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Feedback on possible Dupuytren
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10/13/21 23:27
jlsotr 
10/13/21 23:27
jlsotr 
Feedback on possible Dupuytren

I am 10 weeks post-op from a surgical procedure to put in plates/screws following a Colles fracture. My wrist has shown progress but I've had continued mild inflammation and stiffness in my fingers/hand which has been more problematic at this point than my wrist. I noticed a thickening of tissue in the area between the distal and proximal creases (so at the MCP joints) of that hand that is a little more pronounced between the ring and little fingers, where those creases widen out a bit. I had my last OT session today and when I pointed it out to her she thought it could be early Dupuytrens. (I also happen to be a retired OT, but not in this area of speciality...which perhaps makes it worse as I know enough to worry, but not enough to know!) She also identified a trigger finger at the middle digit where she can feel clicking when I flex the fingers. Anyways, she said if I saw my hand surgeon he wouldn't do anything at this point, but play a waiting game to see if and how it evolves. I have none of the identified risk factors, but also have read that this kind of trauma can result in this.

Just looking for thoughts on whether I do indeed have to play the waiting game. I do have an appointment with the PA at the end of the month so can inquire further with her, and it does provide an additional couple of weeks to play this out. In looking at options with radiotherapy it appears that early treatment is the best, but what does that mean? So I'm curious how Dupuytren's is diagnosed, and what 'early treatment' means. Thanks for any feedback and insights.

10/13/21 23:57
spanishbuddha 

Administrator

10/13/21 23:57
spanishbuddha 

Administrator

Re: Feedback on possible Dupuytren

Hi and sorry to hear your story.

Surgery or trauma can provoke new instance of or a flare of Dupuytrens. Most people never get a contracture and it often settles after initial symptoms. An experienced hand doctor would feel your hand to assess nodules and any signs of cords. ProfS has an early symptoms form here https://www.dupuytren-online.info/Forum_...1555074640.html

Early and active in a specific stage of progression is when RT is most effective. So a record of a timeline of symptoms and growth would be
helpful. It is usually slow to progress, giving you time to keep that record and observe if it is progressing or more or less stable or even going dormant
More here https://www.dupuytren-online.info/Forum_...1559373063.html and here https://www.dupuytren-online.info/Forum_...44787743.html#2

Best wishes SB

10/17/21 01:08
jlsotr 
10/17/21 01:08
jlsotr 
Re: Feedback on possible Dupuytren

Is it advised that I do gentle massage of the area? Is there any research or professional advice from the specialists in this area regarding this? Thanks so much.

10/17/21 09:20
spanishbuddha 

Administrator

10/17/21 09:20
spanishbuddha 

Administrator

Re: Feedback on possible Dupuytren

Did you see the thread we have about this http://www.dupuytren-online.info/Forum_E...erapy-2_18.html The massage therapist is afaik still treating patients with early DD https://ealingmassagetherapy.co.uk/dupuytren's-massage I myself, as a single point of reference, do gently massage the palm usually after a soak in hot water with bicarb of soda.

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