Needle aponeurotomy is a procedure in which fascia contractures are sectioned percutaneously with the sharp-edged bevel of the needle used for the injection of anaesthetic. Sectioning of the bands by sawing and perforating motion of the needle. Resistdue to the cord is felt, and this sensation is easily recognized by physicians that do the NA procedure. Rupture of the cord may be completed by extending the digit until the band is torn with a characteristic snap. Contractures are always sectioned in the same order, from the proximal to the distal palm and if necessary to proximal phalanx. When the treatment is over, a dry dressing is applied which must not be removed for three days. The patient is instructed no to wet/soil his/her hand for this period (three days). At the end of the session, about 20 to 30 minutes, the patient can use the hand for most norml activities, with the exception of heavy lifting or pressing for 10 to 15 days. For stages III and IV of the disease, with capsular contractures of the P.I.P. joint, use of an extension orthesis during the night may be useful to achieve desired results.

Looking to hear from someone who's had needle aponeurotomy for Dupuytren's; short and long term effects/benefits.

Thanks.

lbb

Interesting, if you've read down to posts that are from 2004 then you've read lots about NA.

There is a Dr Pess in NJ that will do the procdure on me this coming Oct19Th if you like I will post the out come or I can give what info I have to anyone might like it

John,

Those of us who have discussed the relative benefits of NA Vs OS would want to know
1) which joints(s) were straightened (PIP/MCP)
2) what was the Before and After degrees of curvature
3) How aggressive is your disease: how long did it take for your finger(s) to reach this point?

God Speed, RBH