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Request from Patients who have had Dupuytren Surgery
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11/06/15 18:57
gferrante 
11/06/15 18:57
gferrante 
Request from Patients who have had Dupuytren Surgery

I recently had surgery in Aug 2015, classic dupuytren ring finger and small finger. Hand / Fingers have straighten out and the tissue has healed.
Current Symptoms
1- unable to make a complete fist
2-hand is stiff need to constantly massage in the morning to make a fist about 90% closure
3-slight pain but tolerable on a sale of 1-10- about 2
4- fingers tingle almost feels like my fingers have gone to sleep

Question are these typical symptoms from anyone on this forum who has had surgery? My Dr. has said it takes time to heal and everyone heals differently.

Thank You
GFerrante

11/06/15 23:14
spanishbuddha 

Administrator

11/06/15 23:14
spanishbuddha 

Administrator

Re: Request from Patients who have had Dupuytren Surgery

I've had hand surgery but not for DD. Even so people on here have posted examples of recovery taking 3-12 months after surgery for DD. So patience and persevere with the exercises recommended by your therapist.

11/07/15 09:40
wach 

Administrator

11/07/15 09:40
wach 

Administrator

Re: Request from Patients who have had Dupuytren Surgery

I had surgery and would think that your symptoms may not be typical (most hands recover faster) but not exceptional either. It might well take 3 or more months untiil you can actively make a fist (i.e. without support from the other hand). The important question is: did your hand improve over the last 3 months? Is it still swollen?

My surgery was 15 years ago but my hand never recovered to become like a completely healthy hand again. I can still feel where the cuts were made. But that's to be expected because the connective tissue of the hand is a very complex, sensitive and elastic structure and what grows after surgery is inelastic, insensitive scarring. Surgeons usually won't explain that to the patient because they are probably (and wrongly) considering this as self-evident.

Wolfgang

11/07/15 10:31
flyfisher66 
11/07/15 10:31
flyfisher66 

Re: Request from Patients who have had Dupuytren Surgery

I had surgery for DD on my left hand , fairly extensive ! Resulting in incisions across my palm , ring , middle and index fingers , also the span between thumb and index finger . This was nearly two years ago , It took me several months to make a fist , with daily massaging of "bio-oil" in my hand , and also daily physiotherapy exercises . I still have extensive scarring , with some "numbness" in my index finger . I accept that my hand will never be normal ( new dd nodule now appeared in my palm again ) , luckily it does not yet interfere with my hobbies ( fly fishing/fly tying and beach fishing ) .

Everybody has different recovery rates and levels of success with the operation . My advice would be to persevere with the physiotherapy and try and use the hand as normally as possible .

Unfortunately my right hand also has DD , and is quiet severe . I have booked myself in for the Xiapex treatment in early 2016 . My consultant has advised that doing nothing is not an option , Will report on this site when I have the treatment .

11/07/15 18:58
gferrante 
11/07/15 18:58
gferrante 
Re: Request from Patients who have had Dupuytren Surgery

Fly Fisher- Thank you for the update can you tell me what type of phisotherapy exercises you do? Reason I ask my Dr. tole me to continue to use "Range of Motion" movements everyday, basically extending the fingers, massage the hand and fingers. What is strange is that I did not have pain in the fingers until after the surgery, the fingers were pulling down in the classic examples of photo's I have seen.
The good news is that the hand is now flat if I extend the fingers which I was not able to do and I can resume i.e. doing pushups- as an older guy I need to continue with exercising.

Wishing you well on your future surgery and keep fishing!

Regards
GFerrante

11/07/15 19:06
gferrante 
11/07/15 19:06
gferrante 
Re: Request from Patients who have had Dupuytren Surgery

wach:
I had surgery and would think that your symptoms may not be typical (most hands recover faster) but not exceptional either. It might well take 3 or more months untiil you can actively make a fist (i.e. without support from the other hand). The important question is: did your hand improve over the last 3 months? Is it still swollen?

My surgery was 15 years ago but my hand never recovered to become like a completely healthy hand again. I can still feel where the cuts were made. But that's to be expected because the connective tissue of the hand is a very complex, sensitive and elastic structure and what grows after surgery is inelastic, insensitive scarring. Surgeons usually won't explain that to the patient because they are probably (and wrongly) considering this as self-evident.

Wolfgang

Wolfgang thanks for your response
1- hand has improved over the 3 months
2-slightly swollen but according to the Dr. this is normal and will eventually subside.
3- I have come to the realization that the hand will never be 100% but I can extend the hand flat which enables me to do push-ups once again- but still not strong enough to do other exercises i.e. holding a rubber band in the hand, having my foot on it and then trying to pull upwards to shoulder- as an older guy your muscles tend to deteriorate when you are not using them.
4- no chance on gripping a gold club and following thru on hitting the ball- maybe in the future

Regards
GFerrante

11/08/15 09:28
wach 

Administrator

11/08/15 09:28
wach 

Administrator

Re: Request from Patients who have had Dupuytren Surgery

If your hand is improving, then you just need patience. It might take 6 or more month before your hand has recovered. As always with this disease, everyone is different. Careful exercises, not brute force but "friendly" yet regularily, will help regaining flexibility. As your hand is only slightly swollen anymore then chances are good that the swelling will subside completely and your grip will further improve.

If golfing doesn't work right now, don't do it. Just allow your hand time to recover. You will be back on the course some day, I am sure.

Wolfgang

gferrante:
Wolfgang thanks for your response
1- hand has improved over the 3 months
2-slightly swollen but according to the Dr. this is normal and will eventually subside.
3- I have come to the realization that the hand will never be 100% but I can extend the hand flat which enables me to do push-ups once again- but still not strong enough to do other exercises i.e. holding a rubber band in the hand, having my foot on it and then trying to pull upwards to shoulder- as an older guy your muscles tend to deteriorate when you are not using them.
4- no chance on gripping a gold club and following thru on hitting the ball- maybe in the future

Regards
GFerrante

11/08/15 13:31
flyfisher66 
11/08/15 13:31
flyfisher66 

Re: Request from Patients who have had Dupuytren Surgery

Hi , most of my physiotherapy was using "putty" , a soft compound , by just gently squeezing it in the palm of my hand . I found that it was something I could do , watching TV or reading . The worst thing I had in the early stages after the operation was wearing a splint at night , resulting in a very stiff hand in the morning . This I resolved by gradually warming my hand in warm water , then massage with the "Bio-Oil" , followed by the physiotherapy . I had my operation in January 2014 . even after a few months I had to wear a glove on my left hand to keep it warm and to prevent it getting stiff .

This operation has left me with prominent scarring , some numbness in my index finger , and a bent/lumpy ring finger ( this originally was the only reasonably straight finger I had) ! Although I am almost able to put my hand flat on a table .

Unfortunately a small nodule was left in my palm , which is now getting larger and is beginning to tighten .

I hope my condition has not been passed to my children/grand children , as my brother has some small nodules and my paternal grandmother had DD late in her life ( mine started in my 40s ) .

My advise would be to observe what is best for you , and it will take time . Best wishes .

11/08/15 21:50
BRIANB 
11/08/15 21:50
BRIANB 
Dr. Diaz

Dr. Diaz as most already know has taken over Dr. Eaton's practice .
She appears to be very well educated and trained regarding Dupuytren's.. plus the fact she was associated with Dr. Eaton.
Has anyone been treated by her ...and if so .. could you share your opinion ..

11/09/15 20:56
vicmc 
11/09/15 20:56
vicmc 
Re: Request from Patients who have had Dupuytren Surgery

HI, I HAD SURGERY SAME TWO FINGERS AS YOU, JULY 24,15. SOUNDS LIKE WE ARE HEALING ABOUT THE SAME,EXCEPT MY FINGERS ARE NOT STRAIGHT. I HAVE NOT WENT BACK TO WORK AND REALLY FEEL I CAN NO LONGER DO MY CURRENT JOB. MANUFACTURING PLANT, VERY HANDS ON AND MY OTHER HAND IS ACTIVE NOW. GOOD LUCK TO YOU

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