In my own case I only in recent years came to realize that my body is allergic to wheat in any form. Ingesting it in any form from breads to beer results in severe sinus congestion. I take Vitamin E but as an anti-inflammatory agent along with Vitamin C and Vitamin D for the same purpose. This can help with cancers and heart disease but is not going to do anything for Dupuytren's disease.

I have been receiving treatment for my own Dupuytrens since 2007 and that includes XRT twice, NA three times, and Xiaflex three times. What has proved most effective for me has been a combination of Xiaflex and NA that was performed in unison by Dr. Denkler.

I was the guinea pig for a modified approach that was done at my request. The Xiaflex was injected the morning of the first day. Xiaflex works for 12 hours to dissolve the Dupuytren's affected tissue. The following day in the afternoon the doctor numbed my entire hand with a single injection into the vein and then proceeded to manipulate my hand and break free any contractures. There were still areas of impingement and for these areas he used a bent needle to do a NA procedure to lift the skin away from the Dupuytrens affected tissue below.

I found in my case that having the manipulation done 30 hours after the Xiaflex injections greatly reduced the amount of hand swelling I experience with the prior Xiaflex injections and this resulted in less skin tearing and faster healing. Recovery time with NA for me has been less than 48 hours and with Xiaflex the first time it took two weeks. Both are much better than a fasciectomy in this respect and do not have the risks of nerve damage, which can be permanent with this procedure.

This approach took no more time (less than an hour on each day) and provided far better results than either procedure done alone. The NA is good where there are no nerves to possible damage and the Xiaflex can be used in areas where there are nerves running under the skin.

I had a Xiaflex only procedure done twice in 2011 and the benefits lasted for 20 months. It has been 30 months since the dual Xiaflex and NA was done on my hands and I can still completely flatten the hand with no difficulty. There is a decided advantage to having NA done with Xiaflex and worth the effort and expense to go to a doctor who has a lot of experience with both procedures and can use them together most effectively. My insurance covered the Xiaflex and NA office session without any problems. I suspect the doctor only used the Xiaflex reimbursement code which covered his time.