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Nodule on big toe
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moliver 

moliver 

Nodule on big toe

Has anyone else gotten a large nodule on their big toe? I have a large one that formed on the second digit of my left big toe. It was partially surgically removed. Unfortunately, the part that was not removed has grown into a new area at the base of my big toe and second toe. This area has gotten sore due to the fact that it receives a lot of weight when I step on it. I am worried about it becoming so tight that it might cut off circulation to both toes. I have never seen pictures of nodules forming in that area. I also have other large nodules in the usual places on both feet and also Duypetrens on my left hand but no contracture yet. I am also diabetic and am taking some of those perscriptions mentioned in other forum messages.

Chicagogal

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Chicagogal

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Re: Nodule on big toe

I have Duypetrens and saw a hand surgeon specializing in it today. It is important to have the surgery at the right time. He said that when it is a node and just starting as mine is, it is too soon and if you remove it, it will spread to the other fingers. It should be removed as soon as it starts to contract the finger. Then if it is surgically removed it usually does not come back and is only abotu 3 weeks recovery time and no therapy needed. He stressed that is is really imporant not to wait once you notice the contraction of the finger, that the surgery should be at the very start of that. My father has it and let it go an dthen had surgery and a lot of therapy and it came back. You can get shots (I think cortisone) if it hurts, so that you are not in pain until it's time for the surgery. It will usually appear in the same finger on the other hand if you get it there, so look for it. It's rare on the feet. I would definitely see someone who specializes in it asap. good luck!

wach 

Administrator


wach 

Administrator

Re: Nodule on big toe

This post rather belongs into the Dupuytren board. For the time being we don't have the possibility to move posts, so this will stay here.

Personally I consider the comments of your surgeon as very optimistic and, though this is on the wrong board, here is my view:

- Dupuytren's usually comes back after surgery. If you are lucky it may take 5-10 years but the probability that it returns is about 50 % within the first 5 years.
- 3 weeks recovery time is very optimistic. It may well take months until you have full command of your hand again.
- have a look on http://www.dupuytren-online.info/dupuytr...ideeffects.html for more info on potential side effects of surgery.

Having surgery before contraction started is quite unusual. Typically surgeons won't cut before at least a 15-30 degree contracture. You might also consider having radiotherapy or NA as first lines of defense. Did your surgeon mention those options?

Wolfgang

Quote:



I have Duypetrens and saw a hand surgeon specializing in it today. It is important to have the surgery at the right time. He said that when it is a node and just starting as mine is, it is too soon and if you remove it, it will spread to the other fingers. It should be removed as soon as it starts to contract the finger. Then if it is surgically removed it usually does not come back and is only abotu 3 weeks recovery time and no therapy needed. He stressed that is is really imporant not to wait once you notice the contraction of the finger, that the surgery should be at the very start of that. My father has it and let it go an dthen had surgery and a lot of therapy and it came back. You can get shots (I think cortisone) if it hurts, so that you are not in pain until it's time for the surgery. It will usually appear in the same finger on the other hand if you get it there, so look for it. It's rare on the feet. I would definitely see someone who specializes in it asap. good luck!


RodM

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RodM

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Re: Nodule on big toe

I too have nodules on my feet mostly in the metatarsil head area that make walking an issue; one of the nodules is on the big toe and it is the worst of the lot. Additionally I have dupy's on both hands. Have had multiple operations to remove lumps on hands and operations twice on each of the feet. My issue is that the lumps re-occur each time on the feet in same spots. Not so on the hands... they are removed in one area and grow back in another.
My Dr. identified that he was now reluctant to remove any more lumps on the feet and after 2 years they have grown back, increased in size and seem to be tightning up the tendons and contributing to increased neuropothy. I've reached the point that I don't know what to do as walking does become an increasing problem:(
Rod

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