Fun to get the word out on NA, as channel 7 will broadcast the show in March to the SFO Bay Area. Also nice to do not only a NA for Dupuytren's, but a PIP joint release with a extensor tenotomy for Dupuytren's Boutonniere Deformity Something which I don't believe other physicians have been doing, but is part of the needle desmotomy procedures and releases I was taught by Dr. Kilgore.
I think this will help patient demand as TV exposure is great and will help get the word out.

Thanks for the ticket offer, but it is not the ticket, but the time. Wife looking forward to Italy this year, not Paris. Anyone else getting their joints released?

Just to remind the Board, Needle aponeurotomy is part of a graduated program that goes with Cortisone injections, exercises, needle releases, segmental aponeurectomies (note spelling), and fasciectomies with or without skin grafts or flaps. New treatments can be added to this as they arrive, and hopefully Collagenase!!!
The greatly expanded indications for NA, expounded by the Paris group is a great contribution. Plus their use of multiple releases, and small needles is a great advances.
It will take a long time for physicians to get the message, but time is on your side.

Keith Denkler

Dear Dr. Denkler,

I did not see your post before posting my last message as I got called away from the screen. Now that you are here, I have a question,

Why did you not go to France?

Butterfly Enthusiast

Dear Dr. Denkler,

Thank you for responding and correcting me.

I am torn between total elation at this development and deep concern. NA has been the baby of many of us for a long time and we worry about its future ....without a central point for training - it could become watered down and different from doctor to doctor.

Do you have any suggestions as to how to ensure the basic procedure for preforming NA will remain the same from doctor to doctor? Are you willing to be a cental point for surgeons to train from? Perhaps willing to perform a North American Study?

And by the way....I appreciate the respect you are giving us by speaking on this forum - you are the first to do so.


Butterfly Enthusiast.

Thank you so very much for your posts here. I am glad you have such skills for NA. I live in California so when my finger bends again I will call your office. It will be wonderful to take a short drive to get NA rather that flying clear across the USA. Thank you again Dr. Denkler.

Frances

Dear Anon,
There are not different styles of NA. There may be minor differences, but the treatments are the same.
I am not self taught, I learned from my mentors. Badois likes putting coritisone in his local anesthetic mixture, I don't. Eaton has not published, so I don't know. Badois and Eaton have not done any videos or DVD instuction on NA. Why not? It would save them time from visitors.
Good point on France/Italy. There are no direct flights to Italy from SFO, so I would have to go through Paris anyway. We are thinking about November so I will stongly consider visiting then.
Besides, why not go to Strausberg, France rather than Paris. They published results in more than 300 patients?
Percutaneous needle aponeurotomy: complications and results.

Foucher G, Medina J, Navarro R.

SOS main Strasbourg, clinique du Parc, 4, boulevard du President Edwards, 67000 Strasbourg, France. ifssh@aol.com

The abiltiy to have NA done in California rather than going to France or Florida is a plus. Folks without the means can drive for care rather than flying thousands of miles.
Good luck,
I am happy to be getting the word out on TV, as it will help spread the word. However, Doctors are slow to change. I have trouble convincing hand surgeons to do hand surgery using local anesthetics with epinephrine instead of in the hospital. My research of 120 years of the literature is generally ignored and it is considered dangerous by some, so I share your difficuties with arrogant know-it-all surgeons.
Keith