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Summary of NA procedure done by Dr Manet (Paris) in November 2021
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07/05/2022 10:57
Guitareth 
07/05/2022 10:57
Guitareth 
Summary of NA procedure done by Dr Manet (Paris) in November 2021

I am a male aged 65 and I previously posted on this forum about my experience of being treated by Dr Marie Pascale Manet Chopin (known as Dr Manet) in Paris using needle aponeurotomy (NA) in November 2018. You can see my previous postings on this thread: https://www.dupuytren-online.info/Forum_...read=1534176780. That thread includes before and after photos.

On Friday 19 November 21 (3 years later) I returned to Dr Manet for a repeat treatment on all 3 fingers, so I think it's time to post an update............

My previous treatment by Dr Manet was in November 2018. On both occasions she treated my RIGHT hand, 4th (ring) and 5th (pinky) fingers, and my thumb, during 1 session of 45 mins to 1 hour. By mid 2021 all three fingers had returned to their previous state of bend (as I was warned will usually happen if treated by NA) so I decided to make an appointment with Dr Manet for further treatment.

On Friday 19 Nov 21 I arrived at around 11:15 and was called in by her at around 11:30. As before she started by examining my hand and measuring the current amount of bend in my fingers. She seemed very concerned by the severity of the main nodule in my right palm which linked to the cords in my 4th and 5th fingers. I reminded her I wanted the thumb treated as well and she said she’d “try her best”. I also asked if my pinky had the “Boutonniere deformity” in that it curves upwards from the last joint. She confirmed it does have Boutonniere but reassured me that would not adversely affect what she can do. So after around 5 mins we went through to the side room. She asked me to wash my hands thoroughly and asked me to wash my right hand with iodine.

I reclined on the treatment bench and she started by disinfecting my right hand by heavily drenching it with iodine (which she continued to do throughout the procedure). She marked the main points she was going to insert the syringe using a biro pen.

She then aneasthetised all 3 fingers and the palm by injecting aneasthetic into at least three points and in two depths at each area. This was the only painful part of the procedure, with the sorest when it was injected into my thumb. After a couple of minutes my fingers were numb so she could start.

She worked on the nodule on my palm first and then on each finger. In each case she pushed the needle into my hand/finger, found the cord by probing, and moved the needle back and forth in a sawing motion until she could tell she had cut the cord. After cutting the cord in a few places she bends/pulls hard back on the finger to snap the cord. The needles get very bent doing this so she has to change them for new ones several times. She said she could not do anything with the PIP joint of my pinky finger as it was now locked solid, but she did improve the degree of bend on that finger. She also did a very good job on my ring finger and thumb, which appeared to be more or less back to normal after the procedure.

When she’d done all she could she cleaned my hand again, then put elastoplast type plasters on each fingers where the punctures were, and then wrapped bandaging around my hand. She told me I can take the bandages and plasters off after TWO days, but in the interim I MUST keep the dressings dry so must cover them with a polythene bag or similar when washing. She also said I must avoid lifting any heavy or strenuous loads with my treated right hand for a further 3 weeks. I asked if I should keep my hand raised above my heart but she said this was not necessary.

She measured the bend of my fingers afterwards and confirmed an improvement in all of them. She recorded all the before and after details on her PC. The treatment cost 320 euros. I left at around 12:15 pm so in total the appointment lasted 45 minutes.

I was once again very happy with the procedure and professionalism of Dr Manet and have no hesitation in strongly recommending this doctor for anyone considering needle aponeurotomy (NA). Please note, I previously - back in 2015 - got surgery on my other hand for dupuytrens in the pinkie finger of my left hand. This was a fasciectomy carried out under a general aneasthetic. Afterwards, my hand was stitched up and heavily bandaged, I had to visit a nurse every three days for a couple of weeks to get the wound cleaned and bandages changed, and it was probably around 2-3 months until I could use my hand normally. In comparison, the NA procedure on 3 fingers took 45 minutes, all plasters/bandaging was removed after 2 days and I could use my hand fairly normally. Yes it's true that when treated by NA the problem is likely to return within 1 - 5 years, but as NA is so much quicker, cheaper, less painful, and with a much quicker return to normal use of the affected hand, I have no hesitation in recommending NA as the best way to proceed in most cases. Dr Manet's email address is: mpchopin1@gmail.com

07/05/2022 11:06
spanishbuddha 

Administrator

07/05/2022 11:06
spanishbuddha 

Administrator

Re: Summary of NA procedure done by Dr Manet (Paris) in November 2021

Thanks for sharing this update too, to go with your previous thread. Happy healing and long may it last for you.

07/05/2022 11:27
Kelvin 
07/05/2022 11:27
Kelvin 
Re: Summary of NA procedure done by Dr Manet (Paris) in November 2021

Thank you for this excellent post

07/13/2022 23:04
pixi 
07/13/2022 23:04
pixi 
Re: Summary of NA procedure done by Dr Manet (Paris) in November 2021

Fantastic report, thank you.

The injections do sound very painful but it's nice to know this relatively quick and inexpensive option exists.

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