Just seeing this now. I responded to one of your other posts and did provide some answers to your questions in this post but not all. In my other post I do have rather severe contracture in my right pinky figure PIP of 90 degrees, but my other figures are ok and I still have flexibility in both hands although I am beginning to see some tightness but nothing painful. I have been fortunate in that I really have not experienced any painful episodes as many have shared on this forum. Things have moved along very slowly and it has only been in the last 6 months that the pinky finger has become a real inconvenience but still liveable and in making adjustments based upon the contracture. As I indicated in my other posting, my wife has been very ill so I have put off any focus on my health for the past 4-5 years and things haven't changed presently so I am not contemplating doing anything with surgery. But even if I were able to do surgery, I have some real reservations about it from what I have been reading in the research literature about the nature of Dupuyterns having a link to a potential healing response that is out of control. It is sort of the side effects of chemo therapy which unfortunately my wife has had repeatedly in which sometimes the side effects are worse than what is being treated. I am looking at some of the less invasive approaches if any of my other fingers begin to show more contracture where I will not be out of commission for any length of time.