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Stretches on finger not contracted, will it help?
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01/21/2011 22:00
loonsong 
01/21/2011 22:00
loonsong 

Stretches on finger not contracted, will it help?

Hi everyone,

My Internist sent me to an OT. She had me do a thumb stretch and I noticed immediatly a cord that was hiding. It is not visible unless I do that stretch. I have a very visible nodule and cord in other thumb (the other nodule is also more hidden) and I wonder what stretching will do to all of them? The other nodule and cord is is the middle of my palm with the cord going away from the middle finger.

Is stretching the fingers with cords a bad idea?

I did not want to make my DD any worse.

Please any comments will be appreciated.

No contracture as of yet, so far only 3 nodules (2 with visible cords) appeared April 1010.

Thanks,

Loonsong

Edited 01/22/11 00:08

01/22/2011 03:09
callie 
01/22/2011 03:09
callie 
Re: Stretches on finger not contracted, will it help?

I think that the stretching constitutes an aggravation to the Dupuytren's. I think that any abnormal behavior creates problems that could easily accelerate the situation. That is what seems evident in my 20 years with Dupuytren's.

01/22/2011 04:22
loonsong 
01/22/2011 04:22
loonsong 

Re: Stretches on finger not contracted, will it help?

Hi Callie,

Thanks. This was my thinking too especially after the OT visit. When the cord popped up, I said, "What is that?" Because it looked much brighter whiter/yellower than the other 2 cords I did not recognize it as a cord (not sure why). The OT pressed on it while saying, "It looks like a cord to the Dupuytren's.

When she pressed it really hurt and I involuntarily said OW! She innocently asked, "That hurts?"
"YES" That was not a place I had been applying the verapamil gel w/ lidoderm so it was not receiving the pain blocking properties of the gel like the other cords.

Now I am applying the gel across that area although the cord is disguised with a fold of tissue (but if I stretch the thumb the fold flattens out and there it is).

I believe she is just going by her protocol for I was sent in for hand strengthening, not anything for DD. I am giong to call her Monday before my appointment and discuss my concerns about the stretching especially since the new cord appeared and might have to call my Internist.

What about the putty she sent me home with to use 5 minutes twice a day is this OK? Or should I start a new thread about that?


Loonsong

Edited 01/22/11 06:34

01/22/2011 06:59
newman 
01/22/2011 06:59
newman 

Re: Stretches on finger not contracted, will it help?

Australia Calling. Hi. Unfortunately there is no clear evidence to say not or to stretch the hand. I saw the signs of Dupuytren when I was 35 Yrs of age. A friend of mine was a Physio and identified it immediately. I visited a surgeon and was advised to wait and see. The Physio advised me to stretch the hand , by facing the palm flat on a table and exert a slow downward pressure whilst raising the wrist . Any stretching should be slow and no quick jerky actions . When you finish make a fist and then move all the fingers as though playing a piano.I did not commence any surgery until I was into my 50's. I still stretch my hands daily. The putty I have used after surgery to strengthen the hand . Things like lifting a house brick is very good to strenghten all the hand and wrist.
There is another test that I was given -have a person hold a sheet of paper and place it intern between each finger up to the web and then squeeze the two fingers together sideways , with the joints gripping the paper, as the other person pulls the paper slowly outwards.The other person will assess if the resistence is the same between each set of fingers.
We are all different , what works for one may not for the other. It sounds the now is the time to monitior any deteriation by documenting every thing and consider if RT is an option to stop the progress. The main thing is not overdo it. If you feal tired stop and rather do it more often and reduce the time .

Edited 01/22/11 09:07

01/22/2011 15:26
callie 
01/22/2011 15:26
callie 
Re: Stretches on finger not contracted, will it help?

I think there is a real difference here in the discussion. I did all kinds of exercises post-surgery. It helped greatly and now more than nine years later I still have a hand that is as good as pre-Dupuytren's. Pre-surgery I can't see how the stretching could possibly help the long term effect of Dupuytren's. There might be a temporary difference.

01/22/2011 16:28
quinnt01 
01/22/2011 16:28
quinnt01 
Re: Stretches on finger not contracted, will it help?

In the long run, I don't believe anything has been shown to definitively eliminate DC, and from what I've read stretching may, or may not, help. Personally, I've always stretched my hands because it's the instinctive thing to do, and I feel good about fighting it.

01/22/2011 16:58
loonsong 
01/22/2011 16:58
loonsong 

Re: Stretches on finger not contracted, will it help?

Thanks to Newman, Callie and Quinn,

There are varied answers and everyone is different I guess.

I remember as a child I used to take my thumbs and bend them back to my inside forearms (I was very flexable ) I think someone else could almost do that maybe a sister.

I can stretch (spread) my fingers apart in the air and the thumb and little finger are so far apart you could draw a straight line. It was great when I used to play piano. I have very long fingers.

Does this disease strike people who have long fingers/hands in general I wonder?

The stretches the OT wants to do is to grasp my thumb (palm facing me) which are both hyper flexed already (maybe from bending them so much in childhood ) and pull them out to the side away from the hand.

Since mine are so hyper flexed to begin with I don't see the purpose of this. But I will call her on Monday with my concerns.

I imagine everyone on this site is probably post surgery and already contracted, I usually try and catch something before there is a need for surgery. I am very into preventive medicine.

I am almost 65 and have never had any surgery at all, I think that is rare. I am trying to keep the condition from advancing so I will not need NA. But down the road if necessary that is the way I would go. Other than Fibro and Hypothyroidism (oh and cataracts and that may be my first surgery ) and a little anemia (now under control) I am in perfect health. Except for the hands and feet issues

Thanks again for your input.

Loonsong

Edited 01/22/11 19:12

01/22/2011 20:32
spanishbuddha 

Administrator

01/22/2011 20:32
spanishbuddha 

Administrator

Re: Stretches on finger not contracted, will it help?

See http://www.dupuytrenfoundation.org/Complementary-Procedures on the US site.

It suggests not doing stretches but physical rolling compression of the nodules.

01/22/2011 20:43
loonsong 
01/22/2011 20:43
loonsong 

Re: Stretches on finger not contracted, will it help?

Thanks,

How does the rolling help?

I have another thread about putty, what do you think abuut using that twice a day? No one has anwered in regards to pre surgery use.

Loonsong

01/22/2011 20:49
loonsong 
01/22/2011 20:49
loonsong 

Re: Stretches on finger not contracted, will it help?

Hi Spanishbuddha,

The link you sent was not visible in my in box and I read your message from there. Later I viewed your message here and your link.

So now my question of how the rolling helps is answered, thanks.

Loonsong

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