| Dupuytrens flare-up and unrelated surgery |
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11/02/2024 20:03
Alexander1453 
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11/02/2024 20:03
Alexander1453
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Dupuytrens flare-up and unrelated surgery
Hi, a question has been raised in another Dupuytrens group by a member who seems to be very anxious over a shoulder operation she’s having and whether in turn the surgery will ‘wake the beast’ as people seem to say.
Sometime in the near future this will apply to me as I’ll be needing a replacement hip operation and I’d like to know if any remote surgery, not directly associated with the hand, like hip and knee replacements for example would cause a flareup/reactivation of DD.
Edited 11/02/2024 20:05
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11/03/2024 07:26
spanishbuddha  Administrator
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11/03/2024 07:26
spanishbuddha Administrator
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Re: Dupuytrens flare-up and unrelated surgery
Hi
I'm not aware of studies showing a direct link between 'unrelated' surgery and DD, but since DD is a specific instance of fibrosis that can occur in any part of the body, and the there is a systemic as well as local inflammatory response to healing, then I would indeed speculate there is a possibility of awakening the beast as you say. It seems well established that there is a link between people having DD and frozen shoulder so maybe there could be a chance that shoulder surgery, may in a similar way to wrist or hand surgery, cause a DD flare. Someone I know who had several hand surgeries for DD had surgery for a total knee replacement and this had no impact on their DD. I had a minor surgical procedure and the healing did not affect my DD but there were signs of local fibrosis at the surgical site which eventually went away. So what to take away from this? Who knows. You can add your own speculation. ;) I did find some research, example here https://pmc.ncbi.nlm.nih.gov/articles/PMC4509645/
Best wishes SB
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11/03/2024 08:44
Alexander1453
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11/03/2024 08:44
Alexander1453
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Re: Dupuytrens flare-up and unrelated surgery
Thanks for the follow-up. I was also considering a hair transplant operation, FUE to be precise, which basically is small incisions to remove hair follicles around the back of the head which are then inserted into the affected area with the hair loss. Could I ask your opinion on that if you don’t mind?
The stress this condition causes can sometimes be overwhelming and seems to have me questioning everything.
Edited 11/03/2024 08:45
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11/03/2024 09:57
spanishbuddha Administrator
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11/03/2024 09:57
spanishbuddha Administrator
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Re: Dupuytrens flare-up and unrelated surgery
Alexander1453:
Thanks for the follow-up. I was also considering a hair transplant operation, FUE to be precise, which basically is small incisions to remove hair follicles around the back of the head which are then inserted into the affected area with the hair loss. Could I ask your opinion on that if you don’t mind?
The stress this condition causes can sometimes be overwhelming and seems to have me questioning everything.
My opinion FWIW is don't let having DD put you off doing most things that you would do if you did not have DD. Sure you should take precautions with some activities to protect hands (and feet) with gloves or appropriate tools, and avoid known risk factors but otherwise carry on. In your case you might know how well or healthy you feel to react to the hair or hip procedure, to make plans to go ahead or delay it until you feel the time is right? For any major procedure doctors talk about being fit enough to cope with the anaesthetic and surgery, and they're usually thinking about sleep, exercise, fitness/weight, diet, etc. A hip replacement is probably major, but I'm not sure how to categorize a hair transplant.
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