DUPUYTREN’S CONTRACTURE

Several years back, I treated a sweet-as-can-be little old lady from the Houston area.  She has gone on to be with the Lord, but the reason she came to me was because she could no longer play the organ at church — something she had done for sixty some odd years.  Her hands had and fingers had curled and drawn up and she could not straighten them out.  She had something called Dupuytren’s Contracture.

Dupuytren’s Contracture is caused by a tightening or “contracture” of the Palmar Aponeurosis (also called the Palmar Fascia).  The Palmar Fascia on the palm of the hand is analogous to the plantar fascia on the bottom of the foot.  PLANTAR FASCIITIS typically comes on quickly and can be painful to the point of being debilitating; while Dupuytren’s Contracture of the Palmar Fascia comes on slowly and rarely causes any pain at all.

How do people get Dupuytren’s Contracture?  No one is really sure.  However, there are some risk factors.

  • Being of Scandinavian or Norwegian decent (It is sometimes called “Viking’s Disease“).
  • Heavy, hard work with the hands (rock climbers are notorious for this as well).
  • Being male (men get this problem 10 times more often than women)
  • A family history.

Because Dupuytren’s Contracture is rarely associated with pain, the most common approach is ‘wait-and-see’  Watch it until it gets really bad and then do surgery.  This approach can be problematic.   In 2010, an online journal for plastic surgeons (Eplasty) published a 20 year review showing that almost 16% of those who had surgery, had “serious” complications.

This leads me back to the elderly woman who could not play the organ.  After her first treatment with me, she reported that she could once again play the organ.  Some cases of “Trigger Finger” will not respond.  However, many cases will.  Come see me, I’ll break the FASCIAL ADHESIONS, and you’ll know after one treatment whether this approach is going to help your particular case.

For more information on the subject, check out our PATIENT TESTIMONIAL PAGE.

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