Bethesda - I too have Dupuytrens and I am starting radiotherapy with an RT oncologist who is new to Dupuytrens threatment. I am not at all an MD but I understand you should ask your clinic to follow the so-called 'German protocol' which defines the total 30 Gy dose in two 15 Gy sessions, where there is a 3 month separation between the sessions. The daily dose should be 3 Gy. The hand must be carefully examined (experience needed here) for any palpable nodules, cords - or indeed for any associated diffuse tissue. Then a margin of 2cm should be allowed in the longitutional direction, at both distal and proximal ends, and a margin of 1cm on the sides. I wish you success in your treatment.

Does anybody know where we can find a clear written description of this 'German protocol'? We seem to have radiotherapy clinics starting to support Dupuytrens patients but there seems to a lack of clear protocols or guidelines. For example in the UK the NICE (UK clinical guidelines) are rather vague .. IMO.

Also - on this site people mention cord and nodules - but never a mention of associated diffuse tissue that sometimes can be felt under on skin and is imporant when mapping the hand for RT treatment.

This is great site which is so helpful to us all. Thanks to everyone!

Hi, Callie,

I was not quoted a price yet, but I have Aetna health insurance and they will pay for RT for Dupuytren's.

Bethesda