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Reversing Dupuyten’s Contracture Back to Normal, Naturally, By Gentle Stretching and Splinting
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12/16/20 06:52
GeorgeVR 
12/16/20 06:52
GeorgeVR 
Reversing Dupuyten’s Contracture Back to Normal, Naturally, By Gentle Stretching and Splinting

I would like to share with you the way I helped my father fully reverse back to normal a 90-Degree Dupuytren’s contracture within 30 days, achieving 30 degrees of maximum passive hyper-extension.

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Article Title:

The G.Vrousgos Technique for Dupuytren’s Contraction: Non-Surgical Complete Correction with No Side Effects, Complications, or Recurrence
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You can press “Download” to download it in your computer or you can scroll further down and view it online, but you may need to wait for a short time for the article to load first.

https://www.researchgate.net/publication...e_for_Dupuytren's_Contraction_Non-Surgical_Complete_Correction_with_No_Side_Effects_Complications_or_Recurrence

12/16/20 07:30
wach 

Administrator

12/16/20 07:30
wach 

Administrator

Re: Reversing Dupuyten’s Contracture Back to Normal, Naturally, By Gentle Stretching and Splinting

You are presenting an interesting case that matches other observations, e.g. what we describe on this website on https://www.dupuytren-online.info/dupuyt...-splinting.html (see paragraph on dynamic splinting at the end of that page) and what has been discussed at the Groningen conference in 2015 https://link.springer.com/chapter/10.100...-319-32199-8_44 .The improvement of contracture is indeed amazing, both in the case that you present and the very similar one on our website. To achieve it you need to be willing to do daily, regular exercises, and wear a dynamic splint, typically for hours during the day. And you need to understand that this needs to be continued forever because if you stop splinting, even after one or two years of wearing it, the contracture will return. Not at once but slowly and increasingly.

Nevertheless, the case you are describing in your paper, is impressive and shows that surgery is not the only option for progressed Dupuytren contracture.

With respect to radiotherapy your paper is unfortunately misleading. You are stating that positive effects in the early stage of Dupuytren's are only reported on anecdotal basis in social media. "there are no available studies confirming that this reduction in the firmness of the nodules prevents, or slows down, future incidence rates of contracture progression [43, 44]". That's completely wrong and your ref 43 is actually citing studies that prove the positive effect of RT on early Dupuytren's.

Wolfgang

12/21/20 03:02
GeorgeVR 
12/21/20 03:02
GeorgeVR 
Re: Reversing Dupuyten’s Contracture Back to Normal, Naturally, By Gentle Stretching and Splinting

Thank you for your positive comments. Let us focus on gentle stretching and splinting.

The first site you are referring to (from the International Dupuytren Society) talks about two positive examples of the effect of static night splinting and dynamic splinting. However, it doesn’t present the specific program that was used or any other details. In addition, static splinting cannot, on its own, increase the range of motion, it can only preserve an existing one; static progressive splinting can increase the range of motion and exert enough tension to work like a dynamic splint. Also, the positive effect that splinting had was achieved after needle aponeurotomy and after 2.5 months and 8 months of splinting.

My case report is very specific and detailed. The excellent result (for a 90-degree contracture) was achieved within 30 days, accomplishing 30 degrees of maximum passive hyper-extension. My patient had never had any surgical procedure prior to the application of the technique described in my article. Most importantly, there was no recurrence.

The second link you are referring to clearly states that “The application of a splint as a conservative treatment may have a beneficial effect in Dupuytren’s contracture, but as a postoperative intervention… recent randomised studies of postoperative night splinting in addition to hand therapy have shown no significant benefit and possibly even a worse result.”

The above statement clearly specifies that splinting could only be used after a postoperative intervention and that it may have a beneficial effect and that it could actually make things worse which may be the reason why the majority of orthopaedic specialists (if not all) advise against splinting saying “do nothing and wait till the contracture worsens and then come for a surgical intervention.” My case study proves the exact opposite and this is very encouraging for the Dupuytren sufferers.

You are stating that in order to achieve and maintain a great result the patient needs to “be willing to do daily, regular exercises, and wear a dynamic splint, typically for hours during the day. And you need to understand that this needs to be continued forever because if you stop splinting, even after one or two years of wearing it, the contracture will return. Not at once but slowly and increasingly.”

The above statement is not fully correct. To achieve the result, yes, the patient needs be willing to do daily, regular exercises, and wear a dynamic splint on and off for some hours during the day. However, once the contracture is reversed back to normal, the patient only needs to perform the prolonged stretching for 2–3 times during the day and for 5–10 min each time. My father has been a great example. He hasn’t been very consistent with wearing the static splint during the night because he has been finding it uncomfortable, but he has been consistent in doing the active finger extension and passive hyper-extension exercises for a recommended minimum of 10 minutes, two to three times a day, and spread out evenly — as part of a lifelong daily routine; and this has been sufficient to maintain the great result with no recurrence for 2 years and 3 months now.

Dupuytren scar tissue is soft tissue and when the correct force is applied, it should slowly start opening the finger(s) unless of course there are obstructions in the joint(s) to prevent that from happening. Therefore, it won’t work in those that don’t have the patience, persistence, consistency and the knowledge how to apply the correct stretch, regularly, if they don’t use splinting. The roots of the teeth are embedded in bone, which is hard tissue, and they can be moved to a different location, gradually, with the aid of orthodontics. If a tooth responds so easily to a low continuous force that causes the bone, which is hard tissue, to resorb on one side and be formed on the other side, imagine how easier it would be to elongate the Dupuytren scar tissue, which is classed as soft tissue, using regular gentle stretching.

12/21/20 03:02
GeorgeVR 
12/21/20 03:02
GeorgeVR 
Re: Reversing Dupuyten’s Contracture Back to Normal, Naturally, By Gentle Stretching and Splinting

Our hands have evolved to do multiple tasks but we need to modify the way we use them and also respect their limits because if we go beyond these limits then we have to face the consequences, and one of them is Dupuytren’s contracture. If a proper survey is conducted you will see that Dupuytren patients have either traumatised and/or overused and abused their palms and fingers to a significant degree at least for some period(s) during their life. Overuse and abuse are different types of trauma to the tissues. When the recovery rate is slower than the damaging or traumatic rate, then the condition aggravates. That’s pretty basic knowledge and common sense… it’s not rocket science. For me, the worst advice that Dupuytren sufferers have had is “don’t stretch… wait till the contracture reaches a certain degree and then come for an operation.” Therefore, my article awakens and prompts Dupuytren patients to take the required action which is to start stretching their fingers gently and on a regular daily basis. It also makes them aware not only not to traumatise their palms and fingers but also not to overuse and abuse them and change the way they use their hands.

Dupuytren’s disease may be multifactorial. I don’t disagree but I doubt that it is purely genetic or at least the genetic factor only accounts for a very small percentage in the development of the disease. I believe that stretching the Dupuytren scar tissue gently and atraumatically is the best option in any case. This is what I am saying in the article: As a general principle, for a more holistic interdisciplinary approach, all contributing and aggravating factors that can play a role in the development of Dupuytren’s disease need to be taken into account. Nevertheless, the GV Technique and its recommendations, fully or partially, are applicable to all stages from beginning to advanced, regardless of the causation in each individual case. It is definitely worth trying as a first-line treatment option, before any other invasive methods are considered.

12/22/20 04:16
jonni 
12/22/20 04:16
jonni 
A Personal Breakthrough!! Please read

I really want to share a breakthrough I've had with my Dupuytren's. I had an operation on my right hand a few years ago where I had 2 nodes and their chords removed which I'd had for around 15 years. Unfortunately almost immediately after the operation I had 2 new nodes and a chord develop in between the 2 scars left from the operation. The condition has worsened over time and made it very difficult to hold certain objects and had zero flexibility in my fingers much like before the operation. I've also had 2 nodes and a chord on my left hand for 15 years which over the last year has also worsened which has increasingly made it more painful to play the piano which is a very important part of my profession of being a composer.

Now for the breakthrough which I plead with you all to share with anyone with the condition. A few days ago I bought myself a massage gun to use for other parts of my body, not even thinking about my hands but once it arrived I looked at the attachments and thought why not give it a go on my nodes and chords. After 2 days of using the massage gun, the nodes and chords in both hands have massively decreased in size and I have flexibility in my fingers that I haven't had for years- with my fingers stretched I couldn't bend them backwards at all where now I can bend almost all of them to near 45 degreses. I can not tell you how relieved this has made me feel especially as I'd resigned myself to having 2 operations in the not too distant future.

I've intensely used the massage gun so my palms are a bit sore but this is because it's quite powerful and because I've been so eager to see if this could help so probably gone a little overboard. I don't believe that this process will fully rid of the tissue as I think it'll be too difficult however I think it's definitely worth giving a go before having an operation or breaking the tissue down with a needle.

I still have some way to go as there's still quite a lot of tissue but the result has been better than I ever could've imagined which can only mean with further massaging it'll decrease even more which I'm very much looking forward to seeing and confident will happen. Although I don't think the Dupuytren's will ever fully go with this method, i feel confident that I can keep it at bay and potentially for the rest of my life which is extremely encouraging- I'm almost entertaining the idea that I'll be able to do things I haven't been able to do in years which is amazing.

Please do share this information because I know how helpless I've felt at times and how it's negatively impacted so many parts of my life so if this can help other people, it would be an amazing thing.

Thanks for reading and I truly hope this information can help you or any loved ones with the condition

12/22/20 09:51
spanishbuddha 

Administrator

12/22/20 09:51
spanishbuddha 

Administrator

Re: Reversing Dupuyten’s Contracture Back to Normal, Naturally, By Gentle Stretching and Splinting

Thanks for sharing your story Jonni. Do you have before and after photos? There is a UK massage therapist who treats early stage DD apparently with some success https://www.ealingmassagetherapy.co.uk/dupuytren's-massage so stories like yours help build up a picture. However others in the past have reported an adverse reaction to stronger forms of massage so some caution would be wise, as everyone seems to react differently. Try this gently and proceed from there depending on the reaction.

12/23/20 02:47
jonni 
12/23/20 02:47
jonni 
Re: Reversing Dupuyten’s Contracture Back to Normal, Naturally, By Gentle Stretching and Splinting

I'm sorry but I didn't take a before or after photo so I can only give you my word although I'm happy to share pictures after my operation although not for the faint hearted! I looked at the link you shared about the massage therapy so thanks for sharing. I think the massage gun is a very different procedure as it is kind of pummeling the tissue at a very fast rate therefore a more effective way of breaking or dissolving the tissue down. Over the years I've had a number of people massage my hands and it has been very painful and non productive and I can only imagine how long it would take to have success with this method. Since leaving the message yesterday, i've focused the massage gun between the nodes and my fingers and have had further success to the point where I can now lay my left hand flat on a flat surface which I haven't been able to do for years and my right is not far behind. The tightness in both hands has massively decreased, the nodes and chords have remained diminished and this is after only 3 days of use so I'm confident the tissue will dissolve even more with further treatment.

I'm so excited about what I've experienced that I've sent an email to the British Dupuytren's Society and invited them to discuss in more detail if they'd like to. Honestly this is an absolute game changer and think more people should try this method to avoid having an operation because I'm now confident I won't need to have one which is amazing!

03/16/21 07:45
Maddie 
03/16/21 07:45
Maddie 
Re: Reversing Dupuyten’s Contracture Back to Normal, Naturally, By Gentle Stretching and Splinting

Jonni - Very interesting story! Could you provide a link to the massage gun you purchased? I may give it a try...

03/25/21 21:52
noodles12 
03/25/21 21:52
noodles12 
Re: Reversing Dupuyten’s Contracture Back to Normal, Naturally, By Gentle Stretching and Splinting

Is the splint shown in the original post here available to buy online?

03/26/21 08:10
spanishbuddha 

Administrator

03/26/21 08:10
spanishbuddha 

Administrator

Re: Reversing Dupuyten’s Contracture Back to Normal, Naturally, By Gentle Stretching and Splinting

noodles12:
Is the splint shown in the original post here available to buy online?
The OP has not visited, logged into, the forum since December so I don't know if he will answer. However if you search on 'active spring extension finger splint' you will find something similar.

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