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Needle Aponevrotomy experiences
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02/04/2004 23:53
Charlie 
02/04/2004 23:53
Charlie 
France

France sounds like a grand adventure. My wife was disappointed that we did not go to France for NA. Another wife in Dr. Eaton's waiting room was also disappointed that her husband choose Florida over France.

I don't know when I will see Dr. Eaton again. No one knows how long my finger will stay straight.

02/05/2004 23:08
Mike

not registered

02/05/2004 23:08
Mike

not registered

Why does Dr. Eaton prescribe Allopurinol?

Charlie,
Do you know why Dr. Eaton prescribes Allopurinol? From what I have read, Allopurinol has traditionally been used to counteract side-affects of chemotherapy.
Thanks, Mike

02/05/2004 23:42
Charlie 
02/05/2004 23:42
Charlie 
Allopurinol

Mike,

I have been thinking about splinting and allopurinol lately. I think Dr. Eaton is trying to extend the time between NA treatment by using established and experimental methods. Splinting is commonly used in traditional hand surgery to help fingers heal straight. I can see why he is trying splinting on NA patients too. I am clearly benefiting from splinting. When he prescribed allopurinol he told me that he thought it may (and I emphasize may) help prevent a reoccurrence of NA. I know allopurinol is used for gout and to counter side effects of chemotherapy. I am willing to give any treatment Dr. Eaton offers a try with the hope that I may have add to the months I have without a reoccurrence.

02/05/2004 23:57
Wayne Vogen

not registered

02/05/2004 23:57
Wayne Vogen

not registered

Allopurinol

I have a fairly aggressive case of DC in both hands. I just had them treated very successfully by Dr. Lermussiau. He fixed a 1 on the right middle finger, a 1 on the left thumb, a 1 on the left middle finger and a 2 on the left ring finger. The ring finger had been treated 3 months previously and was a 4 to start. I have been taking Allopurinol for 7 years for gout. I am not sure that it slows DC down much. However, if it does maybe mine would be much worse. I guess that is why they do double blind, placebo, etc. tests. Is there anyone else out there with this combination?

03/23/2004 23:30
Don Westin

not registered

03/23/2004 23:30
Don Westin

not registered

Needle Aponevrotomy Results

I am very happy with my NA results. I recommend it to everyone. No surgery, little pain, short recovery, happy camper. All credit to the fine Dr. Eaton....my hero!

05/12/2004 23:57
Malcolm Thornton

not registered

05/12/2004 23:57
Malcolm Thornton

not registered

NA

Can you let me know how to get in touch with Dr Lermsiaux?
I am resident in the UK and my twin brother and I are sufferers of Dupuytrens Contracture.
I would be very grateful and especially delighted if a duly trained doctor wqas available in the UK!

05/12/2004 23:58
Malcolm Thornton

not registered

05/12/2004 23:58
Malcolm Thornton

not registered

NA

Can you let me know how to get in touch with Dr Lermussiau?
I am resident in the UK and my twin brother and I are sufferers of Dupuytrens Contracture.
I would be very grateful and especially delighted if a duly trained doctor wqas available in the UK!

09/16/2004 23:16
Charlie 
09/16/2004 23:16
Charlie 
NA

Kaiser Permanente, one of the biggest health providers in the US says:

"Needle aponeurotomy is a form of fasciotomy that is done as an outpatient procedure with local anesthesia. While it has been done for several years in France, it is just being introduced in the United States."

Is NA becoming more recognized by the medical establishment?

09/18/2004 23:04
Chad

not registered

09/18/2004 23:04
Chad

not registered

acceptance

I'm a doctor with early DD. I've talked with a few hand surgeons about NA. They know very little about it, but have strong feelings (negative). When I discussed the results of this forum with my surgeon, and sent him the scant literature, he softened up somewhat. The more I talk to him, the closer he is to actually considering getting tranined. The problem is poor reporting in the established medical literature, and absence of mass marketing since only needles are used, no fancy expensive drug or device. I REALLY HOPE Dr. Eaton writes a great paper someday and goes on the lecture circuit a little. The guy could become a celebrity in his field if his results are as good as this forum suggests. He will be sneered at by colleagues for awhile, but if he sticks with it and publishes solid science, he could achieve fame and fortune if he wanted. He is way ahead of the curve in the U.S.

Everybody should go to his website, collect the references cited on NA, and give them to their hand surgeons, and tell them that eventually, public demand will drive this and collagenase through, and they don't want to see their own hand surgeon left begind in the dark ages.

There is an old saying that applies to surgeons, "when all you have is a hammer, everything looks like a nail." Right now, all most have is a scalpel. Give them the papers, and show them your enthusiasm, show them your NA results if you had it, and they will eventually come around. Sometimes, once the momentum builds, it can happen quickly, even after years of stalling. This whole phenomenon has played out many times in medicine.

09/19/2004 23:10
Frances

not registered

09/19/2004 23:10
Frances

not registered

Future of NA

Dear Chad,

Thank you for the time and effort you have put into disucssing NA with your medical community - the more medical doctors/surgeons who know about this procedure - the better.

You are absolutely correct in saying that we need hard evidence to get NA accepted. Many of us have been hanging around this board for years trying to spread the word; hoping that some day someone in the medical community would take an interest and get that study done so NA could be perceived as a legitimate treatment by all thus spreading around North America and becoming affordable/available to the average DC sufferer.

Dr. Eaton's interest and excellent website has helped tremendously - but as you know - we need more - we need credentials and we need definitions as to who should be performing NA ie: background and training.

Since we have not yet attracted a team to get this job done it is my guess that this is in part because 1) those doctors who know about NA are still young and don't want to take time away from their practice, 2) drug companies would have not interest - no money to be made, and 3) big business would not benefit.....So....Do you have any retired MD friends who would like to take this on?

Frances

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