Can DC be caused by Carpel Tunnel Surgery |
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08/02/2004 23:10
tomnot registered
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08/02/2004 23:10
tomnot registered
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DC caused by traume
please forward all websites and medical literature identifying any causal connection between DC and work trauma
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08/02/2004 23:12
tomnot registered
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08/02/2004 23:12
tomnot registered
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DC caused by trauma
please forward all websites and medical literature identifying any causal connection between DC and work trauma
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08/09/2004 23:41
Yolande Petrinnot registered
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08/09/2004 23:41
Yolande Petrinnot registered
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5th finger surgery
What is the average recuperation time for the above. I am an advanced classical pianist. What is average length of therapy time to play again. I have 2 pins at the moment which will stay some 6 weeks I'm told.
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08/12/2004 23:25
Pattynot registered
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08/12/2004 23:25
Pattynot registered
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trigger finger.
I too developed DC after a trigger finger operation on my middle finger. Same hand, same finger.
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08/12/2004 23:55
Randy H. not registered
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08/12/2004 23:55
Randy H. not registered
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Injury can ignite Dupuytren~sq~s
This is somewhat controversial, though may have us on this Forum see to high a correlation between their hand trauma and the onset of Dups. Only a few doctors will say such a correlation exists. Since Dups is so unpredictable it's hard to prove a particular theory, such as the negative effects of alcohol consumption. That being the case, you will not get medical assurance that the accident with your little finger triggered the Dups as a side effect. Dups *is* genetic, but I believe it can be triggered earlier that it might have otherwise showed up. Or, without trauma, it may remain dormant a person's whole life (such as the other members of your family). Rest assured, however, it *is* in your family but has only manifested in you. That's the same with my case.
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08/12/2004 23:35
Sean
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08/12/2004 23:35
Sean
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Injury can ignite Dupuytren~sq~s
Randy H., "This is somewhat controversial, though may have us on this Forum see to high a correlation between their hand trauma and the onset of Dups. Only a few doctors will say such a correlation exists."
Randy, your statement is a myth that has been perpetuated on this forum. It has been repeated so many times that it is believed. There are dozens of studies supporting the belief that injury can ignite Dupuytren's (if patient is predisposed). Actually, I haven't seen that disputes the information.
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08/12/2004 23:34
paulettenot registered
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08/12/2004 23:34
paulettenot registered
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injury causes
I feel I have some knowledge about this...have had this disease for over 45 years...wasn't even diagnosed as d/c..originally the doctors said it was arthritis etc etc...it started out as bumps on my knuckles that came and went...also on my feet as well...always told never to operate on feet, thank goodness...the bumps are still there and no problems...I fell almost 20 years ago and went down on my right hand...soon after my pinky went down...two butchered surgeries later, worse than ever with ring and pinky down to the palm...skin graft too..so called best surgeon and best Manhatten hospital...then developed in every finger on my left hand and never had injury...also not any family member on both sides have shown signs of disease...all I have gotten from all this, is not to have surgery and not to take any g/c or msn..going to Dr. Eaton soon with realistic expectations since my hands are really the worst case most therapists and surgeons have seen. Just hope I can post a positive result from Dr. Eaton and good luck to all who have this...Please research carefully before any traditional surgery... \
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08/12/2004 23:29
stage onenot registered
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08/12/2004 23:29
stage onenot registered
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Cause and effect
Sean and Randy. I do not know the answer; one theory is that a genetic predisposition exists for (micro)fibroblastic excess in wound healing, especially in hands, feet, and male genitalia (Dupes, Ledderhose and Pyronies.) Onset may be gradual, or rapid. An injury may result in wound healing that presents as the "nodule," "chord," "curvature" that prompts diagnosis. Is there a dispute about cause and effect? I am persuaded that in the absence of genetic predispostion, a given trauma would not result in nodule. chord or curvature. The workmen's comp approach is the opposite: the injury "caused" the nodule, chord, curvature. For me personally, McDonald's Super size meals do not "cause" obesity, heart disease, hypertension, etc. One needs to be susceptible and in the environment; absent of genetic predispostion, one could hammer away with minimal consequences. Work, injury, and McDonald's et al are not the "cause" of our conditions. Is anyone suggesting that "Warnings" apply (caution DD people, use of this implement may be hazardous to your underlying genetic predisposition to form fibroblasts in response to free radicals resulting from circumstances that do not bother 90% of the world's population.) I respect people's intuition; I also believe that stepping on a crack will not break a mother's back, nor does "squooshin" a bug cause rain. What is the issue? Absent workmen's comp or disability issues, is there a belief that "normal" tissue goes awry as a result of injury that results in DD, LD, PD? If so, we are truly divided into different persuasions about cause and effect. Final thought: Julia Child died a few days short of age 92 after a lifetime of meat, butter and wine. Dr. Atkins lived to be 70-something. Pick your ancestors carefully, adjust accordingly.
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08/13/2004 23:25
Sean
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08/13/2004 23:25
Sean
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stage one
Good comments. I agree predisposition is a necessity.
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08/13/2004 23:14
Randy H.not registered
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08/13/2004 23:14
Randy H.not registered
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Greek Gods
Sean,
I wasn't referring to the Greek Gods or even evoking Homer. What do your find so mythological about my statement? If there is incontrovertible proof that trauma can trigger the onset of genetically predisposed Dups, I'd be all ears, but I know of none. Other than a retrospective study, the only way to do a truly "Scientific" study of the trauma/Dups relationship would be to intentionally inflect trauma on the hands of an experimental group and compare their incidence of Dups to a control group who's hands have been tickled with feathers for the same duration:)
Since by definition (Except in Germany in the 1940's) this study will **never** be done, all we have is conjecture and opinion. I have stated mine, as have many others. But let's Cut To The Chase. Why is this a Hot Topic?.......Traditional Invasive Surgery is, in itself, highly traumatic. If trauma leads to an increase of Dups tissue, Surgery itself can be a Two Edged Scalpel, creating more disease as it corrects the first. But even if Dups and trauma should turn out to have Zero correlation (a proposition I personally doubt), the issue is now of no concern.
Now that the practice of NA has reached these shores, arguments regarding the relative merits between procedures will become increasingly moot. Fully educated patients (the consumers of medical intervention) will overwhelmingly choose the less invasive approach before resorting to the more expensive and traumatic. History has proven that nothing can stop a better idea (otherwise we'd be discussing this over telegraph). Regarding the rise of NA to prominence, says Dr. Eaton: "It's just a matter of time". He should know. He still does open surgery in the rare cases that NA is not the best option (especially when multiple surgeries have already been performed). On how many hands have any of us personally performed traditional surgery? How many NA procedures have we collectively done?......... exactly, Zip.
Right now, Dr. Charles Eaton is unquestionably the world's most highly qualified authority on the merits of both procedures. I think I'll listen to him. And according to him...... baby ....."It's just a matter of time"
Bring it on!
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