With the cost of Xiaflex so high, why not just get NA? I had NA, both hands, did 4 fingers and both thumbs done for less than $4k(Dr Kline). So why take the risk with Xiaflex at an even higher cost? With my Athena HMO(in Calif), they wont cover either(or Radiation), but will OK open hand surgery in both hands at over $12K, but I did that 18 years ago and will not let them do open surgery, unless its to completely remove a finger, which just might be in my future as my left little finger is pulled tightly into my palm and has been for over 3 yrs now. I also have slight onset in both feet. Totally sucks that there are treatments out there, but either I cant afford them, or Insurance will not approve. Im 50 years old, if my DD advances as it has in the past, I will be totally disabled before 60. And my DD is extremely painful, The only relief I have found is a mixture of DSMO and vitamin e applied topically. But I'm not sure of the side effects of long term use, so I use it sparingly.

So Xiaflex is lasting longer than NA? Is there proof of that anywhere? Thanks

Hi Callie,
I thought fascietomy (sp) was open hand surgery? What is the difference? Thanks,

Paula

patandpaula,

There is no difference.

My mom and dad both had the open hand surgery, and were never really the same - after long, long PT - and then reocurrances. While I realize that it works well for some, I personally would never go that route. My choice.

I certainly will post the results of my Xiaflex injections. I'm hoping to get longer-term results on that finger with this.

To clarify, I have dups in both hands - middle finger on left hand stayed stable after NA 4 years ago - very slight reocurrance. Middle finger on right hand however is the problem child. Severe reocurrance after 4 NA procudures. That's the finger (palmar cord also) that will be injected in January.

I think that NA should ALWAYS be the first thing that one tries - no harm/no foul, and it usually works well.

I'll try to remember to keep everyone posted on the results.....