Dupuytren’s Contracture Treatment
Dupuytren’s Contracture Treatment
Dupuytren’s Contracture is a condition where the tissue beneath the skin of the palm becomes thickened and tight, gradually pulling one or more fingers into a bent position. This can make it difficult to straighten the fingers, shake hands, or perform everyday tasks comfortably.
It develops when fibrous bands (the palmar fascia) form cords that contract over time, most often affecting the ring or little finger. The condition usually progresses slowly but can eventually interfere with normal hand function.
Our experienced hand specialists provide comprehensive, personalised treatment, from non-surgical options to precise surgical procedures to restore hand mobility, relieve tightness, and improve dexterity.
Who Is It For?
You may be a suitable candidate for treatment if you:- Have small lumps, cords, or thickened skin in your palm or fingers
- Find it difficult to straighten your fingers fully
- Experience tightness or pulling in the palm that restricts daily activity
- Notice your fingers curling toward your palm
- Are seeking to restore normal hand movement and comfort
The Procedure
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1. Consultation
Your specialist will assess your hand and determine the severity of the contracture. Imaging or range-of-motion tests may be used to plan treatment.
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2. Anaesthesia
Local or regional anaesthesia is used to ensure comfort during the procedure.
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3. Treatment Options
- Non-Surgical Treatments -
- Needle Fasciotomy: A fine needle is used to divide the tight cord through the skin, releasing the affected finger.
- Collagenase Injection (Xiaflex®): An enzyme is injected to soften the cord, followed by gentle manipulation to straighten the finger.
- Surgical Treatments -
- Limited Fasciectomy: The contracted cord is removed through small incisions, allowing full finger extension.
- Dermofasciectomy: Both the affected tissue and overlying skin are removed, and a small graft is applied to reduce recurrence risk.
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4. Recovery
- Light use of the hand usually resumes within a few days to weeks, depending on the procedure.
- Hand therapy may be recommended to enhance flexibility and strength.
- Full recovery typically occurs within 4–8 weeks with excellent functional improvement.
Benefits of Treatment
- Improved Finger Movement: Restores normal finger extension and flexibility.
- Better Hand Function: Makes gripping, writing, and daily tasks easier and more comfortable.
- Minimally Invasive Options: Early cases often treated without open surgery.
- Long-Lasting Results: Surgical treatment significantly reduces recurrence.
- Improved Appearance: Restores the natural look and movement of the hand.
Why Choose Us for Dupuytren’s Contracture Treatment
- Specialist Expertise: Highly experienced hand surgeons skilled in both non-surgical and surgical techniques.
- Personalised Care: Each treatment plan is tailored to the severity of your condition and your goals.
- Advanced Facilities: Safe, comfortable, fully regulated environment in the heart of Altrincham.
- Comprehensive Aftercare: Guidance and support throughout recovery, including physiotherapy if required.
- Proven Outcomes: High success rates with restored movement and reduced recurrence.
Dupuytren’s Contracture Treatment
Frequently asked questions
What causes Dupuytren’s Contracture?
The cause isn’t fully understood, but it’s linked to genetics, diabetes, smoking, and alcohol use, and is more common in men of Northern European descent.
Is it painful?
It’s usually not painful, but it can cause tightness and restrict finger movement.
Can it go away on its own?
No. The condition typically progresses, so early treatment is recommended to maintain flexibility.
What’s the best treatment option?
Mild cases may respond to needle release or enzyme injections, while advanced cases often require surgery.
How long does recovery take?
Light activities can resume within 1–2 weeks (non-surgical) or 4–8 weeks (surgical).
Can it come back?
Recurrence can occur, but risk is much lower when the affected tissue is fully removed, and post-treatment exercises are followed.
Will I need physiotherapy?
Yes, hand therapy is often recommended to regain strength and flexibility after treatment.