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Help on the Horizon
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11/11/2003 23:26
Stage One

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11/11/2003 23:26
Stage One

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BTC Collagenase Study

Cindy, you are posting on the BTC web site. BTC is the
developer of a form of Collagenase, an enzyme that dissolves
collagen the building block of connective tissue. Two separate "trial studies" are being conducted. One is A Stanford U. in Palo Alto, CA. The other is at SUNY-Stoney Brook in NY. Results seem promising; apprroval and training
are off in the future. No one knows if or when the treatment will become available. You can learn more about BTC and collagenase by clicking on the "Information" button
to the left of threads. Imagine meat tenderizer; the colagenase is injected into the palm area in minute amounts
over several weeks disolving the fibers and weakening the
bands that bind the finger tendons. Ultimately, the bands are released. (Hopefully, nothing else dissolves.) Hope this
helps. Read up on Needle Aponevrotomy also as another approach. Talk to your Doctor about your options.

11/11/2003 23:39
Pablo

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11/11/2003 23:39
Pablo

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Vitamin C

Debra,

Others on this forum have warned against taking excess Vitamin C, and after checking into it, I agree. Vit. C is known and recommended for promoting collagen growth. As such, I think excess is something to avoid for DC/LD sufferers. It's the only antioxidant I've found with this reported effect, while there are some anecdotal reports of Vit E being beneficial to slowing the progress.

The other obvious thing to avoid is glucosamine, used for joint health by promoting new collagen formation.

11/11/2003 23:01
Tom M

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11/11/2003 23:01
Tom M

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Dupuytrens

Pablo is correct.

Also, Dupuytrens does vary from person to person. In some, it is very aggressive, while in others it does not move beyond the nodule stage. Vitamin C and glucosamine are to be avoided. In my case, I've had nodules for several decades, but no contracture -- but I am in an active preventative mode. I've greatly limited vitamin C and have increased vitamin E, and it appears to have had a moderating result. I'm presently trying lecithin, but it's too soon to report, although nodules do appear to be getting softer. The other important thing is to be moderate in alcohol consumption. And, try to limit harsh impact on the hands.

Good luck to all.

02/18/2004 23:04
Charlie 
02/18/2004 23:04
Charlie 
How Many?

The channel 6 article said there are 4 million DD patients? Really? If that is the case, then the majority must be having surgery to relieve their discomfort. Dr. Eaton could not handle nearly that many. Yes, I realize not all 4 million need treatment at the same time. It still seems like a huge load.

02/18/2004 23:19
Randy H.

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02/18/2004 23:19
Randy H.

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Charge!!!

Besides helping just a relatively few patients, what Dr. Eaton has **really** done is to create a medically respectable "beach head" for the invasion of NA into the US. The channel 6 piece is a terrific opportunity for those of us who have a relationship with a Dups surgeon to help educate them. Most of our docs won't listen to us mere mortals, but this short human interest piece adds so much legitimacy and credibility to NA we can't miss this opportunity to get our docs heads out of the sand. Send your doc this link:

http://www.local6.com/money/2856938/detail.html

The "Internet" referred to in the news piece is **THIS SITE**. Let's take every opportunity to leverage the success we've had strike while the iron is still hot. The news piece will not be available for ever, so DO IT NOW!

(Walt, you're famous!!!)



03/29/2004 23:10
Mary Bennett

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03/29/2004 23:10
Mary Bennett

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Dupuytrens in Oz

Have read your messages with interest this evening.

I am a 50 year old woman, first diagnosed with Dupuytren's in the right hand whilst undergoing treatment in 1995 for calcification of the tendons in the right wrist (due to repetitive, heavy work). Had my surgery in Dec 2001 in Brisbane resulting in a straight finger.

Now in 2004 the same finger is fixed and rigid at 90 degrees and pulling the ring finger sideways and down. It has come back with a vengeance and it looks like surgery again. There is little flesh left on the finger and I have been told there is very little chance of straightening it successfully again.

My question is this - does anyone know of any trials being conducted in Australia with regard to injections and the topical drugs I have been reading about on the USA sites.
Or if anyone on line knows if they are already available and what name they are sold under here.

Am I clutching at straws??

Thanks Mary

03/29/2004 23:15
jim h

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03/29/2004 23:15
jim h

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Dupuytrens in Oz

Injectable Collagenase isn't available yet and is quite possibly still years away.

There is a topical treatment by Prescription Dispensing Laboratories (http://www.pdlabs.net/) but it's effectiveness is very questionable.

Needle aponevrotomy (referred to as NA in this forum) is the best choice today but you'd have to travel to Europe or the U.S. (Florida). And success isn't guaranteed, especially on a PIP joint that's had one surgery already (like yours and mine).

03/30/2004 23:36
Mary Bennett

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03/30/2004 23:36
Mary Bennett

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Dupuytrens in Oz


Third attempt at this message, keep hitting the enter key accidentally, thus the blank one previously.

Thanks for the feedback Jim. Trips to Florida etc are out of the question, financially, but it is nice to dream. Would probably lie on the beach if I went there anyway, not go to the hospital.

I was most interested to read on one of the USA sites about the consumption of alcohol being a factor in some cases. As a complete non-drinker this really puzzles me. I think my 'trigger' is genetic having both parents from Scotland and constant RSI for over 10 years (in my 30s/40s) from farm labouring work.(chipping cotton etc.)

Like most in this situation I am seeking an answer, not just to my situation, but to others. Would be interested to hear of other people's experiences. Feel free to contact me by email if you prefer.

I have an appointment with a Chiropractor tomorrow, who is going to look at it - will try anything once.

Have also volunteered for any Australian based trials when they happen through the hand clinics at both hospitals. Still waiting for the trial of Collagenase I put my name down for in 1997.


Kind Regards
Mary


03/31/2004 23:45
jim h

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03/31/2004 23:45
jim h

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Collagenase

The supposed link with alcohol is very questionable. I believe the study involved veterans - older men, who would have a higher frequency anyway. It may be accellerated by alcoholism. I don't think it's connected with physical use or RSI either - though possibly with trauma. DC is almost certainly genetic in my opinion.

04/05/2004 23:07
Jon 
04/05/2004 23:07
Jon 
Collagenase

I had the Collangenase injection for Dupuytren,s Contracture. It did not work for me, however, for some it did. In four or five more year it may prove to be effective treatment.

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