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NA in USA
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JIm McDonnell

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JIm McDonnell

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NA in USA

I have heard that the reason Needle Appronerotomy is not done here in the US is because it is not an approved procedure of the AMA. As such, doctors will not and cannot do so here, even if they wanted to. Using a needle is not considered surgery but a treatment. The scalpel and not the needle, is the weapon of choice of US surgeons, and this adds to the hesitation of its use. Does anyone know if the AMA or any other group (surgeons etc.) oppose this procedure here in the US, and that is why it is not done here in the land of the free? JIM

Sean 

Sean 
NA in the U.S.

Jim,
My surgeon had no problem with the procedure(NA) if that is what someone wanted. He was also very aware of collagenase and had sent two or three patients to Stanford for trials.
The problem, as we have discussed previously, is that there is no training for NA in the U.S. Dupuytren's is generally a small part of a good hand micro-surgeon's practice. They are generally, much busier reconstructing hands from accidents or more serious hand diseases. There is just not the incentive to take time off from their practice to learn NA. Remember, surgery is the standard practiced in most countries in the world. There are only a few countries that will allow NA to be done. Most of Europe still considers surgery as the procedure of choice, so it isn't just the U.S.
It just comes down to an individuals choice as to what type of procedure they would want. NA and a fasciotomy have (by most studies) have a higher recurrence than a limited fasciectomy, but they are less invasive, and that is appealing to some people.
It is my opinion that Segmental Aponeurectomy is the preferred procedure, but it is not available (to my knowledge) in the U.S. or most of the world.

JIm

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JIm

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NA in USA

Sean:
So you are saying that your surgeon will do the Needle Procedure here if desired! That is good news. You should post his name and phone number because several people here are looking for this. What city is he in? JIM

Sean 

Sean 
NA in U.S.

Jim,
What was meant was that he had no problem with people choosing NA. He didn't care what type of procedure that a person wanted. He mainly does limited fasciectomies, but if a person wanted to go to France for NA he didn't care.

Anon Emus

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Anon Emus

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Dead End!

More of your MUMBO-JUMBO.

JIM

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JIM

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Dead End!

I concur. The USA NA procedure is a dead end. A better use of time would better spent acquiring a passport for a trip "over there". JIM

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Aponeurectomy   generally   reconstructing   recurrence   hesitation   appealing   micro-surgeon   surgeons   fasciectomy   individuals   countries   collagenase   previously   incentive   MUMBO-JUMBO   Appronerotomy   considered   procedure   fasciotomy   fasciectomies