Gary,

Great material. I will be purchasing that book. In regards to NA, particularly as pertains to the last sentence in your post, it is important to note that treatment is not restricted solely to the palmar fascia/cord, but in fact extends out to the fascia/cord between the MP and PIP joint. The sequence of treatment is proximal to distal, starting with the most proximal palmar adhesion. Extention of the PIP joint was minimal while treatment was ongoing in the palmar region. The dramatic extention occurred when the cord was severed between the MP and PIP joint. I am at a loss as to why the author restricted his comments/treatment strictly to the palmar cords.

Mike

Since nothing seems to deter you from your agenda, I have a proposal for you to consider.

Please give us a rest for awhile. I will gladly contribute to a fund to send you on a round the world cruise,
however with 1 restriction, that being that you refrain from posting to the forum during that period.

Gary,

What is perplexing to me is the fact that there has never been feedback from hand surgeons in these forums. I am sure there are surgeons out there who visit here. It would be nice and very informative to hear some constructive professional feedback from hand surgeons.

Mike

Mike,
This is my experience with the two hand surgeons I consulted before surgery. The one who did my surgery, just doesn't have the time (he said) to surf the web about Dupuytren's. It was interesting to watch his workload. While in his office I noticed a large amount of very serious injuries come through there. The things he was doing in microsurgery was remarkable. Literally putting hands back together in cases of accidents. On the scale of things, Dupuytren's is far down the scale in urgency. He "enjoyed" doing the Dupuytren's procedures because generally the patients weren't in pain, their bones weren't smashed (or missing)and there wasn't the immediate time element. He did about 5-10 Dupuytren's procedures per week. I will say this again in support of these surgeons, they are very talented people and don't deserve the derogatory remarks made about them on this forum. Naturally, like any profession there might be some who are not as good as others, but to blame the whole medical industry and the AMA is pure folly by over zealous NA supporters.
Gary

Gary,

Thanks for taking the time to type in the excerpts from Raoul Tubiana's book. Great summary and seems to be in agreement with other material I've found.

For the record I've had 2 limited fasciectomies. One was palmar and was very successfull. The other was for 2 PIP joint contractures which was only partially successfull, as expected.

As Dr. Badois (Paris) and other NA practitioners have explained, the effectiveness of NA depends on the nature of the contracture. Where there is an accessible and well-defined band to be severed, it seems to work quite well. Where there are adhesions and other complications, it's not as effective. I had considered NA and sent photos to Dr. Badois. He was very up-front about the limited possibilities for success via NA in my case.

It's unfortunate that some people have had bad experiences with surgery and I empathize with their frustration, which comes through in some of the posts on this discussion thread.