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Noticing a Contraction?
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01/07/2012 20:57
spanishbuddha 

Administrator

01/07/2012 20:57
spanishbuddha 

Administrator

Noticing a Contraction?

I have a new nodule on my ring finger on my 'good' hand ( It's between the MCP and PIP joint, but maybe also on the PIP joint. I'm pretty sure it's a DD nodule, not a cyst or ganglion, and it's painful.

I play tennis, stopped last October, resumed last week and discovered the nodule in this my racquet holding hand.

I lost my pinkie on this hand via injury, and because of scar tissue that runs up my ring finger, with the new nodule, it is very stiff and naturally contracts more than normal when relaxed. I can straighten it manually and with the table top test, without pain, but not completely via the finger extensor tendons (stretching fingers and hand out). It's been like this for 40+ years.

So my question is how will I know, or what does it feel like if or when a permanent stiff contraction starts to occur because of Dupuytren's? Or maybe I should just get it treated now.

01/07/2012 22:02
Larry 
01/07/2012 22:02
Larry 
Re: New progression on the contralateral hand or foot - What to do ?

Dear >spanishbudda<

I know the feeling of getting renewed disease on the contralateral feet or hand quite well ... So you get my best wishes and also recommendation for a re-visit of Prof. Seegenschmiedt in HAMBURG. Didn't you get your first treatment there ?

For me there is no doubt that radiation therapy at this moment is the best choice for a "new progression" in the contralateral hand or feet. I also had the rare experience with Prof. Seegenschmiedt, who is working both in HAMBURG (during the week) and in ESSEN (weekends), to treat rapid recurring nodes just 3 months after surgery of my foot. It was the most successful treatment : it not only stopped the nodes but also softened the tissues around. I recently had my 3-year follow-up vist with Prof. Seegenschmiedt in ESSEN - and all is either much better or in stable condition. No new nodules anywhere in RT-areas.

Thus, un all SPECIAL CASES I would recommend to consult Prof. Seegenschmiedt as the really most experienced expert worldwide and a very fine man and physician at the same time; as far as I heard from him, he is accumulating more and more specific knowlegde about RETREATMENT after previous (unsuccessful) radiotherapy and EARLY RADIOTHERAPY post surgery.

All the best for you and this fresh NEW YEAR, Larry

Edited 01/08/12 00:03

01/08/2012 08:50
spanishbuddha 

Administrator

01/08/2012 08:50
spanishbuddha 

Administrator

Re: Noticing a Contraction?

Thanks Larry. Yes I had RT in my left hand with Prof S last year in Hamburg. The jury is still out on that one. I've not had the reduction in size and softening of nodules that so many report, and have some new soreness, but no contraction.

Now this new nodule is the first in my right hand. I'm a wee bit concerned since I already have the pinkie removed and now a nodule on the adjacent finger, that I could start to lose (more) function in the hand. I'm right handed too.

Yes I could visit the Prof again, but for just one nodule? The less than convincing result on my left hand makes me indecisive. Maybe it won't progress anyway, that's why I was asking what it feels like to contract? At what point do you decide 'got to get it treated'? As you can expect I'm watching it like a hawk at the moment.

01/08/2012 11:49
Larry 
01/08/2012 11:49
Larry 
Re: Noticing a Contraction? --> Early intervention with RT ?!

spanishbuddha:
... At what point do you decide 'got to get it treated'? As you can expect I'm watching it like a hawk at the moment.

Dear spanishbuddha,

After my "bad surgical experiences" with recurrent disease on my feet I was a HAWK myself and got my first nodules on my right hand irradiated as soon as they became "active" with the interpretation of Prof. Seegenschmiedt.

- at least 6 months of active progression
- new and formerl uninvolved area
- increasing symptoms related to nodular disease
- misperformance in daily activities (e.g. pianist playing piano)
due to progressive disease

He clearly wanted to have a PROOF of activity before deciding to do RT.

So I made myself photocopies of my hand starting with my first observation and then ending about 8 months later with a second and third nodule which lead to a follow-up examination which revealed by Prof. S. exam even early symptoms in the contralateral hand as well.

After RT for the "active hand" with the 2 RT series with 3 months time gap inbetween the early signs in the other hand got not progressive anymore even though it had not received RT . I am very please with both my feet and the one hand receiving RT. Prof. Seegenschmiedt is a true expert ! In a special situation like yours I would always consult him, as he can compare your situation with several hundred others over more than 20 years of clinical observation.

All the best for your decision-maling-process in the next weeks and months to follow. Larry

Edited 01/08/12 13:50

01/08/2012 15:38
callie 
01/08/2012 15:38
callie 
Re: Noticing a Contraction?

Larry,

You bring up a good question. Is surgical success, or failure, in the foot transferable to surgical success, or failure, in the hands? I don't think there is any correlation, but you seem to hinge your ideas that they are correlated. Is that a correct inference on my part? I don't think I would consider surgery on the arches of my feet because the apparent success rate is seemingly low.

01/09/2012 18:43
lori 
01/09/2012 18:43
lori 
Re: Noticing a Contraction?

Dear Spanishbuddah,

I had my hand treated with RT for just one nodule. From my own experience I could see a cord becoming more visable right through the middle of the nodule. It went from the base of my middle finger and stopped just short of my palm. Mine progressed rapidly and I took pictures every week so I could see if it changed. The cord became more pronounced and thicker. The next step was puckering at the base of the middle finger and the index finger, right where the cord ended. I then began to feel a slight tugging for lack of a better word at the base of that finger. A tightness that was not there before. I became more clumsy and dropped things. It hurt to press on that cord. chopping vege's with a kinfe or opening a jar really hurt my hand. I felt that I was starting the first step towards contraction. Would it have stopped? Who knows? I did not want to lose that window for RT treatment so I decided sooner was better than later. It has worked out for me and I am sorry the jury is still out for your RT treatment. Maybe this will help you in being able to identify if contraction is starting. I don't know if others have had similar experiences.

Lori

01/09/2012 22:00
spanishbuddha 

Administrator

01/09/2012 22:00
spanishbuddha 

Administrator

Re: Noticing a Contraction?

Thanks Lori, that's very helpful.

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Seegenschmiedt   observation   treatment   misperformance   recommendation   interpretation   Noticing   radiotherapy   spanishbuddha   Spanishbuddah   accumulating   unsuccessful   progressive   spanishbudda   experiences   progression   intervention   decision-maling-process   contralateral   Contraction