Hello. New to this forum. My husband (age 64) had the Xiaflex treatment last week--injection(s) on Tuesday, then the "manipulation" on Thursday--his "pinky" finger had contracted to his palm--yes, it should have been treated sooner, but it was his right hand and the timing was never quite right. The manipulation resulted in a "tear" approximately the size of a nickel--a large, gaping wound. Immediately following his appointment we were sent downstairs to the physical therapy/rehab center for a custom splint. Hubs was fitted with a splint and told to wear it 24/7 until we return for our first follow-up tomorrow (Tuesday, January 23)--of course, removing it to change the dressing as needed. My question/concern is that his doctor has not scheduled any follow-up visits--other than the physical therapists--until 4 weeks post-procedure. Does this sound normal? This wound is quite significant. We are both paranoid of infection! I am taking every precaution I know of to ensure that everything is as sterile as one can get it in a home environment--as of this writing, the wound shows no signs of infection. I think he needs to be seen by a doctor--not just a physical therapist, before 4 weeks. Also, the doctor did not use silver nitrate or any meds on the wound when he dressed it. The therapist had to re-dress the wound when splinting as it was already saturated with blood (this was 2-1/2 hours after the procedure). I have read on this forum of silver nitrate being used on the resulting open wounds. Hubs is having me place Neosporin on the dressing every other day--we are changing the dressing every day--we changed it twice a day for the first two days. The doctor came highly recommended, but I think he is more of a carpal tunnel guy than Duputryn's. We live in Houston, Texas. Any advice/feedback would be greatly appreciated!

Yes I agree with Alan, although it’s common to have skin tears which are left open to heal, some wound care should be done, even it it’s merely a look by an experienced eye. In the UK that would be a nurse, but it might be different for you. I would not wait for an infection to set in and see your GP just to get follow up care advice (for the wound). Hopefully within a week to 10 days you’ll be past the period of concern.