Cause of Dupuytren |
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02/02/2006 23:33
Winona Williamsnot registered
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02/02/2006 23:33
Winona Williamsnot registered
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Cause of Dupuytren
Some months ago I severely dislocated the ring finger on my lefy hand. Months later after physio and occupational therapy I noticed little bumps in the palm of my hand under all four fingers. A plastic surgery doctor has diagnosed them as signs of Dupuytrens. He tells me that their appearance after my injury is coincidental. However there is no history of this disease in my family that I can find. Is there any possibility that this disease could be triggered by injury?
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02/02/2006 23:31
Francesnot registered
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02/02/2006 23:31
Francesnot registered
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injury
Hi Winona,
You have asked the million dollar question for which there is no definitive answer. In Ontario Workers Comp Claims have been paid out for a few people who proved they were injured on the job and had none of the usually heredity/ medical indicators (age, family history, diabetes, epilepsy, alcoholism etc...). But to my knowledge there have been no posts from any other country with similar rulings.
Frances
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02/02/2006 23:23
Tommynot registered
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02/02/2006 23:23
Tommynot registered
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injury
Winona,
Who's to say? There have been suggestions that local trauma can "trigger" Dupuytren's. Many posts on this website have covered that possibility. One of our contributors was mugged and part of his finger was bitten off by the attacker. His DD showed up not too long after. In my case, torn tendons on the back of my hand from one bad golf swing preceded my bent fingers by less than a year. However, my other hand suffered no trauma of any kind and it's just starting to show signs of DD.
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02/02/2006 23:09
wolfgangnot registered
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02/02/2006 23:09
wolfgangnot registered
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trauma
Without the intent to bore anybody with my personal story: I developed six nodules within about one or two months after surgery, three of them on the not operated hand. I was told that the healing process is fostering the growth of the nodules (Dupuytren is sometimes described as an exaggerated healing process) and that this is not confined to just where the wound is because after a major trauma the production of cells is generally increased. True or not? Not a prove but sounds reasonable to me.
Wolfgang
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02/02/2006 23:17
miriam
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02/02/2006 23:17
miriam
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more nodules after surgery
Had surgery on 11/22 and SO FAR I have NOT sen any additinal nodules on the other hand. Let's hope it stays this way- Just wanted to inject a positive note here :>)
I'm recuperating albeit VERY slowly. At least I am no longer in such terrible pain as I was. Hand closes, but it's very hard if not impossible for me to straighten out my operated-on fingers ( 3 of them) Still getting physical therapy and am hoping for better results by next month. Stay tuned. Cheers, Miriam
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02/02/2006 23:34
Bruce
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02/02/2006 23:34
Bruce
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Surgery
After my surgery (not NA), one of the first things the doctor did (post op visit 10 days hence) was force may hand open & shut about 10 times. God it was painful, but I now understand that it had to be done - otherwise the healing process would leave me with frozen tendons and limited mobility.
After discovering NA, I had Dr Eaton do my other hand. He also applied some pressure to break up the DD growths, but it was about 1% as painful as above.
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02/02/2006 23:28
Sean
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02/02/2006 23:28
Sean
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Surgery
Bruce, What kind of surgery did you have? How did the 'open and shutting' keep from popping the closure wide open? I have never heard what you suggest, and it is not necessary (or even possible) ten days following a fasciectomy. If you had a fasciotomy it might be more understandable.
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02/02/2006 23:56
Randy H. not registered
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02/02/2006 23:56
Randy H. not registered
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What Closure?
Sean, I had a fasciectomy using the Mccash method. Immediately after the bandages were removed I started therapy. Not the first day, but within a few days they had me opening and closing my hand at least 10 times a day. Sure it bled a bit. Big deal. But I think only the frozen shoulder therapy edged it out as the most painful experience of the last 10 years.
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02/02/2006 23:55
Sean
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02/02/2006 23:55
Sean
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Surgery
Randy, I started therapy immediately, also. But I certainly didn't "force my hand open & shut about 10 times", as was described. Therapy is extremely important. Mine was never painful and my hand (as you know) is still 0 contraction and no visible signs of Dupuytren's. It just seems that there is a constant effort to portray a fasciectomy as something worse than it normally is.
I drop back on this site about once a month and it is the same thing by the same people, trying to promote NA by degradation other surgical procedures.
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02/02/2006 23:26
Randy H. not registered
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02/02/2006 23:26
Randy H. not registered
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Yay NA!
Sean, I think you're being a bit too sensitive about what you perceive as attacks on Open procedures. I doubt an unbiased observer reading the posts over the last year or so would read anything other than people reporting their individual experience. No one has ever question or doubted your highly successful Open procedure. All others here have done is report on theirs.
Now. Granted, you've made the point a long time ago (and recently Wolfgang also suggested) that it's mostly people with *lousy* OS experience who hang around here. Most people with *your* experience just go merrily on their way. That may explain what seems like bias on this site. However, I don't see evidence of "surgery bashing" lately. Just people that were not as fortunate as you were who are expressing the facts and their feeling regarding their experience. That's it. That's all it is.
Anyway, always good to see you around.
Randy
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