Jay is yet another example that surgery can activate Dupuytren or Ledderhose ("and it came back with vengence"). That is one of the reasons why I would generally be reluctant with surgery. While for hands surgery might still provide satisfying results at least for the majority of cases, for Ledderhose surgery seems to be more critical. Feet have to carry weight and it is more difficult and inconvenient to avoid using them in the recovery period after surgery. Also on case of blood flow problems feet are more critical than hands.

Wolfgang

Hard to see how NA could help Lederhose (I have both). NA weakens a cord allowing it to be snapped - that's all. It doesn't remove any tissue. With LD, there's no cord - no contracting band - just unwanted tissue that needs to be removed.

There's a Lederhose forum on Yahoo where the moderator has been posting about his recent experience with 'cryosurgical' treatment that sounds really promising. Basically the tissue and involved nerves are damaged, in a controlled way, by extreme cold so the condition is no longer painful.

Thanks Graeme I look forward to hearing about it. Lermusiaux has earned a lot of respect so I'm sure whatever he does will make sense.

http://www.dupuytren-online.info/needle_aponeurotomy.html lists addresses. Marjorie is most knowledgable about this and posted those addresses also in this forum under the topic "UK NHS acceptance of NA".

NA for feet is typically less successful because feet usually don't develop cords. For the feet (Ledderhose) a variety of other treatments is possibly, see e.g. http://www.dupuytren-online.info/ledderhose_disease.html.

Wolfgang