What is Dupuytren disease?
Dupuytren disease, also called Dupuytren contracture, is a hand illness in which the fascia, or layer of tissue beneath the skin, tightens and pulls the fingers towards the palm. Dupuytren disease is a progressive condition that most commonly affects the ring and tiny fingers, but it can affect any digit of the hand.
Thick cords may develop in the palm and make it difficult to open the hand to hold change, or to place the hand in a pocket. If you’re experiencing hand pain, contact Rehab Partners of Gadsden in Gadsden, AL for a consultation for your condition.
What are the signs?
You may notice a lump or thickening of tissue in your palm at first, but Dupuytren disease can worsen over time. The cords may also become irritated, making it difficult to hold instruments. It can take months or years for the skin of the palm to tighten and the fingers to bend. Dupuytren disease can affect both hands, however it usually affects one more than the other.
Is there a cause?
The exact cause of Dupuytren disease is not known. Dupuytren disease is found most often in older males. Smoking, diabetes and having a family member with Dupuytren disease are all risk factors.
What is the treatment?
A physical exam is used to diagnose Dupuytren disease. Your doctor may keep an eye on the nodules to see whether they change in size or thickness. The nodules in the palm of the hand do not always grow or become painful; nevertheless, when the fingers stiffen and make it difficult to use the hand, a referral to a hand surgeon is required. The nodules and dense tissue in the palm may be surgically removed.
Your surgeon may also recommend a special injection and manipulation to straighten the fingers.
How can a hand therapist help me find relief for my condition?
A hand therapist will work closely with your doctor to help treat Dupuytren disease after surgery.
Post-operative care involves fabrication of an orthosis to keep the fingers extended, a home exercise program to perform active range of motion and scar management and a strengthening program to regain functional use of the hand.
Call our clinic for a consultation today
If you are struggling with Dupuytren disease, know that you are not alone. Contact Rehab Partners of Gadsden in Gadsden, AL for a visit and let’s get you on the road to recovery.
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