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Forum for Dupuytren's and Ledderhose 
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    10/30/2006 00:47
    fionap 
    10/30/2006 00:47
    fionap      		physiotherapy

    I have been trying physio to improve the range of movement in my right hand. I have painful PIP knuckle pads for 5 years and my "hook" type grip is affected. We have tried soaking, massaging and binding my hand in a clenched position several times a day. I expected it to be painfull but it is seems to be making things alot worse. Im very disappointed as i hoped to slow the progression. Movement usually improves my range and gets must worse after resting. I tried for 4 weeks is this long enough? I have also tried ultrasound and accupuncture with no improvement at best! Phsyio has no more suggestions! Im not a candidate for surgery but have had US guided cortisone injections to Ledderhose node on right foot 4 months ago with noticable improvement.
    Could this also work on my knuckle pads? Am 36, female with stong DC family history.
    Does anyone have any suggestions or phsyio experience for this problem?
    10/30/2006 16:38
    Wolfgang

    not registered
    10/30/2006 16:38
    Wolfgang

    not registered

    		 knuckle pads

    Hi Fiona, to my knowledge there is no established therapy for knuckle pads vaialble. You can find an overview at

    http://www.emedicine.com/DERM/topic214.htm

    The article mentions some therapies, maybe your doctor is familiar with them and you might try one.

    Normally knuckle pads don't really hurt therefore you might also have some other condition associated with it. If this condition is treated and your pain gets less, then the knuckle pads themselves might not be such a problem anymore. That's just speculation, diagnosis or consulting over the Internet are impossible anyway. But maybe it's an idea. I myself had several painful joints prior to growing Dupuytren cords, I have no idea whether this was really connected to Dupuytren or just a coincidence but I felt like that.

    Sorry I can tell you a simple cure! Should I see something I will let you know, just stay in touch.

    Wolfgang
    10/31/2006 07:56
    Marcus 
    10/31/2006 07:56
    Marcus      		physio?

    Fiona, to me "gets must worse after resting" does not sound like knuckle pads. I would rather think of rheuma or some sort of arthrosis. That being the case exercising would cause pain and not do much good. Only a doctor can tell.
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