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Recently diagnosed and looking for advice. (N CA Bay Area)
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02/20/2014 22:35
prezzacc 
02/20/2014 22:35
prezzacc 
Re: Recently diagnosed and looking for advice. (N CA Bay Area)

Hi Prickler any news on how the injection went after a bit more time?

Hope all is ok.

Thanks

03/15/2014 20:26
pricklerII 
03/15/2014 20:26
pricklerII 
Re: Recently diagnosed and looking for advice. (N CA Bay Area)

Sorry for the delayed update, I've had other health issue to deal with. It's been 5 weeks since the cortisone injection and I can't say I've experienced any relief or reduction in fibroma nodule size. As I type this the fibroma is as boethersome as it has ever been.

The fibroma in question is on the lateral edge of the fascia and just before where the ball of the foot begins. So even though it is slightly small than a pea, it is on a weight bearing area and probably pressing a nerve when standing or walking. You can't even see or feel it when the fascia is relaxed, but as soon as you bear weight and stretch the fascia, it pops right out and feels like stepping on a small jagged rock.

It may be slightly larger than it was a few months ago, or maybe just more irritated. It's hard to tell since it's so small. Anyway I'm pretty bummed that the cortisone didn't work, and now trying to figure out my next step. Going to Germany just isn't financially feasible at this point so I'm taking it day by day and enduring the discomfort until I figure out a plan.

I'm slightly irritated with my podiatrist. When I had my MRI performed the "lump" in question wasn't too much of an issue and was over looked by a much larger fibroma in the medial arch. Since the cortisone didn't help I emailed my doctor and asked if the MRI could be reevaluated to determine weather the lump was a cyst or a fibroma. That was important to me to determine my course of action. He wanted to put me in a walking boot and let inflammation die down. I didn't think that was going to do anything as the inflammation is caused by walking on "a rock in my foot!"

Maybe it's too small to determine on the MRI as it is only 2-3 mm in circumference if I had to guess. But boy does it hurt at times. Fibromas aren't supposed to be painful right? Am I simply out of luck due to location on the foot or is there a chance the pain may subside eventually? I'm hoping it's a cyst as I feel I'd have more treatment options like draining it, but due to my history and it's location I'm fairly sure it's a fibroma unfortunately.

And to think my marble sized fibroma causes no discomfort. Go figure.

03/16/2014 00:12
Christl 
03/16/2014 00:12
Christl 

Re: Recently diagnosed and looking for advice. (N CA Bay Area)

You still have the RT option and since you are from CA check out Dr. T in San Diego, if Germany is not in your cards. Your insurance might just pay for the procedure, of course there is no guarantee that it will work. It does work for a lot of people though, there is no one procedure that is 100%. Even the steroid injection works for some for others it does nothing. It's a shame that there is not a lot of research put into this disease since it can be so debilitating.

Also check out Penny's post:

http://www.dupuytren-online.info/Forum_E...tion-1_274.html







Christl

03/16/2014 15:02
billfowlerjr 
03/16/2014 15:02
billfowlerjr 
Re: Recently diagnosed and looking for advice. (N CA Bay Area)

I am a newbe to this forum. I have DC and have been dealing with this for about 15 years. Being a tennis player, many aches and pains develop. Ibuprofen is the norm for those pains. Having DC, I have notice that ibuprofen softens my DC to the point of normality. My strength returns, pain goes away and my fingers do not "lock up". For what it is worth, ibuprofen (200mg/day) allows me to function normally. Any other experiences with this?

03/20/2014 13:17
billfowlerjr 
03/20/2014 13:17
billfowlerjr 
Re: Recently diagnosed and looking for advice. (N CA Bay Area)

Also, I have found that daily stretching and deep massage of my hands helps me to keep strength. Yes, there is a tendency for my fingers to curl as I do have an advanced case of DC in both hands in all fingers and thumbs except my pointing fingers. I also have nodules in my feet. As I mentioned previous, Ibuprofen has help me a lot. I also suspect my daily doses of Glucosamine may have something to do with maintaining strength and dexterity. My father had this as well as my aunt. Dad had the surgery and helped him for about 3 years. Then it came back with vengeance. No other know cases in the older generations of my family. I have avoided surgery, prescription drugs and NA, so far!

03/20/2014 16:13
spanishbuddha 

Administrator

03/20/2014 16:13
spanishbuddha 

Administrator

Re: Recently diagnosed and looking for advice. (N CA Bay Area)

Bill

I hope you are aware that Glucosamine is linked to DD? I used to take Glucosamine but no longer.

Your use of Ibuprofen is interesting. For pain and inflammation its benefits are well know, but you appear to state it softens a DD cord sufficient to allow a contracture to be temporarily straightened. I have never heard of this, even after a quick literature search. Has this 'fact' been verified by a hand physician. I have no doubt it helps your condition, but clarity of what exactly is going on is would be helpful.

Best wishes

SB

03/20/2014 17:33
billfowlerjr 
03/20/2014 17:33
billfowlerjr 
Re: Recently diagnosed and looking for advice. (N CA Bay Area)

SP,

Thanks for your reply. I do not have experience that is verified "clinically". I have seen several doctors over the years. Their suggested methods did not appeal to me as I am very active and chose to not disrupt my life due to the recovery process. I hear a lot on clinical treatments, surgeries etc...While some clinical approaches could benefit some, it appears to cost plenty with limit success.

My DC experiences (not verified by the doctors) at the moment are favorable. I have had DC for many years and my hands show the pulls and twists associated with the disease.

I do not have the "facts" you are wanting. The fact is, this is working for me at the moment. I am able to function (Tennis, weight lifting, fishing, yard work etc..) by taking care and continuing with methods that work for me. I am 55 years old and will continue to stretch, massage, take Ibuprofen and Glucosamine

I truly wish you well. I appreciate all these inputs to this forum.

Bill

03/21/2014 21:42
pricklerII 
03/21/2014 21:42
pricklerII 
Re: Recently diagnosed and looking for advice. (N CA Bay Area)

This newer lump in my foot has gotten bigger in the past few days. Ughh!! It's so small (not even pea size) but it's in the worst possible place so it's hard to make appropriate shoe modifications to accommodate this. Really it won't be long before I'm forced to take action. There is no way I can leave this alone if it gets any bigger. Guess I better start saving to go to Germany, as doctor already told me he is quite confident my insurance will decline to pay for radiation treatment in the US, but I already expected that based on a little research of my own.

Tried lidocaine cream today and really it did very little. When you have a "rock" under the skin, it still feels like walking on a rock even when its numbed a little. I keep hoping its just a cyst and may go away, but that's probably just wishful thinking. It almost feels soft but I think its just my fascia giving way when I press on it. It's almost small enough I feel like I could cut it out myself! haha! (Not that I would) So frustrating to be debilitated by something so small and harmless.

Just needed to vent a little...

04/10/2014 20:41
HopefulWife 
04/10/2014 20:41
HopefulWife 
Re: Recently diagnosed and looking for advice. (N CA Bay Area)

Hello Prickler & everyone else,

My husband is a 43yo male who is also in the early stages of DD and probably LD. We are going in for his 2nd round of RT with Dr. Gottshalk at UCSF on Monday, whom we found through this website. Dr. Gottshalk treats both DD and LD, with approximately 4 patients coming in for these specific issues each month. He reports good success (approximately 75-80% seeing halt in progression after RT) with the group of patients he has been working with over the past several years. I have been reading here a long time but haven't posted yet; I wanted to create a profile to share our experience regarding insurance.

We had Kaiser when Rob was diagnosed, and Kaiser WOULD NOT COVER RT. We appealed, had his "case" heard by a panel who clearly could not care less, and the Kaiser hand "specialist" also suggested he just come back when it was in contraction for surgery.

We changed insurance providers during open enrollment with my employer in order to switch from Kaiser to BLUE CROSS BLUE SHIELD in hope that they would cover this treatment, which we had a good feeling about through some research, and thankfully, they DO cover it as of today. We are only responsible for co-pays, which has made this a much more viable option for us. Though DD was previously diagnosed, we did not run into a "pre-existing condition" issue, probably because there was no gap in insurance coverage (and also maybe a new Obamacare rule, not sure).

That being said, I cannot yet report on the success or failure of these treatments for him. There was no improvement in pain/tenderness or stiffness after the first round of treatment, which was performed in early January. I read another story from a patient who did a great job documenting their experience and emails with Prof. S, who suggested both rounds of RT. I'm unsure how long it will take to judge the success or failure of this approach for my hubby, but- as implied by my username- I'm hopeful.

Prickler, you may want to consider "cryosurgery", discussed in this thread: http://www.dupuytren-online.info/Forum_E...ld-1_230_2.html I just watched the video from that doctor speaking during the 2010 Symposium describing this process. His website is FOOTFREEZER.COM. It may be a good pain management option in addition to / in lieu of RT. Again, no personal experience with that, just research. Good luck.

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