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Houston Treatment for Dupuytren’s Disease

Dupuytren’s Disease is an abnormal thickening of the tissue just deep to the skin in the palm of the hand. It is not a cancerous condition. Hard knots may form under the skin, and in some patients, these become cords that pass into the fingers. These cords may feel or look like tendons but they actually lie above the tendons. The cords can be painful and may pull your fingers down into your palm. Occasionally the disease can also cause thickening over the top of the knuckles. A similar condition may also occur in the soles of the feet.

Causes of Dupuytren’s Disease

The cause of Dupuytren’s Disease is often unknown and no permanent cure has been discovered. It is more common in people with Northern European ancestors. It occurs more often in men and in people over the age of 40. There is a link to Diabetes. There is no clear evidence to link Dupuytren’s Disease to specific occupations or injury.

Treatment Options

Although research is being performed using injectable substances to treat Dupuytren’s Disease, there is nothing currently available that has been shown to provide any significant relief. Surgery is performed as an outpatient procedure. It should be noted that surgery is not a cure and even after successful surgery, signs, and symptoms may recur. Post-operatively most patients will need splinting and hand therapy to help control scar formation, and for exercises to help regain function of the hand.

Symptoms of Dupuytren’s Disease May Include:

  • A lump, scarlike band or pit in the palm of the hand
  • Pain in the hand in the regions affected by the disease
  • Inability to place the palm flat on a surface
  • Fingers pulling down towards the palm

Your doctor can make the diagnosis of Dupuytren’s Disease from examining your hand. For nodules and cords that are not painful and do not cause finger contractures, only observation is needed. If the disease becomes painful or the fingers start to pull down into the palm, surgery may be needed.

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