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Dupuytren’s Disease Q & A

What is Dupuytren’s disease?

Dupuytren's disease, a relatively common condition affecting the hands, involves the gradual thickening and tightening of the connective tissues beneath your skin, primarily in the palm and fingers. This disorder can hinder your ability to straighten affected fingers, leading to discomfort and limited hand functionality. 

What are the symptoms of Dupuytren’s disease?

One of the initial signs of Dupuytren's disease is the formation of small, painless lumps or nodules under your skin, typically in your palm. Over time, these nodules can develop into cord-like structures that pull your fingers into a bent position. 

This condition is contracture and can lead to significant impairment in hand movement. The ring and pinky fingers are commonly affected, but any finger can be involved.

What puts you at risk for developing Dupuytren’s disease?

Certain factors increase the risk of developing Dupuytren's disease, including:

  • Genetics
  • Being male
  • Being over age 40
  • Being of northern European and Scandinavian descent

In addition, certain lifestyle factors, such as smoking and excessive alcohol consumption, may also increase your risk of developing Dupuytren's disease.

How is Dupuytren’s disease treated?

Treatment options for Dupuytren's disease depend on the severity of the condition and its impact on your hand function. Mild cases may not require immediate intervention and can be managed through regular monitoring.

For more advanced cases, various medical interventions like enzyme injections help soften and break down the tight cords, allowing for improved finger extension. 

In severe cases, surgical procedures, such as fasciectomy or fasciotomy, may be necessary to remove or release the affected tissues, providing relief and restoring your hand functionality.

Physical therapy is often recommended after treatment to aid in hand rehabilitation and maintain or improve your range of motion. Occupational therapy can also be beneficial in helping you adapt to any remaining limitations in hand function and to learn techniques to optimize your daily activities.

If you think you have Dupuytren's disease or notice any symptoms, reach out to Dr. Yalom for a proper evaluation and guidance on management strategies.

Call the office today to schedule an appointment, or use the online scheduler at your convenience.