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No cures, only treatments
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03/01/2005 23:23
Walt

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03/01/2005 23:23
Walt

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No cures, only treatments

NA is a treatment, not a cure.
Surgery of ANY KIND is a treatment, not a cure.
Colleganase is treatment, not a cure.
Filling a cavity is a treatment, not a cure.
Fixing a hernia is a treatment, not a cure.
Setting a bone is a treament, not a cure.

Only the body can heal/repair itself. Treatments are, by their very nature, imperfect. Until the true CAUSE of dups can be determined there can be no prevention. Is it genetic? Which gene? What biochemical processes lead to aponeurosis formation? If caused by injury, what kind of injury? What damage does the injury cause that spawns dups? How long does it take?

I'd think ballplayers would be a good group to study since a 9" baseball is very hard and over the years can cause trauma to the palm/fingers.

Plenty of research needs to be done. Any volunteers?

03/02/2005 23:55
Randy H.

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03/02/2005 23:55
Randy H.

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Leave The Congas to Carlos

Walt, good to see you hanging around. See what your little DVD did?

Volunteers? Not me. I "self volunteered" into this population of Dups sufferers already from some *very* enthusiastic conga playing. I'm a semipro drummer who decided to go Latin. Conga players often tape their fingers so the vibrations from hitting the drum heads keep one's fingernails from create bleeding on adjacent fingers. Within six months of my excursion into hand drums, my left pinkie began to bend. Within another four months it was at 45 degrees so, being advised that open surgery was my *only* alternative, I went under the knife. That's a very *fast* onset. Now, my right ring has reached 35 degrees. It will be Eatonized next month.

I find it interesting that as a drummer I hit a *lot* harder with my left (snare) hand than my right. Only my left hand hand the bleeding problem. It was also the first to go Dups. The other followed a year later. There is Zero Dups anywhere in my family. My guess is that I would have eventually manifested some Dups as an older gentlemen, not now. The combo of genetics and trauma set if off.

If you have the Dups gene(s), you must be *vary* careful with your hands. I think I'd skip the vigorous clapping on the second standing ovation for *Whoever*. And if you're a White Guy, leave the Congas to Carlos.

03/02/2005 23:56
Michael

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03/02/2005 23:56
Michael

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keep drummin~sq~ baby


Randy,

They've done studies on the relation of manual activity to Dupuytren's onset. There really seems to be no correlation. It's just genes.

- MML

03/02/2005 23:29
Randy H.

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03/02/2005 23:29
Randy H.

not registered

Study of 1

I wasn't referring to normal manual activity but to strong *trauma*. When you whack your hand(s) so hard that they bleed, that's trauma. People who frame houses and hammer nails all day don't get the abuse I applied. But.....those studies are retroactive, not randomly assigned scientific. Walt was pointing out that no one with the right genetics would be willing to be assigned to a trauma group to see just what is takes to trigger Dups in their hands. Such a "scientific" study would be unethical anyway.

My point was simply that in a study of one (1).....me, I now have absolutely no doubt that *I* unwittingly induced this disease long before I could even pronounce it, and long before it would have shown up if at all. That is just my *opinion*. However, only when the biology at the cellular level is discovered will the real story of this disease be known. *That* might lead to a "cure", not just a treatment.

03/02/2005 23:58
Steve Abrams

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03/02/2005 23:58
Steve Abrams

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Can~sq~t Prove it

Randy -

There's plenty of conga drummers around. Right here in Madison we have Tony Casteneda and his Latin Jazz Orchestra who play every Sunday night for the last zillion years. The question that could be answered is: Do conga players have a higher incidence of DC than the general male population.?"

Now I have no DC in my family. I do drive a pickup truck many hours a day and hold the steering wheel with my right hand, which was the one "eatonized." But I'm a trained scientist and it's pretty hard to come up with a confidence interval for a sample of 1.

Steve

03/02/2005 23:31
Randy H.

not registered

03/02/2005 23:31
Randy H.

not registered

Can~sq~t Prove it

Steve,

I hope your Right is still doing fine.

The occurrence of Dups is so low among *non* Northern Europeans that you'd need to start with an exclusively N.E. population of conga players, or a *huge* sample size. I'm going to guess that Tony C's player would not qualify. In addition, I wasn't trained to play correctly and was playing them like a drummer with *way* too much force. I remember thinking to my self after each session how much my hands would ache, and wonder if I could do them any damage. No, obviously I don't think a sample size of (1) has merit.....except I guarantee *I'll* never tough hand drums again.

We may never see a significant correlation between certain professions and Dups because professionally induced trauma may not be strong enough. I think you *really* need to make hands bleed, cut them or break them. We *do* hear a lot of testimonies around here from people who say their Dups started after a *significant* trauma. Yes, that's still weak data, so it's still only *suspected* that trauma is related. Correct me if I'm wrong but the kind of Scientific study to really "prove" or "disprove" a direct casual relationship would, by definition, be unethical: We randomly cut open these 500. We break fingers of these 500, all the while we use feathers to tickle the palms of these 500 White Guys three times a day for two months. (Only in a Polish, German concentration camp!) Short of that we have speculation, as we do with alcohol's role.

03/03/2005 23:01
Michael

not registered

03/03/2005 23:01
Michael

not registered

rebuttal


Yes, but isn't it fair to say that people who pound nails or operate jackhammers or fix cars or work on fishing boats for a living are much more likely to suffer traumas to their hands than computer programmers, shoe salesmen, lawyers, or insurance actuaries? So why aren't they more likely to have Dup's?

No, there is no rational reason for the world to be deprived of Randy H.'s rhythms, other than that drumming might cause him discomfort. - MML

03/03/2005 23:49
Randy H.

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03/03/2005 23:49
Randy H.

not registered

Personal Choice

Thanks Michael,

No question. I will Rock On as long as the Good Lord allows. My *personal* choice, however, is to eliminate High Impact instruments forever (I wasn't that good on congas anyway). Admittedly I may *never* have "Drop Dead" Scientific evidence to back this decision for reasons I hope I've articulated. Call me a Chicken...........Sky Diving is out as well :)

RBH

03/03/2005 23:57
Randy H.

not registered

03/03/2005 23:57
Randy H.

not registered

Trauma Scale????

Sorry Michael, I didn't really answer your point. I believe that there is no statistically measurable difference between Professional Groups because the *threshold* of trauma necessary to have an effect may be something like a 7+ on a scale of 10. Regardless of profession, normal day to day hand trauma might be judged to be between 1 and 4. There is no such scale, and this obviously just my *oponion*. However, believing that *strong* trauma can *sometimes* be related to onset DC for those genetically inclined, that is how I would answer your good argument that no correlation exists at all. (And....if you saw "Spinal Tap", drummers are a dime a dozen and quite replaceable)

03/05/2005 23:20
dave

not registered

03/05/2005 23:20
dave

not registered

Duypuytrens Reversal

Has anyone had DD get better or completely disappear on its own?

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