I recently had a Xiaflex injection on my right hand ring finger. The doctor said the next day, after the shot, I would have to go to a surgery center to be anaesthetised to have my hand manipulated. He said it was less painful that way. But everything I had read on the forum never said anything about this, they only implied you needed a local to have the hand manipulated. So, I did as I was told and went to the surgery center to have my hand manipulated, they knocked me out and the doc did his thing. Later I found out the doctor was a partner in the surgery center. They never told me it was out of my Blue Cross Blue Shield network, and I was rather shocked when they presented me with a bill for over $9000 for the Anesthesia. Has this happened to anyone else? I feel the doctor was drumming up business for his surgery center!

Thanks for your reply. In the past I also had NA and it was an in house procedure. I do feel the doctor was just promoting his surgery center which is very disappointing. I am thrilled the the results of the Xiaflex and would have it done again. But may have to find another doctor!

I had a successful Xiaflex procedure done in July 2014 on my left hand. Results were amazing and so far, no signs of DC returning, although I know it can happen after any DC procedure. The doctor that did mine is a plastic surgeon who specializes in hands. He did the entire procedure in his office, injection one day and manip the next. The anesthesia block was uncomfortable but I don't think it warrants being "under" while it's being done. If the DD in my right hand starts contracting I will have the Xiaflex done again, but will make sure about any changes in the block.