Dupuytren’s Contracture

Welcome to Veda Medical, a renowned healthcare provider dedicated to delivering comprehensive care for various medical conditions. Among the conditions we specialize in is Dupuytren’s Contracture, a progressive hand condition that affects the fingers’ ability to straighten.

Dupuytren’s Contracture is a fibroproliferative disorder that primarily affects the connective tissue beneath the skin of the palm and fingers. It is characterized by the development of thickened cords and nodules, which gradually cause the affected fingers to bend into a flexed position. This condition most commonly affects the ring finger and little finger but can also impact other fingers to varying degrees.

At Veda Medical, we understand Dupuytren’s Contracture’s impact on hand function and daily activities. Our highly skilled physicians, surgeons, therapists, and support staff are dedicated to providing exceptional care to individuals with this condition.

Our approach to Dupuytren’s Contracture focuses on accurate diagnosis, personalized treatment plans, and comprehensive management:

1. Diagnostic Evaluation: We employ advanced diagnostic techniques to evaluate the extent of Dupuytren’s Contracture and assess its impact on hand function. Through a thorough examination, including a physical evaluation and medical history assessment, we can determine the severity of the condition and its progression.
2. Non-surgical Treatments: In the early stages of Dupuytren’s Contracture, non-surgical treatments may be recommended when symptoms are mild. These can include the use of medications, physical therapy exercises, splinting, and other conservative measures to manage symptoms and slow down the progression of the Contracture.
3. Minimally Invasive Procedures: For moderate to severe cases where non-surgical options may not provide adequate relief, our experienced hand surgeons specialize in minimally invasive procedures. These techniques aim to release the contracted cords and improve finger function while minimizing tissue trauma and promoting faster recovery.
4. Surgical Interventions: In advanced stages of Dupuytren’s Contracture or when conservative and minimally invasive approaches are not sufficient, surgical intervention may be necessary. Our skilled surgeons utilize various surgical techniques, such as fasciectomy or fasciotomy, to remove or release the affected tissue, straighten the fingers, and restore hand function.
5. Rehabilitation and Therapy: Following any surgical intervention, our hand therapy team plays a vital role in rehabilitation. They provide personalized rehabilitation programs that include exercises, splinting, scar management, and techniques to restore the range of motion, strength, and function of the hand.

At Veda Medical, we prioritize patient-centered care, ensuring each individual receives tailored attention and a treatment plan suited to their unique needs. We combine our expertise with state-of-the-art technology and a multidisciplinary approach to provide exceptional outcomes for individuals with Dupuytren’s Contracture.

When you choose Veda Medical for your Dupuytren’s Contracture care, you can expect compassionate support, cutting-edge treatments, and a commitment to restoring hand function and improving your quality of life. Our team is dedicated to helping you regain optimal hand health and function so that you can engage in daily activities with confidence and ease.

What is Dupuytren’s Contracture

Dupuytren’s Contracture is a hand condition characterized by the progressive thickening and tightening of the connective tissue beneath the skin of the palm and fingers. It causes the affected fingers to bend flexibly, making it difficult to straighten them fully. This condition primarily affects the ring finger and little finger, although it can also impact the other fingers to varying degrees.

The exact cause of Dupuytren’s Contracture is not fully understood. However, it is believed to involve genetic and environmental factors. The condition tends to run in families and is more prevalent in individuals of Northern European descent. Other factors contributing to the development of Dupuytren’s Contracture include advancing age, male gender, diabetes, smoking, and certain medications.

The initial sign of Dupuytren’s Contracture is the appearance of small nodules or lumps in the palm. Over time, these nodules can progress into thick cords that extend from the palm to the affected fingers. As the cords tighten and contract, the fingers gradually become flexed and may eventually be unable to straighten fully. The severity of the Contracture can vary widely, ranging from mild limitations in finger extension to severe deformities that significantly impact hand function.

The progression of Dupuytren’s Contracture is usually slow and gradual, occurring over a period of months or years. The condition may initially cause minimal discomfort or functional impairment. Still, as the Contracture progresses, it can interfere with everyday activities such as grasping objects, shaking hands, or performing fine motor tasks.

While Dupuytren’s Contracture is not typically painful, it can significantly impact a person’s quality of life and hand function. Treatment options depend on the severity of the Contracture and its impact on daily activities. Non-surgical interventions such as observation, hand therapy exercises, and splinting may be recommended in mild cases. For more advanced contractures, surgical procedures or minimally invasive techniques may be necessary to release the tightened cords and restore finger mobility.

It is important to consult with a healthcare professional or hand specialist for an accurate diagnosis and to discuss appropriate treatment options for Dupuytren’s Contracture. They can evaluate the severity of the condition, assess the impact on hand function, and provide personalized recommendations to alleviate symptoms and improve hand mobility.

Signs and Symptoms of Dupuytren’s Contracture

The signs and symptoms of Dupuytren’s Contracture typically develop gradually and can vary from person to person. Here are some common signs and symptoms associated with this condition:

1. Nodule Formation: One of the early signs of Dupuytren’s Contracture is the development of small, painless nodules or lumps beneath the skin of the palm. These nodules are usually firm and may be slightly tender to the touch. They are often found near the base of the ring finger or little finger but can also occur in other areas of the palm.
2. Cord Formation: Over time, the nodules can progress and form thickened tissue cords extending from the palm toward the affected fingers. These cords can feel tight or fibrous and may be more noticeable when flexing the fingers or attempting to fully straighten them.
3. Finger Contracture: As the disease progresses, the thickened cords can gradually cause the affected fingers to bend or contract into a flexed position. The ring finger and little finger are most commonly affected, but the condition can also involve the middle finger or other fingers to varying degrees. The Contracture can range from mild, with a slight limitation in finger extension, to severe, where the finger(s) become permanently flexed and unable to straighten fully.
4. Difficulty with Hand Function: As the fingers become increasingly contracted, individuals may experience difficulties performing everyday tasks that require full finger extension and dexterity. Activities such as grasping objects, shaking hands, or manipulating small items can become challenging or limited in the range of motion.
5. Progression Varies: The rate of progression of Dupuytren’s Contracture can vary widely among individuals. Some people may experience a slow and gradual progression over many years, while others may notice more rapid changes in a shorter period. The severity of the condition and the rate of progression can also vary within the same individual, with some fingers being more affected than others.

It is important to note that Dupuytren’s Contracture is generally not associated with significant pain, although discomfort or tenderness may be present when pressure is applied to the affected areas.

If you notice any of these signs or symptoms associated with Dupuytren’s Contracture, it is advisable to consult with a healthcare professional or hand specialist. They can provide an accurate diagnosis, evaluate the extent of the Contracture, and discuss appropriate treatment options tailored to your specific needs. Early intervention and proper management can help alleviate symptoms, slow down the progression of the Contracture, and improve hand function.

Treatment of Dupuytren’s Contracture

The treatment options for Dupuytren’s Contracture depend on the severity of the Contracture, the impact on hand function, and individual factors. The goal of treatment is to improve hand function, alleviate symptoms, and minimize the progression of the Contracture. Here are different treatment options that may be considered:

Observation and Monitoring:

In cases where the Contracture is mild and does not significantly impact hand function, a “wait-and-watch” approach may be recommended. Regular monitoring by a healthcare professional can help track the progression of the Contracture and determine the appropriate timing for intervention if needed.

Non-Surgical Interventions:

• Hand Therapy: Physical or occupational therapy exercises can help maintain hand mobility, strengthen the surrounding muscles, and improve overall hand function. Therapists may also provide splinting, stretching, and range of motion exercises to manage symptoms and slow the contracture progression.
• Needle Aponeurotomy (Percutaneous Needle Fasciotomy): This minimally invasive procedure involves using a small needle to puncture and disrupt the contracted cords, allowing the fingers to be straightened. It is typically performed under local anesthesia in an outpatient setting and may require multiple sessions for optimal results.
• Collagenase Injection: Collagenase is an enzyme that can break down the thickened collagen bands responsible for finger contracture. It is injected into the affected cords, which are then manipulated to break them apart and improve finger extension. This procedure is also performed under local anesthesia and may require subsequent hand therapy for optimal outcomes.

Surgical Intervention:

• Fasciotomy: In this surgical procedure, the tight cords are selectively divided to release the Contracture and allow for improved finger extension. This can be performed using either an open technique or a minimally invasive endoscopic approach.
• Fasciectomy: This surgical procedure removes the affected tissue (fascia) that forms the thickened cords. It may be a partial fasciectomy, where only the contracted portions are removed, or a complete fasciectomy, where the entire affected tissue is excised. Sometimes, a skin graft or flap may be necessary to cover the area.
• Joint Replacement: In severe cases of Dupuytren’s Contracture that result in significant joint deformities and limited hand function, joint replacement surgery may be considered to improve hand mobility and function.

The choice of treatment depends on various factors, including the extent of the Contracture, the presence of associated symptoms, individual preferences, and the expertise of the healthcare professional. It is important to consult with a hand specialist or healthcare professional to determine the most suitable treatment approach for your specific condition.

They can evaluate the severity of the Contracture, discuss the potential benefits and risks of each treatment option, and develop a personalized treatment plan tailored to your needs. Regular follow-up care and hand therapy may be recommended after surgical intervention to optimize recovery and achieve the best possible outcomes.

Question & Answer

Question: What causes Dupuytren’s Contracture? 

Answer: The exact cause of Dupuytren’s Contracture is not fully understood. However, it is believed to have a genetic component, as it tends to run in families. Other factors contributing to its development include advancing age, male gender (although women can also be affected), and certain medical conditions like diabetes, smoking, and alcohol consumption.

Question: How is Dupuytren’s Contracture diagnosed? 

Answer: Diagnosis of Dupuytren’s Contracture is typically based on a physical examination by a healthcare professional or hand specialist. They will assess the extent of finger contracture, palpate the nodules and cords, and evaluate hand function. In some cases, imaging tests such as ultrasound or magnetic resonance imaging (MRI) may be used to assess the severity and extent of the Contracture.

Question: Is Dupuytren’s Contracture a painful condition? 

Answer: Dupuytren’s Contracture itself is not usually painful, although some individuals may experience mild discomfort or tenderness around the nodules or cords. Pain can occur if the Contracture leads to joint stiffness or when associated conditions such as arthritis are present.

Question: Can Dupuytren’s Contracture be prevented? 

Answer: It is not currently possible to prevent Dupuytren’s Contracture, as its exact cause is unknown. However, maintaining a healthy lifestyle, including regular exercise, avoiding smoking, and managing conditions like diabetes, may help reduce the risk or slow down the progression of the Contracture.

Question: Does Dupuytren’s Contracture always require treatment? 

Answer: Not all cases of Dupuytren’s Contracture require treatment, especially if the Contracture is mild and does not significantly impact hand function or quality of life. In such cases, observation and lifestyle modifications may be sufficient. However, treatment options can be considered if the Contracture progresses and interferes with hand function or daily activities.

Question: Is surgery the only treatment option for Dupuytren’s Contracture? 

Answer: Surgery is not the only treatment option for Dupuytren’s Contracture. In the early stages or mild contractures, non-surgical interventions such as hand therapy exercises, splinting, or minimally invasive procedures like needle aponeurotomy or collagenase injections may be effective. Surgery is typically reserved for more advanced cases or when non-surgical options do not provide adequate relief.

Question: Will Dupuytren’s Contracture recur after treatment? 

Answer: There is a possibility of recurrence after treatment for Dupuytren’s Contracture, mainly if the underlying causes are not addressed. Recurrence rates can vary, and some individuals may require additional treatment. Regular follow-up care and adherence to post-treatment recommendations can help manage the condition effectively.

Remember, it is essential to consult with a healthcare professional or hand specialist for an accurate diagnosis, personalized advice, and appropriate treatment options based on your specific condition and needs.

Why Choose Veda Medical

Choosing the right medical provider for your finger services ensures the best outcomes. Here’s why Veda Medical stands out as your ideal choice:

• Experienced Team of Specialists: Our team at Veda Medical comprises highly trained and experienced professionals who specialize in treating various finger and hand conditions. Their expertise extends to conservative treatments and complex surgical procedures, providing patients with the highest standard of care.
• Advanced Microsurgical Techniques: We utilize state-of-the-art microsurgical techniques to treat various conditions. These high-precision procedures enable us to repair minute structures in hand, often resulting in less post-operative pain, fewer complications, and faster recovery times.
• Comprehensive Care: From the initial consultation to follow-up appointments, our team provides comprehensive care that addresses the whole patient. This approach involves treating the immediate condition and supporting related issues, such as pain management and rehabilitation.
• Patient-Centered Approach: At Veda Medical, we prioritize the needs of our patients. We believe in offering personalized care tailored to each patient’s circumstances. This approach means that every treatment plan is unique and designed to deliver the best possible results.
• Cutting-Edge Technology: We invest in the latest diagnostic and therapeutic technology to enhance our services. Our commitment to technology is second to none, from high-definition imaging systems for accurate diagnosis to the latest surgical instruments for precise treatment.
• Collaborative Multidisciplinary Team: Our team works collaboratively to deliver optimal patient care. Everyone is vital, from surgeons and physiotherapists to nurses and administrative staff. This multidisciplinary approach ensures that all patient care aspects are coordinated and effective.
• Focus on Patient Education: We believe in empowering our patients with knowledge about their condition and treatment options. Our team takes the time to explain the details of each procedure, allowing patients to make informed decisions about their care.
• Research and Innovation: Veda Medical is actively involved in research and innovation as a forward-thinking institution. Our commitment to staying abreast of the latest advancements ensures that our patients benefit from the most up-to-date treatments.
• Safety and Comfort: Patient safety and comfort are our top priorities. We adhere to rigorous sterilization and safety protocols, and our team is committed to making the patient experience as comfortable as possible.
• Accessible and Convenient: With flexible scheduling and convenient locations, accessing our services is straightforward and hassle-free. We also offer telehealth consultations for patients who prefer to consult with our specialists from their homes.
• Post-Treatment Rehabilitation: We provide robust rehabilitation support post-treatment to help our patients regain full functionality. Our physiotherapy team designs personalized programs to facilitate recovery and restore mobility.
• Follow-Up Care: We believe in the importance of regular follow-up care. Our team is committed to monitoring your recovery and making necessary adjustments to your treatment plan, ensuring you achieve the best possible outcome.

Choosing Veda Medical for your finger services ensures that you’re entrusting your care to a team of dedicated professionals committed to excellence in every aspect of their work. Our patient-centric approach, advanced technology, and cutting-edge techniques ensure every patient receives the best possible care. Trust us to provide you with the highest standard of care for your finger and hand needs.

Other Services We Provide

• Bursitis
• Carpal Tunnel Syndrom
• Carpometacarpal Boss
• Cubital Tunnel Syndrome
• Fingers
• Ganglion Cysts
• Nail Bed Injuries 
• Nerve and Tendon Injuries
• Power Saw Injuries
• Psoriatic Arthritis and Rheumatoid Arthritis
• Scaphoid Union and Non-Union
• Stiffness in the Hand and Wrist
• Trigger Finger, and Jammed and Mallet Finger
• Wrist Facture
• Wrist Sprain

Meet Dr. Mohan

Board Certified in Plastic and Reconstructive Surgery Fellowship Trained in Hand, Wrist, and Microsurgery. Dr. Pradeep S. Mohan is a highly-skilled, Board Certified Plastic and Reconstructive Surgeon. After completing his General Surgery Residency at Seton Hall University, he attended Yale University and Southern Illinois University to complete fellowships in Hand and Microsurgery and Plastic and Reconstructive Surgery. He has received extensive training in all aspects of Cosmetic Surgery and Non-Surgical Rejuvenation. 

Dr. Mohan takes pride in his work, and his patients love him for his transparency, excellent bedside manner, and ease of explanation of the procedures. He believes in having educated and informed patients. Dr. Mohan is known for his individualized and comprehensive treatment plans and dedication to perfection, resulting in total patent satisfaction. He is here to help you achieve your desired goals.

Contact Us Today!

Are you ready to regain optimal hand and wrist function, alleviate pain, and enhance your quality of life? Look no further than Veda Medical, where our experienced team of hand specialists is dedicated to providing exceptional care and personalized treatment options. We are committed to delivering outstanding outcomes with our expertise in hand and microsurgery, state-of-the-art facilities, and compassionate approach. Contact Veda Medical today to schedule a consultation and take the first step towards restored hand and wrist health. Let us be your trusted partner on your journey to improved function, comfort, and a brighter future.

Phone: 210-566-8332/210-361-6617

Email: office@vedamedical.com