Needle Aponevrotomy experiences |
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01/27/2004 23:05
Randy H. not registered
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01/27/2004 23:05
Randy H. not registered
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Either Or???
Sean,
Why look at Surgery Vs NA as mutually exclusive, "either or" propositions? Doesn't it make all the sense in the world to try less invasive, less expensive, less painful procedure first? If the results are non-satisfactory and could be further improved by open surgery, that option always remains. Heart surgeons no longer go straight for Open Heart when angeoplastie can be tried first. Why should Dups be any different? Obviously hand, heart or knee (orthoscopic) surgery are all different. I'm talking about the medical **principle** of starting with the most benign treatment first and then going toward the more extreme. There is no evidence that NA would make subsequent surgery more difficult or less effective. The data seems to suggest that NA may postpone or prevent the need for surgery altogether in many cases. However, only a long term scientific study will tell us exactly how NA can be used to compliment open surgery for the best care.
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01/27/2004 23:06
Sean
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01/27/2004 23:06
Sean
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NA
Randy H, I'm not saying it is best for one(surgery) or the other(NA). I can understand your logic. I would be willing to guess that every DC situation does not lend itself to NA. Maybe I'm wrong and that is what I would like to ask Dr. Eaton who obviously knows much more than either of us. Are you suggesting that he is no longer performing surgery and only doing NA?
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01/27/2004 23:13
Charlie
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01/27/2004 23:13
Charlie
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Dr. Eaton
Sean,
All the other patients in Dr. Eaton's waiting room were there because DD had come back with a vengeance after hand surgery. None of them wanted to repeat that nightmare. They were all very hopeful that Dr. Eaton could help them with NA. I was the only first timer in the room.
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01/27/2004 23:17
Charlie
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01/27/2004 23:17
Charlie
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Dr. Eaton
Sean,
Dr. Eaton is a complete and very excellent hand surgeon. He sees DD patients on Monday. He sees other patients and does hand surgery the rest of the week.
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01/27/2004 23:46
Sean
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01/27/2004 23:46
Sean
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NA
Charlie, My question is, does Dr. Eaton just do NA for Dupuytren's now? or is he also doing surgery for Dupuytren's Contracture? Does he decide which procedure or does he leave the decision up to the patient?
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01/27/2004 23:21
Charlie
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01/27/2004 23:21
Charlie
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Dr. Eaton
Sean,
I took this from Dr. Eaton's homepage. It implies that he does NA and surgery for DD depending on his pre operative evaluation.
"Is NA better than Surgery?
Yes and No
* Because it's less invasive, NA can be performed at an earlier stage than surgery.
* Recurrence is a problem with any treatment, but is more likely following NA than surgery.
* Contractures of the proximal interphalangeal joint (the knuckle in the middle of the finger) are more reliably treated with surgery than NA.
* Repeat NA after NA is fairly straightforward. Repeat surgery after surgery is not."
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01/27/2004 23:43
Sean
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01/27/2004 23:43
Sean
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NA
Charlie, Thanks. I was just wondering if you had first hand conversations about the questions. From the website, I get the impression that both surgery and NA are performed.
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01/27/2004 23:49
Amy R.not registered
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01/27/2004 23:49
Amy R.not registered
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duh
If Sean/Gary wants to know about Dr. Eaton, why doesn't he just ask him?
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01/28/2004 23:36
Gary
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01/28/2004 23:36
Gary
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I~sq~m Back
Hello everybody,
I haven't posted in many months due to outside issues. This time off allowed me to reconsider the options that are available and I've decided that NA is the vastly superior technique, that should be the first choice for all when considering their treatment options.
I know this is quite a reverse from my earlier postings but even this old horse can learn new tricks.
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01/28/2004 23:23
Len Buchanannot registered
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01/28/2004 23:23
Len Buchanannot registered
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Needle Aponevrotomy
I have a question for the readers out there. I read a lot of posts from others and many of the pictures out there are with people whose fingers are curling, in which they are unable to straighten the fingers. In my case, my fingers are straight, and have no problems with curling/uncurling them, my problem is that the cord is drawing my little finger and ring finger down so that I can not lay the hand flat, nor straighten it out. I understand it takes different forms, I was just curious how many of the 'readers' are affected one way or the other. Just a thought/question. Thanks
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1 .. 9 .. 16 17 18 19 20 .. 29
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1 .. 9 .. 16 17 18 19 20 .. 29
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