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Origin and Current Treatment
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06/08/2000 23:18
Elizabeth Joiner

not registered

06/08/2000 23:18
Elizabeth Joiner

not registered

Origin and Current Treatment

Dupuytren's disease bears the name of the French surgeon who discovered it in the nineteenth century. Now the French have invented an ingenious non-surgical treatment for the disease. I have had the treatment (needle aponevrotomy) and am delighted with the results.
There were three cords pulling my little finger to my palm. One of the cords was attached to my fourth finger so that the fourth and little fingers were practically inseparable. Through this forum, I learned of the procedure developed at the Lariboisiere hospital in Paris by rhumatologists (not hand surgeons). A needle is used to administer a local anesthetic to the hand, and the needle point is used to weaken the fibers of the cord(s) so that the cord will snap when pulled on. The procedure takes about 15 minutes in all. Everyone's tolerance of pain is different, but I found it no worse than a visit to the dentist's office requiring novacaine shots. Afterwards, the patient must wear a bandage for three days but can do normal types of things such as cooking, driving, etc. It is recommended not to lift, push or pull heavy objects for ten days to two weeks.
Because of the three cords, I had two sessions on consecutive Mondays, and I could not be more pleased with the results. My little finger is as straight as it was before the contraction, and I can move it just as well as any other finger. Sometimes, I just gaze at my hand and wiggle my fingers in delight. Dr. Badois, who performed the procedure in his office, has a nice, easy manner and a good sense of humor. He is one of the developers of this method of treatment and, as such, is extremely capable. Since I am fluent in French, that was the language of choice for the procedure, but Dr. Badois told me about using English when he did the same procedure with a Dutchman, and he has used English with other English-speaking clients as well. The cost is minimal. With the strong dollar this summer, I paid under $300 total for the two office visits.
Dr. Badois has a web site, and I would recommend that anyone contemplating this type of treatment consult his web site, which I found through this forum:
http://assoc.wanadoo.fr/f.badois-dupuytren
You might also want to read the discussion under the topic of "needle aponevrotomy" in this forum. I was fortunate enough to have seen a French television program on "the hand" before having the procedure myself. The procedure was actually shown on television so I knew what it would be like.
One thing that I wish I had done was to have sent a photo of my hand to Dr. Badois in advance as some people do. As it turned out, it was no problem, but that way he would have had a better idea of the extent of the contracture beforehand.
Another French tidbit, Duputren's was popularly known for years as the "maladie du boulanger" or "baker's disease" because people in that line of work tended to have the disease, and popular opinion concluded that kneading bread caused or contributed to Duputren's. I wonder if there could be a yeast connection???
I hope that this will be of help to others.

06/08/2000 23:02
Jim Hughes

not registered

06/08/2000 23:02
Jim Hughes

not registered

needle treatment

Thanks for taking the time to post all the information - much appreciated. It certainly seems that if the procedure works as well as you say, it will become available here in the U.S.

My main question is, will those cords re-form, and if so, will it take long enough that the procedure is nevertheless worthwhile?

06/11/2000 23:08
Elizabeth Joiner

not registered

06/11/2000 23:08
Elizabeth Joiner

not registered

Return of Dupuytren~sq~s

Will the cords come back? In a note to this forum Robin Hames (see his message under the topic entitled "needle aponevrotomy")tells of his experience with both the classic operation for Dupuytren's and needle aponevrotomy. He first had the operation and found that the condition rapidly came back. He then had needle aponevrotomy from Dr. Badois. After 4 months he noticed that Dupuytren's was returning but NO FASTER than with the operation. When comparing the two, he states that the result was similar in both cases but that his life was much less disrupted by the simple needle aponevrotomy and there was no scarring. Another advantage is that needle aponevrotomy can be done again easily if necessary.
Of course, we would all like to find a way of preventing the onset of Dupuytren's, but I am delighted that needle aponevrotomy is available until that time.

06/11/2000 23:28
Elizabeth Joiner

not registered

06/11/2000 23:28
Elizabeth Joiner

not registered

Needle Aponevrotomy

It is quite true that needle aponevrotomy is not a new procedure. It has been available in France for at least
20 years but has not been widely practiced because research needed to be done and doctors needed to be appropriately trained to use it. That research has now been done at Lariboisiere Hospital, so even though the technique is being presented as "new" to the general public, all rhumatologists in France have known of this for years. It may not turn out to be as good as the collagen treatment, but it seems to me to be certainly preferable to the classic operation, being both less costly and less disruptive to one's life. Of course, it is not a cure all. I still have knuckle pads and can feel a little hardness (no nodule) in my palm, but no one looking at the two palms could tell the difference. The main thing is that I have full use of all fingers. If the contracture comes back, I'll go to France again. This is, of course, a personal decision for each of us.

--

06/12/2000 23:06
Jim Hughes

not registered

06/12/2000 23:06
Jim Hughes

not registered

Non-Surgical Cure ?

This is a useful discussion. I've had the surgery once and it was a MAJOR disruption due to the length and number of incisions. Repeating the needle procedure, even at 6 month intervals, sounds like it would be vastly preferrable in my case, if it were successful. I'm not going to have good looking hands in either case, due to the knuckle pads. I had a pad removed by surgery and although the knuckle looks nice again, the residual stiffness is such that I'm not sure I'd bother to have additional pads removed. All I really hope to gain is full use of the fingers. I certainly hope that the needle procedure becomes generally available in the U.S. We should have this option.

And - it seems like it's about time we should start hearing something about the collagenase treatment! Does anyone have news?

06/13/2000 23:17
D Beason

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06/13/2000 23:17
D Beason

not registered

Non-Surgical Cure ?

Hope you can help!

I’m new to the Dupuytren's Forum, but not to Dupuytren's that showed up about 10 years ago. Had surgery on my left hand 2 years ago but Dupuytren's is now back in the L hand worse than ever. So I know from experience surgery is only a stopgap.

I know about the French Needle so I am very interested in info about non-surgical cures. Question:

1) Are there any legit non-surgical cures? Who and where?
2) Is the SUNY Stony Brook cure near going public? Any info on the status?
3) Are there any doctors (or anyone else) doing injections? Who and where?

Please help with any info you have. I don’t want any more surgery!

Thanks Very Much!

06/17/2000 23:46
Mike K

not registered

06/17/2000 23:46
Mike K

not registered

~dq~The French Connection~dq~

I have just returned from Paris today (18 Jun) after having received treatment from Dr. Badois on 16 Jun for stage II DC of the right hand. I am extremely pleased with the results.

I am a Dentist by profession and researched this carefully before I made my decision as to the treatment I wished to have to correct this malady. I personally feel that it would be prudent for anyone suffering from DC to expect recurrence of the DC regardless of the procedure used to correct it. With that expectation, consider that a person can only have a finite number of surgeries on the fingers before amputation becomes necessary because of scar tissue. Needle aponevrotomy, on the other hand (no pun intended), can be used an infinite number of times to correct this condition because there is no resultant scar tissue. I pointedly asked Dr. Badois what I could expect as a reasonable time between treatments assuming the condition recurs. He said that 2-3 years is average.

I have been in contact with Dr. Hurst at SUNY, Stonybrook, NY, who heads the team conducting the collagenase research. He feels that if all goes well, this treatment modality will be made available to the general public by the end of next year.

My thinking was/is, that I would use the treatment performed by Dr. Badois as often as necessary until Dr. Hurst and his team finish their research and collagenase therapy is approved for use. My reason is simple. I cannot afford to be out of work for the time necessary to convalesce from surgery (a minimum of six weeks), whereas, with the needle treatment that I received from Dr. Badois, I can start treating patients again immediately.

I found Dr. Badois to be professional, courteous, and extremely competent. I watched the procedure closely, and his sure-handed operating technique is testimony to the vast experience he has had performing this procedure.

06/19/2000 23:43
Jim

not registered

06/19/2000 23:43
Jim

not registered

just found out i have dupuytren~sq~s disease

Thanks for taking the time to post that detailed message. I've already had surgery on one hand, and I think your reasoning is quite correct. The surgery works, and if it's a thorough job I believe the time before recurrence could be much longer than with the needle treatment. Unfortunately, the more thorough the surgery, the longer the recovery period. Residual stiffness is another tradeoff.

07/10/2000 23:29
vince cangemi

not registered

07/10/2000 23:29
vince cangemi

not registered

just found out i have dupuytren~sq~s disease

i would lik to know if there is any thing that may help my condition. i have 3 small pea size nodule's. two behind my left ring finger and the other behind my little finger. two are in the folds in my palm and the other is in front of the one on the ring finger.i us my hands in work and am concerned. is there any vitiamens that help or any other information that might help me.

thanks vince

10/02/2000 23:18
Feranando Hartwig

not registered

10/02/2000 23:18
Feranando Hartwig

not registered

non chirurgical intervention

have just come back to Chile after flying to Paris to see Dr.Badois .
Perfect result , no problem left after 8 days absolutely normal.
strongly recomend.

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