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Looks like I got DC at 30. Ouch. Want to continue lifting. Any advice?
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03/26/2016 06:07
woofdine 
03/26/2016 06:07
woofdine 
Looks like I got DC at 30. Ouch. Want to continue lifting. Any advice?

Hi all!

A couple of months ago I noticed a small, sore, red lump on palm below little and ring fingers. Didn't think much of it, but it seems to have progressed quite quickly. The lump has increased in size, and actually seems to be made up of two lumps, which I'm assuming are nodules. It's no longer red, but still a little sore if pressed. See the attached photo.

My grandfather had it pretty bad (started at 50) and my dad has just started showing signs of it (aged 60). Pretty big bummer to have it set in so early. Everything I've read online so far seems to point towards the conclusion that getting it this early is very bad news!

I live in China and have been to the hospital, but hospital staff over here tend to be pretty poorly trained and they don't have any incidences of DC. So the doctors hadn't a clue what it was. In fact they were positively intrigued!

Last September I broke my forearm and was in a cast for 6 weeks, and had my ring finger broken 3 years ago. I lift weights regularly (when things aren't broken), all barbell stuff - bench press, deadlifts, etc. Wondering if these factors plus my genetics led to the early onset.

Despite that fact, I would like to continue lifting for as long as I can. The consensus online seems to be to wear padded gloves and still go for it. However I'd appreciate some feedback from what looks to be an excellent community here!

One thing I've noticed is what seems to be a lack of clarity on this disease. Much of the advice is based on anecdotal evidence, hearsay and doctor's advice. And I'm generally quite skeptical of doctors and the medical profession in general when it comes to prevention rather than cure - that's a debate for another time though!

Many people are saying to avoid hard work with your hands (and lifting) if you can. There are also a number of discussions on weightlifting forums from people where DC has set in but they've decided to continue lifting. But there are no discussions on the results. No "before and after". Did these people power on with their sport and realise it was a bad idea and stop? Or were they able to continue normally? If lifting did make their hand worse, how does it accelerate the process compared to the average? Is there even an average? Could their DC have even progressed more slowly thanks to the activity?

My impression is that regardless of what you're doing in your daily life, you can expect DC to cause some pretty bad hand deformity.

If there's anyone out there that has had DC from a young age, and continued to lift and lift heavy (or other similar activities, e.g. climbing) it would be awesome to hear about your experiences. Likewise any feedback on the above would be massively appreciated!

03/26/2016 06:46
Stefan_K. 
03/26/2016 06:46
Stefan_K. 

Re: Looks like I got DC at 30. Ouch. Want to continue lifting. Any advice?

Hi woofdine, welcome to the forum.

Sorry to hear you may be affected at age 30 already. I'd say first things first - be sure of the diagnosis before getting into the detail of the possible consequences. Although your family history and the location of the nodule point to DD (my first one was pretty much in the same spot), I'd want to be sure that that is what it is before going further.

Is there any chance you can get examined by a doctor trained abroad, or to get to Hong Kong? We have three addresses on the website at http://www.dupuytren-online.info/NA_list..._countries.html. Considering how many doctors in the West are ill informed, it is understandable that local medical staff is unaware of the disease. Quoting from

http://www.dupuytren-online.info/dupuytr...stribution.html

"Dupuytren's contracture is frequent in Middle and Northern Europe, in Australia, and in North America. It exists but is, probably, less frequent in Africa and Asia, though recently Dupyutren's patients have been reported in Japan, China, Africa, India, and Thailand."

I don't have experience with the start at such early age, or weight lifting, but I would think that in your case, if it is DD, it is particularly important to assess all treatment options, at this stage radiotherapy (RT), to give you the maximum chance to be able to continue doing what you enjoy as long as possible. And avoid injury of course, as the healing process can accelerate the evolution of the disease.

Good luck, report back if you find a doctor in China,

Stef

[54 year-old male, DD diagnosis 2006, RH contracture and NA/PNF 2014, RT 2015, wearing night splint glove]

Edited 03/26/16 08:47

03/26/2016 07:39
spanishbuddha 

Administrator

03/26/2016 07:39
spanishbuddha 

Administrator

Re: Looks like I got DC at 30. Ouch. Want to continue lifting. Any advice?

I don't think there are hard and fast answers to your questions, as everyone has different experiences of DD and how it affects them. Some consensus but also some exceptions.

I have first hand experience of mishandling tools, for gardening and plumbing, without gloves that appeared to set off a new round of DD in my hands. Even so I continue with most activities, including tennis, but now wear gloves when I can or remember, or find ways to protect the hands. In the opposite way, whilst taking a break from tennis for several months, I developed a finger nodule, and was unaware it until I resumed playing. However it cleared itself and I formed the opinion it was the rubbing or pressure of the racquet handle that cleared it, so who really knows.

Possibly if you had no problems before the arm and finger injuries, you will have no further new onset, or progression now or for a while; or maybe not. But I would explore ways of alleviating direct friction and pressure and continue with your activities. You will know what works and what doesn't for you.

04/01/2016 06:26
wach 

Administrator

04/01/2016 06:26
wach 

Administrator

Rock climbing

About 10 years ago the effect of rock climbing has been studied by Logan et al. and there seems to be a link between the intensity of climbing and the severity and onset of Dupuytren's

http://www.ncbi.nlm.nih.gov/pmc/articles.../v039p00639.pdf

10/03/2016 10:31
woofdine 
10/03/2016 10:31
woofdine 
Re: Looks like I got DC at 30. Ouch. Want to continue lifting. Any advice?

Big thanks for the responses guys, these were really helpful in coming to terms with contracting the disease. Being able to share this with other people in a similar position is pretty powerful!

Since posting I've continued lifting and while the lump has grown, I haven't lost any mobility in the hand. For any lifts that put excess pressure on the palm (e.g. bench press and should press) I now wear padded lifting gloves to avoid pain / accelerating progression.

Sorry too for the late response, it's been a busy year and have been putting this off for far too long. Based on reports here I'm very interested in exploring radiotherapy. Having contracted DC so young I'm keen to try any options that will extend the use of my hand! Already started looking into whether my international health insurance covers this treatment.

10/03/2016 11:56
Seph 
10/03/2016 11:56
Seph 

Re: Looks like I got DC at 30. Ouch. Want to continue lifting. Any advice?

woofdine, Before you rush to action let me try to add a bit of context. 30 is young but not super young to get DD. I developed DD and LD in my teens.

I would have been delighted to have hands that looked like yours at 30.

Looking at your photograph it looks to me like you might have early stage DD but it doesn't look, to me, like anything that requires action at this stage. If I were you I would carry on as normal. Of course pay attention to changes but this can be a very slow moving disease.

For my part I give my hands and feet no special concessions to save them from the disease. I do wear gloves in the gym most often these days but only to stop blisters forming on the new nodules that I have.

I am in the gym most days. I work some days with heavy weights and other days with less weight and longer sets. I have had DD for more than 40 years but I have lost no strength. I still enjoy waiting until the youngsters (That's anyone below 40) have moved off a machine then I move the pin to the bottom and replicate what they have been doing.

So my message is just carry on and ignore it until it becomes a problem. Don't back off. Go for it.


Seph

10/03/2016 12:12
Seph 
10/03/2016 12:12
Seph 

Re: Looks like I got DC at 30. Ouch. Want to continue lifting. Any advice?

Also a couple of pictures of how GYM worn hands can look like after 40 years of DD (62 year old hands)

Attachment
Right.jpg Right.jpg (87x)

Mime-Type: image/jpeg, 786 kB

Left.jpg Left.jpg (47x)

Mime-Type: image/jpeg, 862 kB

10/22/2016 11:30
Davvy 
10/22/2016 11:30
Davvy 
Re: Looks like I got DC at 30. Ouch. Want to continue lifting. Any advice?

I developed DD at 30, I am now 32 and have a very noticeable chord stretching up my palm in to my pinkie. I fractured the knuckle/finger in my late teens and when the initial lump appeared it was in the same area. I believe that there must be a relationship, the condition does not run in my family.

I also weightlift (snatch C&J) and have not found the condition to be worsened/affected by doing the sport. I have no contracture of the finger and frequently stretch the hand and fingers, trying to stretch out the chord, feels a bit uncomfortable but may help.

Back when I first discovered a nodule I remember it used to hurt in the gym a bit when doing a deadlift, once the chord formed there was no more pain during lifting. I continue to improve in the sport and the condition does not hold me back at all.

Keep doing your gym work, if it contracts in the future or hurts just adapt to it. Bin the lifting gloves and good luck!

10/17/2022 05:19
SergioCh 
10/17/2022 05:19
SergioCh 
Re: Looks like I got DC at 30. Ouch. Want to continue lifting. Any advice?

Hello. Any updates in this case? I just received my diagnose and I am very scared of loosing what I love (powerlifting). My problem started after a finger injury not related to my sport (an accident)

10/17/2022 06:20
spanishbuddha 

Administrator

10/17/2022 06:20
spanishbuddha 

Administrator

Re: Looks like I got DC at 30. Ouch. Want to continue lifting. Any advice?

SergioCh:
Hello. Any updates in this case? I just received my diagnose and I am very scared of loosing what I love (powerlifting). My problem started after a finger injury not related to my sport (an accident)
Hi Sergio

Sorry to hear you've joined the club. The advice given on the rest of this thread remains the same. Since your condition was provoked by an injury it might settle down and not need intervention for a long time. Most of us carry on to some degree doing the sport or activities we enjoy, in my case piano and tennis, with a little bit of weight and bar work to help with fitness. I personally do take extra precautions not to further injure my hands and if it doesn't hurt carry on.

Check out our website https://www.dupuytren-online.info/dupuyt...ontracture.html

Taken from another thread: what happens next varies from person to person. It may settle down and nothing further happens. It may progress oh so slowly and even if you get more nodules or even cords might not lead to a contracture. There are risk factors you can look into, including genetic, and some life style associations that you may be able to influence. I would recommend taking some care of your hand when doing manual tasks, perhaps more that you had considered previously doing; keep a journal with photos and notes about flexion, hand spread and any odd symptoms including of course lumps, pits, skin changes, signs of inflammation or soreness, aches, itching, anything that indicates active new or ongoing progression. But don't obsess over it. The recommended early treatments for active early active cases are steroid injections for inflamed nodules or RT. There are lots of other unproven remedies that people report help them in the early stages including forms of massage, magnesium, oils, vitamin E, cbd for pain, DMSO, splinting, hot/cold soaks, etc. They are described or discussed in the forum, and if you try them have an open mind that they are mostly anecdotal and keep a firm grip on your spending on 'snake oil' cures. There are several FB groups too that you may wish to join and discuss the various options.

Best wishes SB

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