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Important: Skin Splitting During NA
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01/25/2006 23:03
Bob Bee

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01/25/2006 23:03
Bob Bee

not registered

Important: Skin Splitting During NA

Sometimes, during the NA procedure when the finger is flattened and instead of the Dupe Contraction being totally released, under the stress the hardened band of skin fails, it "splits", leaving a deep open palm wound. This complicates recovery, leaves scars in the palm and is not an optimal outcome. Please share the following:
QUESTION: Have you experienced this with your NA procedure?
QUESTION: Has your Doctor had you do anything before NA to prevent "splitting"?
QUESTION: Did your Doctor alter the procedure, like doing NA on the same finger in two or more sessions, to avoid "splitting"?
Please write with any info you have, I want to avoid "splitting" as much as possible with my up-coming NA.
Thanks

01/25/2006 23:53
marjorie 
01/25/2006 23:53
marjorie 
Important: Skin Splitting During NA

Hi,
Yes splits can happen but it is quite rare. Normally the split occurs when the dupuytrens has pits as well as nodules. The split happens when the skin has hardened so much that there is not enough skin to stretch when the band is broken. The usual place for this to happen is at the base of the little finger. A good practitioner of NA will know if a split is likely to occur and will only break the band halfway, which may cause a small split to happen, this then heals from the outside and a second treatment at a later date can then take place to straighten the finger fully. This happened to me. It was not a problem but choose your doc carefully and ask if it will happen to you.
Marjorie

01/26/2006 23:57
Bob Bee

not registered

01/26/2006 23:57
Bob Bee

not registered

Important: Skin Splitting During NA

Marjorie, thanks for your reply.
So, doing NA over a few visits helps to minimizes the risk of splitting. Is your pinky now without scars or pain/itching? Can I ask who your Doctor was? Also, is there anything that can be done to soften the skin prior to NA?

01/27/2006 23:00
marjorie 
01/27/2006 23:00
marjorie 
Important: Skin Spltting During NA

Bob,
The first problem one has is that the doctor/surgeon you see to deal with your NA may live many miles away and it may be impossible to have a pre-procedure interview. I sent my details and pics of my hand to Dr Lermusiaux in Paris. I went to have the procedure on my left hand and this was the one that split so he could not complete the NA at that time. I made an appointment to go again to have the other hand done and at that time the first NA was also completed. There were three months between procedures but this was my choice as I decided to have two separat weeks holidays in Paris. Since Paris is only just over an hours flight away it was not a problem for me.
The scar I am left with is almost impossible to see and looks better than the thick ridge of skin which had formed, like a seg, do you use that word? Some days I have a little pain but no itching. Gentle massage removes the pain.
I do not know if there is anything one can do to soften the hard skin but regular use of hand cream will do no harm. I would suggest the use of cream which does not contain collagen, aloe vera or avocado is good.
Obviously, the risk of splitting increases with the degree of contracture. My hands were left too long due to my surgeon here saying they were not ready for surgery. When they were I opted out of surgery and jumped, praying, into the NA hole. I found that there was no hole at all, the only pain was from the initial injection, 20 seconds, a mere nothing. I doubt if I would have had any splitting if I had been brave enough to go for NA earlier.
Hopefully you have not waited too long for your procedure.
Good luck,
Marjorie

01/29/2006 23:08
Wolfgang

not registered

01/29/2006 23:08
Wolfgang

not registered

skin splitting

Marjorie and Bob: a rate of 25 percent is certainly a misconception as the total complication rate is only about 4 percent (normalized to the number of aponevromtomies, which makes sense).

Wolfgang

01/30/2006 23:08
Alan

not registered

01/30/2006 23:08
Alan

not registered

Skin Splitting

Yes it does occur--I had one of my three sessions with Charlie Eaton in which he could go no further as my skin did split. Not that much of a big deal though, as it will quickly heal if the skilled surgeon stops the NA treatment at that point.

01/31/2006 23:36
Graeme

not registered

01/31/2006 23:36
Graeme

not registered

Splitting

I had my NA with Lermusiaux five weeks ago. I had a large fold in my palm and after the proceedure there was a split (fissure). This has now healed completely and the area looks just fine. I would rate this split as very minor so much so that I now wouldn't really think it could be regarded as a complication. It is good that this subject has been brought to light.

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treatment   misconception   Splitting   complication   pre-procedure   procedures   aponevromtomies   complicates   experienced   normalized   Important   contracture   Contraction   appointment   procedure   Lermusiaux   Marjorie   practitioner   impossible   dupuytrens