| trekking accident/Dupuytren Contracture cure? |
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07/17/2016 05:06
redeye 
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07/17/2016 05:06
redeye
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trekking accident/Dupuytren Contracture cure?
I have Dupuytren's Contracture in both hands, but recently, while trekking, I fell and landed heavily on one hand, forcefully pushing my fingers back. It hurt! But I soon discovered that the Dupuytren's Contracture had pretty much gone it that hand! It's been a month now and I still can bend my fingers back (unlike the other hand, where my wedding ring finger is bending in).
I was wondering, if this was done under anesthetic, whether it could help people with Dupuytren's Contracture?
Just a thought...
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07/17/2016 06:05
Stefan_K. 
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07/17/2016 06:05
Stefan_K.
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Re: trekking accident/Dupuytren Contracture cure?
redeye:
I have Dupuytren's Contracture in both hands, but recently, while trekking, I fell and landed heavily on one hand, forcefully pushing my fingers back. It hurt! But I soon discovered that the Dupuytren's Contracture had pretty much gone it that hand! It's been a month now and I still can bend my fingers back (unlike the other hand, where my wedding ring finger is bending in).
I was wondering, if this was done under anesthetic, whether it could help people with Dupuytren's Contracture?
Just a thought...
Redeye, what happened is that your cord snapped because it was weak enough. It is equivalent of the second part of the NA/PNF procedure (needle aponeurotomy or percutaneous needle fasciotomy) with or without anesthesia in which the cord is first weakened, then broken through stretching. It often closes up again, but you can have it performed repeatedly, when needed:
http://www.dupuytren-online.info/needle_aponeurotomy.html
Stef
[54 year-old male, DD diagnosis 2006, RH contracture and NA/PNF 2014, RT 2015, wearing night splint glove]
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07/17/2016 06:19
spanishbuddha  Administrator
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07/17/2016 06:19
spanishbuddha Administrator
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Re: trekking accident/Dupuytren Contracture cure?
Yes, occasionally people do report an accident that snaps the cord of DD and straightens the finger. Usually painful. As Stefan says that is a treatment option, NA and Xiaflex. The difficulty is for some that the subsequent healing response can invoke afresh DD.
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07/17/2016 06:41
Stefan_K.
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07/17/2016 06:41
Stefan_K.
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Re: trekking accident/Dupuytren Contracture cure?
spanishbuddha:
The difficulty is for some that the subsequent healing response can invoke afresh DD.
More precisely, typically the return of the DC (contracture of the severed cord), rather than a new diseased area (nodule, cord) elsewhere as happens more likely with a bleeding wound, such as after open surgery?
Stef
[54 year-old male, DD diagnosis 2006, RH contracture and NA/PNF 2014, RT 2015, wearing night splint glove]
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07/17/2016 10:32
spanishbuddha Administrator
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07/17/2016 10:32
spanishbuddha Administrator
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Re: trekking accident/Dupuytren Contracture cure?
Stefan_K.:
spanishbuddha:
The difficulty is for some that the subsequent healing response can invoke afresh DD.
More precisely, typically the return of the DC (contracture of the severed cord), rather than a new diseased area (nodule, cord) elsewhere as happens more likely with a bleeding wound, such as after open surgery?
Stef
[54 year-old male, DD diagnosis 2006, RH contracture and NA/PNF 2014, RT 2015, wearing night splint glove]
OK, but people on this forum have often reported new disease in areas unrelated to the local treatment. There are even reports of new DD in the hand that was not treated and hitherto had no signs of disease.
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07/17/2016 10:41
Stefan_K.
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07/17/2016 10:41
Stefan_K.
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Re: trekking accident/Dupuytren Contracture cure?
spanishbuddha:
OK, but people on this forum have often reported new disease in areas unrelated to the local treatment. There are even reports of new DD in the hand that was not treated and hitherto had no signs of disease.
Attributable to a needle procedure? Or the natural progression of the disease?
Stef
[54 year-old male, DD diagnosis 2006, RH contracture and NA/PNF 2014, RT 2015, wearing night splint glove]
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07/17/2016 12:31
wach Administrator
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07/17/2016 12:31
wach Administrator
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Re: trekking accident/Dupuytren Contracture cure?
After Dupuytren surgery I developed 3 new nodules in the untreated hand. Because this was immediately after surgery it was probably triggered by the surgery. NA ought to do less damage. I had NA myself about 2 months ago and did not observe any subsequent disease activation.
Wolfgang
Stefan_K.:
Attributable to a needle procedure? Or the natural progression of the disease?
Stef
[54 year-old male, DD diagnosis 2006, RH contracture and NA/PNF 2014, RT 2015, wearing night splint glove]
Edited 07/17/16 17:12
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07/17/2016 12:38
spanishbuddha Administrator
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07/17/2016 12:38
spanishbuddha Administrator
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Re: trekking accident/Dupuytren Contracture cure?
Stefan_K.:
spanishbuddha:
OK, but people on this forum have often reported new disease in areas unrelated to the local treatment. There are even reports of new DD in the hand that was not treated and hitherto had no signs of disease.
Attributable to a needle procedure? Or the natural progression of the disease?
Stef
[54 year-old male, DD diagnosis 2006, RH contracture and NA/PNF 2014, RT 2015, wearing night splint glove]
People often report new, previously unknown, cases of DD after for example surgery for tennis elbow, carpal tunnel, trigger finger, as well as of course DD including NA and Xiaflex.
Isn't that interesting? Is there something systemic circulating in the blood, the lack of oxygen during surgery of a tourniquet is used, or .....
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07/17/2016 12:52
Stefan_K.
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07/17/2016 12:52
Stefan_K.
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Re: trekking accident/Dupuytren Contracture cure?
spanishbuddha:
People often report new, previously unknown, cases of DD after for example surgery for tennis elbow, carpal tunnel, trigger finger, as well as of course DD including NA and Xiaflex.
Isn't that interesting? Is there something systemic circulating in the blood, the lack of oxygen during surgery of a tourniquet is used, or .....
My understanding is that any bleeding wound triggers the creation of collagen in the healing process and can lead to too much collagen in the wrong places. But unless there is an accident or the finger was already extremely bent and the skin breaks, I would consider the risk of that happening with NA/PNF or collagenase very significantly lower than that with open surgery. It would be interesting to hear from those who attribute new nodules in other areas to NA/PNF or collagenase how much bleeding they observed.
Stef
[54 year-old male, DD diagnosis 2006, RH contracture and NA/PNF 2014, RT 2015, wearing night splint glove]
Edited 07/17/16 15:53
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07/18/2016 04:08
redeye
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07/18/2016 04:08
redeye
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Re: trekking accident/Dupuytren Contracture cure?
Thank you everyone for your responses to my post. I guess I need to look into things a lot more (so far I've just read a few articles). I was just shocked at the relief I got after my little accident (a month ago now, and still my fingers are able to bend back).
Best regards,
Martin.
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