| Can surgery activate Dupuytren's? |
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09/05/2015 12:42
dpjcrfsh 
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09/05/2015 12:42
dpjcrfsh
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Can surgery activate Dupuytren's?
I've read here that NA can often cause Dupuytren's to flair up, even in the opposite hand. This makes me wonder if any surgery can cause a flair up? Any thoughts on this?
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09/05/2015 16:06
spanishbuddha  Administrator
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09/05/2015 16:06
spanishbuddha Administrator
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Re: Can surgery activate Dupuytren's?
dpjcrfsh:
I've read here that NA can often cause Dupuytren's to flair up, even in the opposite hand. This makes me wonder if any surgery can cause a flair up? Any thoughts on this?
Yes there are lots of reports on here and elsewhere that NA, Xiaflex or surgery can cause a flare in the same hand and even the other hand. Supposition is it is to do with the healing process.
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09/05/2015 16:06
wach Administrator
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09/05/2015 16:06
wach Administrator
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Re: Can surgery activate Dupuytren's?
Of course it can, much more likely than NA, which is minimally invasive. This website describes all established treatments of Dupuytren disease and their potential side effects. Definitely worth reading! For side effects of surgery have a look at http://www.dupuytren-online.info/dupuytr...ideeffects.html .
Wolfgang
Edited 09/05/15 19:07
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09/06/2015 01:00
Cherise
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09/06/2015 01:00
Cherise
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Re: Can surgery activate Dupuytren's?
dpjcrfsh:
I've read here that NA can often cause Dupuytren's to flair up, even in the opposite hand. This makes me wonder if any surgery can cause a flair up? Any thoughts on this?
I have have surgery and it caused my hand to go into a flair curling fingers and larger nodes in palms. I don't recommend it at all. Now most research on DD does not recommend surgery unless it's the last resort. NA did not work for me after surgery. I used Xiaflex injection to straighten finger. I can't imagine how NA in one hand could cause D.D in the other unless it was already there and using the other hand to compensate the DD hand with NA proceedure, can put more stress on the opposite hand.
I agree with the other answers here in my experience and please read the treatments and different stages of the disease on this forum will help you.
Kind Regards,
Cherise
Edited 09/06/15 04:04
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09/07/2015 14:14
dpjcrfsh
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09/07/2015 14:14
dpjcrfsh
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Re: Can surgery activate Dupuytren's?
I'm specifically interested in whether surgery away from the hand might cause a flair up. Any reports of this? I'm scheduled to have RT in a little over a month. I have a minor umbilical hernia. It seems I could have surgery or not. If it might cause the DD to flair up, I might want to do it a few months before RT or after RT wait until absolutely necessary.
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09/07/2015 20:16
spanishbuddha Administrator
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09/07/2015 20:16
spanishbuddha Administrator
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Re: Can surgery activate Dupuytren's?
dpjcrfsh:
I'm specifically interested in whether surgery away from the hand might cause a flair up. Any reports of this? I'm scheduled to have RT in a little over a month. I have a minor umbilical hernia. It seems I could have surgery or not. If it might cause the DD to flair up, I might want to do it a few months before RT or after RT wait until absolutely necessary.
I recall anecdotal reports of this from users on the forum. You might try a search. But such anecdotes have limited value.
Edit to add, I myself have had minor surgery, and it appeared to cause no flare on an untreated limb.
Edited 09/07/15 23:17
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09/08/2015 04:13
Cherise
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09/08/2015 04:13
Cherise
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Re: Can surgery activate Dupuytren's?
spanishbuddha:
dpjcrfsh:
I've read here that NA can often cause Dupuytren's to flair up, even in the opposite hand. This makes me wonder if any surgery can cause a flair up? Any thoughts on this?
Yes there are lots of reports on here and elsewhere that NA, Xiaflex or surgery can cause a flare in the same hand and even the other hand. Supposition is it is to do with the healing process.
How can NA, or surgery in one hand cause a DD flair in the opposite hand. Maybe if you already had it in opposite hand and it was not active until using the other hand more to compensate for the sore hand. It could then show up or bring it to he attention of the patient. Otherwise I don't understand or even get the connection. Otherwise this could run thu the whole body ?
Any one have another explination?
Kind Regards,
Cherise
Edited 09/08/15 07:17
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09/08/2015 05:04
Pedro 
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09/08/2015 05:04
Pedro
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Re: Can surgery activate Dupuytren's?
dpjcrfsh:
I'm specifically interested in whether surgery away from the hand might cause a flair up. Any reports of this? I'm scheduled to have RT in a little over a month. I have a minor umbilical hernia. It seems I could have surgery or not. If it might cause the DD to flair up, I might want to do it a few months before RT or after RT wait until absolutely necessary.
Yes it can, trauma from an injury nowhere close to your hands can cause DD or a flare up.
It might be a good idea to wait until just before or after RT as it apparently halts DD in its tracks for about 9 months to a year.
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09/08/2015 05:18
Pedro
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09/08/2015 05:18
Pedro
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Re: Can surgery activate Dupuytren's?
Cherise:
How can NA, or surgery in one hand cause a DD flair in the opposite hand. Maybe if you already had it in opposite hand and it was not active until using the other hand more to compensate for the sore hand. It could then show up or bring it to he attention of the patient. Otherwise I don't understand or even get the connection. Otherwise this could run thu the whole body ?
Any one have another explination?
Kind Regards,
Cherise
Because such trauma causes blood clots that can sometimes hinder blood supply in the finer arteries of the hands (and feet), this initself can cause inflamation which in turn impairs supply even more, and a vicious catch-22 situation arises.
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09/08/2015 05:50
wach Administrator
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09/08/2015 05:50
wach Administrator
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Re: Can surgery activate Dupuytren's?
The healing process of a wound, e.g. after surgery, is complex and involving an increased level of collagen production to close the wound and produce scarring. This might trigger stronger growth of nodules in remote areas, including the other hand.
Wolfgang
Cherise:
How can NA, or surgery in one hand cause a DD flair in the opposite hand. Maybe if you already had it in opposite hand and it was not active until using the other hand more to compensate for the sore hand. It could then show up or bring it to he attention of the patient. Otherwise I don't understand or even get the connection. Otherwise this could run thu the whole body ?
Any one have another explination?
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