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night splint at stage N/1?
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08/27/2015 11:27
dpjcrfsh 
08/27/2015 11:27
dpjcrfsh 
night splint at stage N/1?

I'm curious if wearing a night splint at the first sign of contracture might stave it off. Anyone try this?

Edited 08/28/15 14:56

    08/27/2015 12:27
    Seph 
    08/27/2015 12:27
    Seph 

    Re: might splint at stage N/1?

    dpjcrfsh:
    I'm curious if wearing a night splint at the first sign of contracture might stave it off. Anyone try this?

    My view is that splints don't work. Makes you feel that feel like you are fighting back but if the contraction is happening it is happening.

      08/27/2015 13:01
      wach 

      Administrator

      08/27/2015 13:01
      wach 

      Administrator

      Re: might splint at stage N/1?

      In May at the conference in Groningen I participated in a controversy on whether splinting is beneficial http://dupuytrensymposium.com/program_2015.php (at 14:22 on Friday). There is some evidence, although not very big, indicating that splinting is beneficial as long as you are wearing the splint. When you stop contraction may come quickly. If you decide fighting contracture by wearing a night splint you will probably have to wear that splint forever. A patient reported that he was successful in avoiding contracture by wearing the night splnt for a week or so whenever he felt that the finger started contracting. That might be an option but I don't whether it would work for everyone.

      Wolfgang

        08/27/2015 14:51
        spanishbuddha 

        Administrator

        08/27/2015 14:51
        spanishbuddha 

        Administrator

        Re: might splint at stage N/1?

        I can't comment on its effectiveness or otherwise. But I tried it for myself a couple of years ago. The overnight splint in a quite straight position was I found to be uncomfortable, although maybe you get used to it. I relaxed the splint slightly, but then I just could not get over the other side effect: the fingers/hand is quite stiff in the morning from splinting. This soon passes and can be eased by waiting 5-10 minutes or soaking with gentle massage in hot water. But, for myself, as someone who plays piano I just found it too disconcerting and stopped with the splinting.

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