Yes, after heart surgery patients are home in a day. After Dupuytren's surgery you get home even quicker. And with NA, there's no down time at all. Although these methods aren't completely effective, they all represent viable mechanical solutions to a problem with no systemic remedy.

I suggest we all forget about Collagenase. It's years in the future at best, and I see no advantage over NA for Dupuytren's (although Peyronie's is another matter).

Little research is being done on Dupuytren's because no the drug companies see no big money in it.

What we need are better 'mechanical' solutions. NA and surgery are both effective with clearly defined palmar cords. But when the PIP joints are involved, a downward spiral begins. We need new techniques to restore those joints to full function by disconnecting the DC tissue without causing massive scarring and long-term joint encapsulation. There's no way to prevent recurrence, so we need affordable treatments that can be repeated as needed.

Maybe the next advancement will be ultrasound, or LLLT, or NA guided by real-time imagery. But it won't be a pill or injection.

Kevin,
Thanks for the site. Any plausible theories should
be presented and yours seems to have merit for additional
research. Finding the cause is the only way to someday
find the cure. Also if DC is a symptom of a bigger health
problem it needs to be identified. While there may not be research studies to back up glucosamine and chondoitin
causing advancement of DC, there are certainly cases of some
sufferers having this happen. Correct diet and enough sleep
are changes anyone can make. There are also medications to
help people stop smoking or drinking alcohol. Unfortunately
those with diseases like epilepsy or diabetes may find
themselves in a position of needing a medication for one
disease which may activate another. Thanks again and
good luck.

...but still can't find the website...can someone either post a direct link....or give me some specific words that I can 'Google' with.

thanks

You posted on another DD forum maintained by
the Lariboisiere Hospital Group. That site is
maintained by Dr. Badois and DR. Rappaport as
webmasters. Dr. Lermusiaux also visits the
site and was the originator of the NA procedure.
To date, virtually all NA prctioners were trained
by him. Others have been trained by his proteges,
staff members at other locations. The hospital
address is listed on that forum's home page. The
BTC collagenase trials at Stanford and Stoney Brook
would be another source for comment. Dr. Hentz (sp?)
is one name that I recall.

Thanks for the great article, Kevin. Will be seeing both a rheumatologist and an endocronologist tomowwow and will see that both have copies.