Hi James; Dr Dilley is correct if you are talking about NA on the line of the previous surgery but a lot depends on what scar tissue you have and where the new contraction is.

I have had surgery on one little finger and you certainly couldn't do NA up to the first joint on that finger but you could if I had problem with the next joint. Also when they did surgery on my little finger the surgeon also opened up the palm and removed tissue yet I have since had NA done on that hand that has involved the palm.

If you decide to get NA done you will probably have to go to someone with a bit more experience and training in the technique than Dr Dilley.

Having had NA done 6 times in Paris with first rate results. I decided last year that I would see what Dr Dilley could do. His technique was different to what I had experienced in Paris and when I questioned his approach he explained why the Paris doctors who have done 10's of thousands of NA procedures have got it wrong. I wouldn't have minded if his approach had worked but he failed to get any improvement in the finger. I will get the same finger done again in Paris later this year and I expect it to be fully straightened in 10 minutes.

My suggestion is that you plan a trip to watch the Rugby World Cup and get your hand seen while you are up there.

Seph

Hi James; I would be surprised if you have found a GP in Australia who can trace a Dupuytren cord. You should be able to feel it yourself. Follow it right up into the palm of your hand. They might release it from there.

You will find a list of French doctors on the Dupuytren Society web site under Treatment. There is a link to a list of French doctors half way down the page. http://www.dupuytren-online.info/NA_list..._countries.html

For my part I have been to Dr Badois and Dr Manet-Chopin. Both are very good. Note that in France there are no referrals required and they shouldn't need a prior consult. Just send them photographs and they should be able to see the issues and will book and appointment.

You should also note that your appointment is your appointment so be on time. They don't leave you sitting in a waiting room past your appointment time as they do in Australia.