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Visit and treatment by Dr.Eaton Jupiter Florida
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08/17/2005 23:08
Sean 
08/17/2005 23:08
Sean 
Carol

I was just wondering why the PT was so vigorous to break the stitches and cause pain. Doesn't seem normal to me. What I meant to imply was my therapy stopped at the edge of pain.

08/18/2005 23:40
Carol

not registered

08/18/2005 23:40
Carol

not registered

response to Sean and Randy

Hello Randy and Sean,
The doctor told me to start exercising my hand 1 week after surgery--when he took off the cast. I soak it in warm water and for 10 minutes, I try to make a fist and stretch the pinky. The stitches split and the doctor said it was fine-it was better to do the stretching and have the skin split and heal slower. He said that if you let the skin heal nicely and then try to stretch it, you may not be able to move your finger at all. So, I still have an open wound that is healing slowly.
The doctor also told me that when you operate on some fingers (and depending on how bad the nodules are), you may have zero pain. In my case, I had a lot of nodules "wrapped around the nerves" in my pinky and as a result, I have had a lot of pain--with or without the stretching exercises.
I go back to pt today.
Thanks, Carol

08/18/2005 23:49
Sean 
08/18/2005 23:49
Sean 
Carol

Thanks Carol,
You say, "In my case, I had a lot of nodules "wrapped around the nerves" in my pinky and as a result".

I would just wonder if this would be a case that NA would not be productive.

Did your surgeon/PT suggest a good hand cream? My surgeon thought (and I agree) that the hand moisterizer was one of the most important parts of recovery.

08/18/2005 23:35
Carol

not registered

08/18/2005 23:35
Carol

not registered

hand cream

My pt said that when the wound closes, I will use cocoa butter hand cream.
You are probably right--this finger was probably not a good candidate for na. I hope my other 2 fingers on my right hand are because I want to try that if my fingers start to contract. Dr. Eaton's asst informed me that you don't get the na until they start to contract.

Carol

08/18/2005 23:06
Randy H.

not registered

08/18/2005 23:06
Randy H.

not registered

massaging the nodules

Carol,

From Eaton's web site:

"If the nerve is wrapped around a cord, how can the cord be cut without cutting the nerve? Very carefully. At the Hand Center, the procedure is performed with local anesthetic only in the skin itself. Deep to the skin, nothing has much feeling, except the nerve. If the needle gets close to the nerve, you will feel an electrical tingle, which tells the doctor to reorient and stay away. As long as you can feel in the fingertip, it's safe to keep working." <END>

I asked Eaton specifically about this, as to whether there were some cases where he could not release a PIP because of nerve interference or other factors. In over 1,200 procedures the answer was "No". That's not to say it *can't* happen and render NA useless, but obviously it's rare. Scar tissue from prior surgery is the *big* problem for NA, not nerve interference. Plus, so far, Zero nerve damage. You can't do that with OS.

08/18/2005 23:42
Jackie

not registered

08/18/2005 23:42
Jackie

not registered

massaging the nodules

why do you say "do not massage the nodules" ? I think I'm at the very beginning stage of DS (recently discovered a hard bump in the crease of my palm just below the pinky finger). My 81 year old father has quite advanced DS. It seems to be instinctive to massage the bump as well as stretching the hand. So hopefully I haven't been causing more harm than good. It's kind of depressing to think that my hand will and up messed up. I am an artist and also play piano and guitar.

08/18/2005 23:45
jackie 
08/18/2005 23:45
jackie 
Raynaud~sq~s

Yep, I've got Raynaud's too.

08/18/2005 23:54
Sean 
08/18/2005 23:54
Sean 
stretching

Jackie,
There are many who think that stretching the Dupuytren's can have a negative effect. It is argued both ways. Hard to tell because it is different for everyone, it seems. Many people, including me, think the less you mess with it the better.

08/19/2005 23:25
shawn 
08/19/2005 23:25
shawn 

what to do, what to do

A little help from the audience for the million dollar question: Surgery, vs. the French procedure, or Nuking my palms the New German way.I've seen people after the knife and they've reformed "the grips" as they had before the procedure. Now I also hear that even after the heralded Frenchy non-invasive procedure has been done, it too, can also come back. I'm 45 and have worked hard most of my life in the building trades (Obviously I am no longer able to) and just ultimately want one visit and be Done with this DC!!! But, should I never pick up the bongos again, afterwards? Should I quit drinking also ( one report said smoking and drinking were causal factors)? Any help? Thanks for your replys, any and all. This seems to be a very helpful website.

08/19/2005 23:38
marjorie 
08/19/2005 23:38
marjorie 
stretching and massaging

Dupuytrens will in most cases recur. It does not matter which procedure you choose. Seems to me that as NA, the French way, can be done many times it would be the way to go. Surgery can cause more problems than it cures. Check out www.dupuytren.org
and read Diana's report.

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