My Dupuytren's Journey |
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01/13/2012 20:36
callie
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01/13/2012 20:36
callie
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Re: My Dupuytren's Journey
Tolwvn,
If you get a chance, ask your surgeon what type of surgery you had. From your pictures it looks more like a fasciotomy in your palm rather than a fasciectomy. It doesn't look like he removed all of the cord and the diseased tissue in the palm. Hard to tell from the pictures though.
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01/13/2012 23:33
Tolwyn
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01/13/2012 23:33
Tolwyn
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Re: My Dupuytren's Journey
It was partial fascietomy. In speaking to my surgeon, there are a few different points of view on wound management. The main thing is that they were waiting for my wounds to fully close before using vitamin E or scar conformer was used.
The nurse only took a couple pictures before I'm sure it might have become distracting to the folks performing the procedure. There is still some remaining scar tissue/facia in my palm, but the results of straightening out my finger is fantastic. He didn't need to remove any in my palm, I actually asked him to because it was uncomfortable to me.
Today I begin massage and other PT excercises including keeping the area moist. The scar conformer was created for the palm area, but has to wait on the pinky finger until the scab naturally falls away.
callie: Tolwvn,
If you get a chance, ask your surgeon what type of surgery you had. From your pictures it looks more like a fasciotomy in your palm rather than a fasciectomy. It doesn't look like he removed all of the cord and the diseased tissue in the palm. Hard to tell from the pictures though.
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01/13/2012 23:35
Tolwyn
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01/13/2012 23:35
Tolwyn
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Re: My Dupuytren's Journey
This goes against everything my surgeon and Phyiscal Therapist has told me. Scabs still allow healing from the inside out. The scab is the best natural bandage. I haven't even begun massage until today (4 weeks).
callie: The thing is you don't want the wound to scab over. It needs to heal from the inside out. I used Aveeno lotion and never let it dry out for more than two months. It made it so much easier to massage the wound to keep the scar tissue pliable. If I were you, it would definitely be worth a phone call to make sure on this. As I said, I am really surprised at those instructions. I do agree about the "in bath look" with water. That is not what the lotion does. You put the lotion on after showering or washing to retain the moisture in the skin.
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01/13/2012 23:37
Tolwyn
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01/13/2012 23:37
Tolwyn
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Re: My Dupuytren's Journey
A lot of this depends upon age. I'm 40. I heal very fast and have incredible range of motion for week 4.
I've also healed incredibly fast as well. So maybe age has something to do with recovery differences.
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01/14/2012 00:02
callie
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01/14/2012 00:02
callie
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Re: My Dupuytren's Journey
Sounds terrific !! That is great that you heal quickly. I was wondering about the type of surgery in your palm. A fasciotomy would basically severe the cord (like NA) but not remove the cord and surrounding tissue. A fasciectomy would look more like your finger with the zig-zag flaps that they fold out to remove the cord and diseased tissue. Maybe your palm wasn't affected as much as your finger. I had the zig-zags all the way to the base of my palm so the cut was a continuous 6" long wound.
Wish you the best with your continuing recovery. Keep posting. Any sign of Dupuytren's in your other hand?
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01/15/2012 19:40
Tolwyn
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01/15/2012 19:40
Tolwyn
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Re: My Dupuytren's Journey
No. My left hand is completely unaffected.
callie: Sounds terrific !! That is great that you heal quickly. I was wondering about the type of surgery in your palm. A fasciotomy would basically severe the cord (like NA) but not remove the cord and surrounding tissue. A fasciectomy would look more like your finger with the zig-zag flaps that they fold out to remove the cord and diseased tissue. Maybe your palm wasn't affected as much as your finger. I had the zig-zags all the way to the base of my palm so the cut was a continuous 6" long wound.
Wish you the best with your continuing recovery. Keep posting. Any sign of Dupuytren's in your other hand?
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03/06/2012 23:35
Tolwyn
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03/06/2012 23:35
Tolwyn
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Re: My Dupuytren's Journey
I've come to the end of my journey with Dupuytren's. The last video and picture have been posted (same links) but you can view the story here: http://www.tolwyn.com/2011/12/tolwyn-dupuytrens-contracture
Nerve damage (which is what I was really worried about) is almost completely healed. I have full use and range of motion.
Lucky me.
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03/07/2012 15:39
lori
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03/07/2012 15:39
lori
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Re: My Dupuytren's Journey
Tolwyn,
Your hand looks great. Good luck with your life.
Lori
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03/07/2012 16:41
callie
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03/07/2012 16:41
callie
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Re: My Dupuytren's Journey
Tolwyn,
The results are terrific. They are similar to the results I had with my surgery. It has been 10 years since my surgery and the results are still the same. Good luck in the future with your Dupuytren's. Check back in the future.
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1 2 3
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