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Xiaflex - 2nd treatment on same joint
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12/03/2016 04:16
astonmartinv8 
12/03/2016 04:16
astonmartinv8 
Xiaflex - 2nd treatment on same joint

I'm 47 year old, male, with garrods pads and very recently Duputryens.

I have it in my little finger, right hand, PIP joint. I had Xiaflex treatment a year ago and it has recurred with visible cord down into the hand - its at 90 degrees. I have a few other very small nodules on other fingers but they have been there for years.

Has anyone had any experience of a second Xiaflex treatment on the PIP joint? I am very keen not to have surgery if I can possibly avoid. I'd be happy to do another Xiaflex or NA and Xiaflex first.

I would welcome any thoughts or suggestions. I am Australia based but will travel worldwide to find the best Doctor.

Thanks.

12/03/2016 07:48
spanishbuddha 

Administrator

12/03/2016 07:48
spanishbuddha 

Administrator

Re: Xiaflex - 2nd treatment on same joint

Sorry to hear it came back so soon. Did you splint at night? The pinkie PIP can be the hardest to treat with good results due to the anatomy of the finger, and the location of cord can present challenges with nerves or tendons. I guess you have seen the list of NA doctors in Australia on the treatment pages http://www.dupuytren-online.info/NA_list..._countries.html, and if you search the forum you can get user experience such as http://www.dupuytren-online.info/Forum_E...lia-0_1809.html. Put the doctors name into the search for more results. The doctors in Paris are regularly recommended as being the best however, the technique was pioneered from there and you could try an email to them with photos.

12/05/2016 11:37
wach 

Administrator

12/05/2016 11:37
wach 

Administrator

Re: Xiaflex - 2nd treatment on same joint

I had the same problem, i.e. fairly quick recurrence, at the same joint (right PIP of the little finger) after a Xiapex treatment. You need to be aware that this is the worst of all joints with respect to treatment and recurrence. However you treat it, contracture will likely return after a fairly short time. The only means that I know of to delay recurrence is night splinting as SB already indicated.

I believe there is no problem to have a second collagenase injection , except that this is a very difficult joint, also for collagenase. I had my recurrence treated by needle fasciotomy (NA) and it worked out fairly well. Since then I am wearing a night splint and have been able to keep my fenger straight so far (but the NA was only 7 month ago).

Wolfgang

12/07/2016 10:11
astonmartinv8 
12/07/2016 10:11
astonmartinv8 
Re: Xiaflex - 2nd treatment on same joint

Thanks for the responses both.

I am thinking of seeking out the best doctor I can for NA/PNF+ and possibly Xiaflex in parallel. I feel a Euro trip coming on.

Best regards,

MW.

Edited 12/07/16 12:12

12/07/2016 13:34
econn 
12/07/2016 13:34
econn 
Re: Xiaflex - 2nd treatment on same joint

My Xiaflex procedure was performed 2 1/2 years ago by a plastic surgeon who specializes in hands. So far, so good. He also does NA and full surgeries and chooses which procedure will be most successful. Before I decided on having him do it, I checked and he had performed about 70 successful Xiaflex procedures. If my other hand starts contracting or it returns to my treated hand, I will have the same doc use Xiaflex on it.

Edited 12/07/16 15:36

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technique   recurrence   fasciotomy   performed   Australia   successful   suggestions   contracting   challenges   recommended   specializes   contracture   treatment   collagenase   Xiaflex   procedures   dupuytren-online   Duputryens   experience   procedure