I also recently completed the training program in Needle aponeurotomy in Paris. Training physicians included Drs. Lermusiaux, Lellouche, as well as several other physcians in their rheumatology group. I am now performing the procedure in Ontario Oregon (very close to Boise Idaho).

Dr David Kline
Dupuytren's Clinic
Holy Rosary Medical Center
351 SW 9th St
Ontario, OR 97914
phone: 208-344-5628
http://dupuytrenscenter.com/

Thanks to Patricia for adding Dr. Barry's info. to the list. Again, let me know of any more additions/corrections, and I encourage others to cut/paste into a separate document for safekeeping and future use.

Here's a list of M.D.s performing Needle Aponeurotomy for Dupuytrens in the United States as of 12/05.

(N.A. is a minimally invasive outpatient procedure for Dupuytrens which effectively breaks the cords which cause contraction of the fingers, thereby releasing them. It seems to have a very good safety record so far. Dr.Eaton was apparently the first to do this procedure in the United States and his website is an excellent source of information.)

Drs. Charles Eaton and Paul Zidel
The Hand Center
1002 Old Dixie Hwy, Suite 105
Jupiter, FL 33458
Phone: 561-746-3420
http://www.handcenter.org/newfile16.htm

Dr David Kline
Dupuytren's Clinic
Holy Rosary Medical Center
351 SW 9th St
Ontario, OR 97914
phone: 208-344-5628
http://dupuytrenscenter.com/

Dr. William Bourland
The Hand Clinic
1068 Cresthaven Road, Suite 400
Memphis, TN 38119
Phone: 901-259-1600
bourland@orthomemphis.com

Dr. Keith Denkler
275 Magnolia
Larkspur, CA 94939
Phone: 415-924-6010
info@aestheticsurgery.com

Dr. Gary Pess
Central Jersey Hand Surgery
2 Industrial way West
Eatontown NJ 07724
Phone: 732-542-4477
handman@doctor.com
http://www.centraljerseyhand.com/dupuytren.htm

Prosper Benhaim, M.D.
( does NA in Los Angeles, CA)
Contact Information:
Hand Center: (310) 794-7784 Information and referral
(310) 825-7001 Information

Terrence J. Barry, M.D.
3802 NE 207 St #2302
Miami, FL 33180
Phone: 305-822-6000
Fax: 305-557-5904

I think Dr Spacek is difficult to reach.

It would be nice if people who post lists of doctors names that perform NA would include an astrix next to the names of the doctors who do not come from the Paris line of training. It would also be nice to include the french email address so patients can confirm a doctors training if their doctor of interest does not appear on the list(sometimes they are slow to be updated).

I personally believe 1) self-taught doctors are not in the same league as those who have cared enough to go to France and 2) patients have a right to know there is a difference so they can make an informed choice.

Frances

Condition is causing man's fingers to bend

Tuesday, December 06, 2005

Question: I am suffering from the effects of a condition called Dupuytren's disease. The fifth finger on my right hand has started to bend. I do not know where to find treatment for this problem. I am a 75-year-old man.

Answer: Baron Guillauma Dupuytren was born in 1777 and is credited with much of the initial understanding of the disease that now bears his name. Dupuytren's disease is a condition that causes a progressive deformity to a finger or fingers. The disease typically effects people over age 50 and who are of northern European descent.
The exact cause is unclear, but a number of factors have been found to be associated with the disease. A family history of the condition is a major risk factor. Other factors include alcohol abuse, smoking, diabetes, long-term exposure to vibration (such as when operating tools or machinery), injury and elevated cholesterol levels. There is a lower incidence in people with rheumatoid arthritis. This may be a result of the medications used to treat rheumatoid arthritis or may be related to genetic or immunologic factors.

Dupuytren's disease usually starts as a palpable nodule or cord in the palm of the hand. As the disease progresses, the overlying skin begins to dimple and it becomes increasingly difficult to straighten the affected finger or fingers. Over time, an affected finger assumes an increasingly bent (flexed) position. The disease often affects both hands, with the pinkie finger being most commonly involved.

Treatment is usually surgical. Some nonsurgical treatments, such as continuous slow traction or injection with an enzyme called collagenase, show promise, but further studies need to be performed.
The decision to have surgery for Dupuytren's disease should be based on the degree of disability or loss of function. Surgical complications are a concern, especially in people with severe disease. Complications can include injury to nerves or arteries, infection, chronic pain, skin changes and an inability to bend an involved finger. In addition, there is a high rate of recurrence.
I recommend consulting with an orthopedic hand surgeon to discuss the risks and benefits of all treatments. Together, you can both decide on the treatment that is best for you.

Write to Dr. Dennis Cardone, at UMDNJ-Robert Wood Johnson Medical School, Department of Family Medicine, 1 Robert Wood Johnson Place, New Brunswick, N.J. 08903. Or e-mail him at askthedoc@umdnj.edu.

We need to email Dr. Cardone and cule him in about NA

Hi SusieQ
Here is the web page for all doctors listed for NA procedure. It is supposed to be up to date but I cannot see some of the US doctors you mention.
http://perso.wanadoo.fr/f.badois-dupuytren/html/liste.html
Marjorie