Non-Surgical and Surgical Treatments Available for Dupuytren’s Contracture

Dupuytren’s Contracture refers to a hand deformity that usually develops over years. It is a progressive condition that affects the layer of tissue under the skin of your palm. As the condition worsens, the cords beneath the palm begin to thicken and tighten, pulling your fingers into a bent position. This results in the formation of lumps that feel tender. The curling of the ring and little finger cause pain and reduce mobility.

Also known as Viking disease, it is a common condition for which there are various surgical and non surgical treatments for Dupuytren’s Contracture. The choice of treatment largely depends on the severity, degree of deformity and the provider’s preference. It is generally accepted that surgical procedures are reserved for patients with significant disability or with contractures of > 30–40 degrees.

The goal of Dupuytren’s Contracture treatments is to reduce the symptoms and disability caused by lump formation. However, there’s no permanent cure for the disease.

Non-surgical treatments

These are often performed in the early stages of the disease, or in addition to surgery. The following non-surgical treatments have shown benefits:

Stretching

Stretching is beneficial for the mildest forms of the disease. Moreover, it is recommended along with other treatments. It would be more fruitful to work with your healthcare professional on any stretching program.

Steroid injections

Anti-inflammatory medications are helpful when injected into the nodule. The injections may reduce the size of the nodules in the early stages; however, they are less effective in later stages of the disease when the tissue gets thicker. They may help to slow the condition’s progression but won’t help with mobility or straightening of the fingers if you have a contracture.

Radiation therapy

Low energy radiation therapy may help symptoms and prevent the worsening of nodules. Vitamin E, splinting and ultrasound are some of the best treatments for Dupuytren’s Contracture. Some people use a Dupuytren’s wand which releases ultrasound frequency rays to treat the condition. Regular therapy helps soften the tissue as well as improving the flexibility and mobility of the hand.

Surgical treatments for Dupuytren’s Contracture

If the condition becomes worse and the disease progresses, your doctor may recommend surgery.

Open surgery

The surgeon makes an incision and either removes or divides part or all of the thickened tissue bands.

Needle aponeurotomy

This procedure is an alternative to open surgery. The surgeon uses a hypodermic needle to cut and divide the thickened tissue in the palm and fingers.

To wrap up

Both open surgery and needle aponeurotomy come with a high risk of recurrence of contractures. They may improve but will not correct the limitations caused by the disease. To retain the effects of surgery and for a speedy recovery, perform stretching and other exercises recommended by doctors to improve the hand’s mobility.