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Dupuytren~sq~s and sleeping posture
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10/07/2006 23:19
Andrew 
10/07/2006 23:19
Andrew 
Dupuytren~sq~s and sleeping posture

Last night I woke early in the morning to find that I was lying on my arm (the same arm that has Dupuytren's) causing my hand to become numb. While I was waiting for the circulation to come back, I had an aching and burning sensation in the hand, especially in the palm and the back of the knuckles (the very areas usually affected by Dupuytren's disease). Has anyone else had this experience?

A recent contributor to this forum mentioned that a nodule had appeared on her hand seemingly overnight. Could it be that overnight is the time when nodules appear? It might be that sleeping on one's arm and so restricting the circulation to the hand contributes to or even causes Dupuytren's disease.

Perhaps frozen shoulder (which is correlated with Dupuytren's) is also exacerbated by poor sleeping posture. My chiropractor is always telling me that to avoid back and shoulder pain one should keep moving and not to stay too long in one position. In his view, the joints and muscles are particularly liable to freeze up when in bed at night.

Perhaps people who drink alcohol before bed, and who therefore sleep heavily and may be less aware of any discomfort in their limbs while asleep, are more prone to Dupuytren's for that reason. This question is of interest to me, since, like others on this forum, I often have a glass or two in the evening; and I sleep heavily, usually falling asleep immediately after putting the light out, and generally I sleep on my side. Perhaps anything that restricts movement when asleep, such as a narrow bed, or heavy blankets, may be bad for Dupuytren's sufferers.

If this idea is correct, it is possible that Peyronie's disease too is in some cases caused, or partly caused, by habitually sleeping on one's front, so that the pubic bone presses against the penis, restricting the circulation to it.

10/08/2006 23:19
Doug

not registered

10/08/2006 23:19
Doug

not registered

Burning sensation in hand

I wake up most mornings with a burning sensation in my right palm, the one affected with Dupuytren's.

During the day I drive for approx 3 hours folowed by being on a computer that requires using a mouse.

Both of these tasks also result in a burning sensation and I often find my hand beginning to curl on it's own.

Lately I have found some loss of strength due to the fact I do not use my hand unless necessary.

I am very interested in joining a clinical study using clostridial collagenase injection but cannot locate one hear in Canada.

10/24/2006 23:21
Andrew 
10/24/2006 23:21
Andrew 
Poor circulation and Dupuytren~sq~s

Dr D. C. Jarvis, in his book "Folk Medicine" (first published in 1958 but still in print), discusses different human body types and their characteristics. Among the other categories he divides people into those whose clinical data (pulse, breathing rate, temperature, blood pressure) are normal and those whose data tend to be below normal (he refers to these two groups as the 'plus family' and the 'minus family' respectively). The latter, it seems, are distinguished by various characteristics, such as a tendency to prefer indoor mental activities to sport and outdoor pursuits (certainly true in my case!) as well as a less vigorous circulation, giving them, for example, a tendency to cold hands and feet.

What caught my eye, and which makes it relevant to this thread, was this: Dr Jarvis writes of the 'minus family' type: "It is not uncommon for the type you represent to wake up during the night with numb hands, if you sleep with your arms crossed, making it necessary to chafe the hands in order to restore feeling in them."

Although the Reykjavik study on Dupuytren's found that "Height, blood pressure, or arcus senilis were not statistically associated with Dupuytren's disease" (the only physical correlations found were that the Dupuytren's patients tended to be thinner than average, have a lower BMI than average, and to have slightly higher fasting blood glucose levels), I couldn't help wondering if the less vigorous circulation of the 'minus family' type and the tendency of their hands to become numb at night might have something to do with the development of the disease. At any rate, if sleeping with one's arms crossed does cause numbness in the hands, it might be best, as least as a precautionary measure, to try not to impede the circulation of the blood at night.

I wonder if you, Doug, also belong to the 'minus family'. In my case, my normal body temperature is a full degree Fahrenheit below most other people's.

agdg@supanet.com

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