alternatives----whereas my doctor has repeatedly said that this is the only choice I really have right now because of the involvement in three fingers. The only finger that is badly contracted (it's a right angle) is the pinkie. The pointer finger is just starting to contract and the ring finger, though not at all contracted shows the definite start of the thick cording. We were looking to do this in September, but I think I'm going to put it off until later in the fall. I don't want to "lose" the fall kayaking season by recovering. I can assure you that I would be one to follow therapy recommendations to the letter. When I had the shots, I had a splint for the night, but was unable to wear it because of the blistering from the shot, but I don't imagine that will be an issue.

I will be having the surgery in a large medical center, so I'm hoping that the drugs will be good ones. I don't do particularly well with pain meds and try to avoid them when I can, but will do what is needed!!

Congratulations on your success!!

Marigail

    07/03/2012 21:14
    eastwind 
    07/03/2012 21:14
    eastwind 
    Re: Personal experience

    I've had the surgery on both hands -- right hand one cord in ring finger-3 incisions. IN May thsi year I had cords in 3 fingers "pulled out" (that was the surgeons description)--too early to tell on that one. But the previous one finger is now coming back and showing the cord.

    The one finger job was fairly easy...(I have photos of both of these post op) The 3 finger---9 stitches and lots of scar tissue.
    As I said before--to each his own, and each if us is at adiferent level and agressiveness of the disease.

    BUT--what I would like to hear is: are we all getting the same kind of surgery?? That is--are the surgeons perfoming identical cord removal, all of the cord--just a partial, etc etc?
    I ask because if they remove the cord--why does it come back within a year (in my case)?

    Could our surgeons tell us more of exactly what they are doing??? to compare notes.

      07/04/2012 12:51
      anna71 
      07/04/2012 12:51
      anna71 

      Re: Personal experience

      alicat1969:
      I have just had my second hand operated on, for involvement of my ring and little finger, both at 45 degree contractures. I know surgery gets bad press on these forums, but I can report no issues, either hand that I have had done. The surgery was not painful (initially when the sutures and the bandaging are removed it is a bit sore), and I have been to a hand therapist a couple of times, and both my hands are (almost) perfect again. I say "almost" as my second hand was operated on a month ago, and I cannot fully make a fist yet, although I am about 90 per cent of the way there. I do my exercises faithfully, I wear my splint at night, and that's it really. I also have a very good surgeon, and have had very good anaesthetics, which helps. We don't really have the chance to use Xiaflex yet on the NHS, but I am hoping by the time I have a recurrence ( which I am sure I will) that I won't have to have further surgery, but for the moment, if any of you are considering surgery as your only option, I would say go ahead. It is not that bad - honestly. I no longer stick my little finger up my nose by accident when washing my face !! Small thing I know, but it does make a difference. If anyone wants to know any more about the surgery, feel free to ask :)

      Hi Alicat
      Glad to hear your op went well. Did you have it done on the NHS and if so which area? (Hope you don't mind me
      asking). My thumb hasn't contracted yet, but it's getting stiffer. Plus I'm getting more lumps and bumps
      on both of my hands. I just wondered as I'm in South East UK and if I get to the point of needing an
      operation I want to ask my GP if he'd refer me out of the area.

      Thanks
      Regards
      Anna

        07/04/2012 17:16
        alicat1969 
        07/04/2012 17:16
        alicat1969 
        Re: Personal experience

        Glad my post was of some help - Marigail - I had a "block" as well as a general anaesthetic, and my arm was completely numb for about 12 hours, so no pain at all immediately post-op, and I probably took pain killers 2-3 times post surgery. It was uncomfortable at times, but not what I would describe as painful - my surgeon puts the hand in a cast to keep the fingers straight while healing, for about 10 days, so I was pretty helpless for a while (when my right hand was done I had to learn whole new ways of eating until the cast came off!). The only pain I really had with both hands was on removing the cast, and the sutures - I was probably able to use my hand fully (picking heavy things up, opening things) about 10 days after removal of the cast. I still have some stiffness, especially in the mornings after taking the splint off, but it is still early days. I suppose it took about 4 months for my first hand to feel completely "normal". I too have involvement in three fingers on both hands, but the disease in my third finger seems to have almost completely gone since the surgery - I only had 2 fingers done on each hand due to the length of the operating time, and the time the tourniquet can stay on.

        @ Anna 71 - I had my surgery done at the Royal Sussex County Hospital's elective orthopaedic unit in Haywards Heath, the "Sussex Orthopaedic Treatment Centre". I am a senior nurse, and have worked at the Trust for 15 years, so I picked my surgeon carefully, with expert advice...Her name is Mrs Leonard - an eminent hand surgeon.

          07/05/2012 08:32
          anna71 
          07/05/2012 08:32
          anna71 

          Re: Personal experience

          Hi Alicat

          Thanks for the information. I live in Essex, so it's not a million miles away.
          If I get to a point where I need surgery I'd rather push to see someone who is recommended!!

          Hope your recovery goes well!

          Thanks again!
          Regards
          Anna

            07/05/2012 16:35
            marigail 
            07/05/2012 16:35
            marigail 
            Re: Personal experience

            I am so pleased to learn of your continued positive progress. I am no stranger to having to use one hand/arm. Several years ago I was in a car accident and I shattered the bone from just above my elbow to just below my shoulder on my right arm. I required two surgeries, so i was out of commission for quite awhile. Fortunately I'm ambidextrous, so I wasn't as limited as some may have been, but I really had to learn many different strategies to accomplish everyday tasks. To hear you say in 10 days you were starting to do things is very encouraging. My doctor has told me that it is a 6-8 week recovery period followed by intense physical therapy, and I was envisioning not being able to do very much at all. Your posts sound that that won't be the case. I have been in a constant state of worry about this, which is exactly what I didn't want. I wish to enjoy the summer!!! Your posting has helped me calm down on this! Thank you again.

              07/10/2012 09:45
              alicat1969 
              07/10/2012 09:45
              alicat1969 
              Re: Personal experience

              Glad I've been of some help! As a nurse, I have to use my hands in a very physical way every day, so I guess that I'm unconsciously doing physio all the time, but it is also very important for me to be at work with no open wounds, and that I was able to do after 3 weeks ( I took an extra weeks annual leave after the 2 weeks sick leave I was granted - 2 weeks just wouldn't have been enough). Good luck with whatever you decide .

                07/22/2012 17:59
                daleladue 
                07/22/2012 17:59
                daleladue 
                Re: Personal experience

                I have recently been diagnosed with dupuytren's on my right baby finger plus quite a few nodes on both hands. I have an appt with a hand surgeon in Aug. and am anxious to hear her opinion on this. Additionally, I have bilateral Ledderhose for which I have just been evaluated for new soft orthotics. In the past, I was wearing sturdy plastic orthotics for approximately 10 years. Hopefully, they will help because I walk 2 miles daily for exercise. I had been using lidocaine patches for pain but could still walk because the patches blunt the pain! Always cautious about not wearing them longer than 10 hours a day! These issues certainly add another dimension to one's life! If anyone has any suggestions, I would be happy to hear them. I do have a 57 year hx of Type 1 diabetes which does complicate matters a bit!

                  07/22/2012 19:05
                  flojo 
                  07/22/2012 19:05
                  flojo 
                  Re: Personal experience

                  Hi,

                  Sorry to hear you have joined our special club and none of us want to be a member of this club. :-)

                  Before you go to the surgeon, be sure to research everything you can find on this site regarding treatment options, especially needle aponeurotomy/NA, and radiation therapy/RT. Both are early treatments. You may find that you will actually know more about all treatment options than your surgeon. Most of us found that in traditional medicine they really know only about surgery. Knowledge is power and you will know what questions to ask and how to figure out which treatment is best for you. Even so, it is hard to determine what to do because this disease is so weird.

                  It sounds like you are in an active stage of CDupuytren's disease since you have nodules and minimal contracture. Radiation therapy is the only thing out there right now that stops progression of the disease and is not invasive. I found RT effective in stopping the progression of my Dupuytren's. I don't have Ledderhose's so others on this Forum will know much more than I do, but it seems that yours may no longer be active. If it is active, RT has been found to stop progression of that, too. Ask on this or the Ledderhose's thread questions specific to the condition of your feet.

                  Don't hesitate to come back to the Forum with questions and updates on your Dupuytren's journey.

                    07/23/2012 22:35
                    pia2some 
                    07/23/2012 22:35
                    pia2some 
                    Re: Personal experience

                    I just read through this entire thread. I've read and posted in the forum, but somehow missed this thread. I had my first Xiaflex injection in April. I have lots of nodules and cords in my right hand. My pinkie, ring and middle finger on the right hand are contracted. The worst was my ring finger and it was at 45 degrees. That is where I had the injection. It was a lot more painful than I expected but was only bad for about a week. That ring finger is straight, but my entire hand is so tight now that it's hard to even open it up fully. The left hand is full of nodules and cords but isn't contracting yet.

                    I'm still wearing my splint at night (made in the physical therapy department at the surgeon's office) and am including a picture of it here since splints were discussed before. I'm also trying a compression glove on my right hand because it aches horribly and swells a lot.

                    Do the pictures show up? I wasn't sure if I'm attaching them correctly.





                    ~ dawn

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