Learn about various treatment options for Dupuytren's contracture, including observation, stretching, medications, injections, minimally invasive procedures, and surgery. Early intervention can improve hand mobility and reduce deformity, offering hope for affected individuals.
Dupuytren's disease results from abnormal collagen deposits in the palm, forming nodules and cords that cause fingers to bend inward, creating persistent functional challenges.
While the precise cause remains unclear, genetics significantly influence development, especially with familial history. Treatment options are limited at diagnosis, emphasizing early intervention.
Medical approaches typically include medication and surgical options, but alternative long-term strategies encompass:
Observation: Tracking disease progression to assess severity, especially when the cause is uncertain, aiding planning for future treatment.
Stretching routines: Consistent hand stretches help preserve mobility and slow down finger curling caused by collagen accumulation.
Drug therapies and injections: Collagenase injections help break down hardened tissue, complemented by finger exercises to promote healing. These are often administered every other day.
Minimally invasive procedures: Techniques like needle aponeurotomy use a needle to cut cords, providing a safe, cost-effective alternative to surgery with faster recovery times.
Surgical options and advanced interventions: Surgical procedures remain the most definitive treatment, including joint fusion or external fixation for advanced cases. Amputation is a rare last resort in severe situations.