Monica, there are cases documented in the literature where trauma triggered Dupuytren. Another example: today Stefany wrote in a Ledderhose Yahoo forum "I'm having 3 lg nodules and 3/5 of my
plantar fascia removed in surgery this week. Mine started app. 1 and
1/2 yrs ago immediately following double neuroma surgery on my feet."
I myself had several nodules starting immediately after my first Dupuytren surgery. Surgery is certainly a major trauma. Obviously not each and everyone experiences agressive Dupuytren/Ledderhose after a trauma but also obviously it is the case for some of us. And for those surgery has additional risk and maybe we should avoid it completely (if we can).

By the way, for me this is another aspect where NA scores against surgery.

Wolfgang

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Randy--Nice to hear someone say there may be a relationship between hand trauma and onset of DC. I am convinced that one of the reasons for my early onset was hand trauma--injured the same knuckles that are affected now not long before the knuckle pads showed up and the exact same thing with the finger that has the contraction (which was also the subject of an earlier bike accident requiring months of physical therapy).....

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For some reason there seems to be a reluctance by CHS to admit the trauma / trigger correlation. However, way too many of us have seen this happen. Unfortunately in the mind of most CHS full Open Surgery is the *only* intervention available, so the surgical trauma connection is irrelevant. The OS must be done anyway so they leave this correlation out of the equation. However, what they do is to remove *all* the diseased tissue, right down to looking at it with a microscope to be sure they get it all. Why? So like a cancer what is left will not flair up. At some level they know.

So yes, this is a reason to try NA first. It's also a reason to not to subject your hands to trauma intentionally once your have been diagnosed. I will not slam my hands into the congas any more for instance. I stick to drums. However, Steven giving up karate may be more difficult. Personal choice. But I error on the side of caution, even though I know I have NA to me back up rather than OS.

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Randy:

Do you think that playing tennis or golf is risky - in that the use of the hands for those sports might constitute trauma sufficient to trigger a Dupuytren's episode?

Mark

Mark,

No, I don't think tennis or golf or playing drums is risky because there is no impact to the hands. The tennis racket acts as a shock absorber. Just holding an object tightly does not constitute trauma in my view. I'm more afraid of applauding through two standing ovations for the Moody Blues in concert tomorrow night than anything else I do with my hands these days. Wish me luck :-)