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Tag: Dupuytren’s Contracture Surgery

General Hands Treatments

What Does Dupuytren’s Contracture Surgery Involve?

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If you are suffering from Dupuytren’s Contracture, you know how difficult it can be. The condition can affect one or both hands. It causes the fingers to fold in toward your hand. Depending on the severity of your condition, it can make everyday tasks a struggle when you can no longer straighten your fingers. The condition is caused by a thickening of tissue in your palm. When your condition gets to the point that your condition is so extreme that it affects your quality of life. advanced treatment is necessary. Early stages of the condition may be managed with injections, radiation, or the use of a needle to break up cords of tissue that have contracted. If your condition has not responded to early intervention or you have sought medical attention when it has progressed to a serious stage, Dupuytren’s Contracture surgery is the best solution.

What Can You Expect from Dupuytren’s Contracture Surgery?

If your doctor has advised surgery to alleviate your condition, you have two potential approaches. Our hand surgeon may cut the tissue that has caused your hand to tighten. The other option is to remove the tissues that are causing you such trouble. A local anesthetic will be administered before your procedure. You can expect to go home on the day of your surgery. Once your procedure is over, our surgeon will give you care instructions for your incision. You will also be advised about medications you can take for pain. Our surgeon will also recommend exercises you can perform once your hand has healed in order to improve flexibility.

Seek Expert Attention is Soon as Possible When Dupuytren’s Contracture Begins

Early treatment is the best thing you can do when you become the victim of Dupuytren’s Contracture. If you notice that one of your fingers has begun to curl in toward your palm and you can’t straighten it anymore, see our physician. It is likely that you will be referred to a specialist in order to find the best treatment plan for your condition. If your condition worsens, surgery may be in your future. The same may hold true if you experiencing a tightening of your fingers after initial treatment efforts.

Learn More About Dupuytren’s Contracture Surgery Today

It is frustrating to live with Dupuytren’s Contracture. It makes it difficult to write, use scissors, and perform any tasks that involve fine motor skills. Fortunately, there are treatment alternatives that are effective in addressing this problem. Surgery may be the best solution for you to allow you to improve your well-being. Don’t let this condition hold you back any longer. Dupuytren’s Contracture surgery could be the best solution for you. Contact us today at Arora Hand Surgery to schedule your initial consultation.

General Hands Treatments

What is Dupuytren’s Contracture Surgery?

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Dupuytren’s contracture is a condition in which small nodules develop in the connective tissue in the palm. The nodules can eventually form cords of tissue that extend from the palm up one or more fingers, and the resulting structure pulls (contracts) the affected finger towards the palm. It can affect one or both hands, and one or multiple fingers per hand. It is not a life-threatening or painful condition, but it can cause serious disability, especially if it affects the thumbs. This is where Dupuytren’s contracture surgery can help.

What Causes Dupuytren’s Contracture?

The cause appears to be primarily genetic. It mostly affects people of Northern European descent who are in their 50s and 60s, although some cases have been reported in children and the elderly. Men are more likely to be affected than women. It is possible that smoking, diabetes, and certain medications may trigger the condition in susceptible people, but this hasn’t been proven for sure.

What are the Treatment Options?

For mild cases, injections into the cords or insertion of a needle to slice through the cords can correct the condition. For severe cases, however, a minor surgical procedure known as Dupuytren’s contracture surgery is necessary to restore normal function to the hand.

Any individual experiencing difficulty in using a hand due to this condition should consider surgical treatment. Dupuytren’s contracture surgery isn’t typically recommended for individuals who are not experiencing impairment. Removal of the nodules and cords prior to impairment will not prevent the condition from progressing to impairment because new nodules and cords will simply recur. Even after surgical treatment, new nodules and cords can form and it may be necessary to perform additional procedures.

After the surgical site has healed, most patients require a regimen of physical therapy to restore full use of the hand, particularly if more than one finger or the thumb had been affected. Some patients with severe cases may require months of physical and occupational therapy before regaining full hand function.

You can get all the facts about your treatment options, including Dupuytren’s contracture surgery, during an initial consultation with Dr. Arora at Arora Hand Surgery. We have offices in Warren, Howell, Macomb, and West Bloomfield. Contact us today to book your appointment!

General Treatments

What Does Dupuytren’s Contracture Surgery Involve?

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Dupuytren’s contracture is a hand deformity caused by abnormally thick tissue that develops in the palm and can spread to the fingers. Over years, the patient develops knots of tissue under the skin. Those knots gradually become thick cords that pull one or more fingers into a permanently bent state. The patient eventually has difficulty performing such activities as shaking hands or putting on gloves. Dupuytren’s contracture usually affects the fourth and fifth fingers. The condition is most common in older men of northern European descent. Fortunately, Dupuytren’s contracture surgery is usually not necessary, as the condition can typically be treated with non-surgical methods.

How is Dupuytren’s Contracture Treated Without Surgery?

Mild cases may not need to be treated at all, and our doctor may simply monitor the patient to see if the condition gets worse. However, in many cases, the condition needs to be professionally treated. Non-surgical options that do not involve Dupuytren’s contracture surgery include a special enzyme injection called XIAFLEX. This may be used to make the tissue weaker and softer. Our doctor may then try to straighten the affected finger.

Surgical Procedures

The two most common surgical procedures are the fasciotomy and the subtotal palmar fasciotomy. The first is a straightforward outpatient procedure in which the surgeon cuts the cord of tissue in half. In the subtotal palmar fasciotomy, the surgeon removes the corded tissue. The patient may then have to wear a splint. If the patient has a severe or neglected case, the surgeon may also need to release stiff ligaments or joint capsules to make the finger straighten properly. The patient will generally need to undergo physical therapy for a set amount of time. Treatments may include stretching, heat treatments and soft tissue massage. The therapy will help prevent the contracture from returning, and it will help prevent the accumulation of scar tissue. The patient may have to wear a splint as well to keep the contracture from redeveloping.

Schedule a Consultation Today

As we previously mentioned, Dupuytren’s contracture surgery is oftentimes not required, as Dr. Arora and his team of professionals at Arora Hand Surgery proudly offer various non-surgical treatment options for the condition. During a consultation at our office in Howell, Warren, West Bloomfield, or Macomb, Dr. Arora can evaluate your specific case and come up with a treatment plan for you. Contact us today to schedule an appointment and get started.

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Dr. Aroras office from my first call to schedule my appointment was friendly. Walking in the first day, I felt like I was in a nice atmosphere. Dr. Arora was EXCELLENT in taking great care of my hand injury. He was gentle and very understanding to the concerns I had about my hand. His expertise was admirable and I would recommend anyone with an injury to their hand to his office to be under his care. Because of him, I have healed faster than expected and will make an 100% recovery! Thank you Dr.

Jackie S.

I first thought I was going to have to have painful injections or surgery, but Dr. Arora suggested physical therapy may do the trick. I was doubtful, but I agreed to do it. Now, my pain is gone, and with the help of an ergonomic keyboard at work to keep my hands in the correct position, I am virtually pain free. The therapy strengthened my wrists and shoulders, and built more flexibility into my wrists.

Jerry T.

My experience with this doctor was positive from the outset. Dr. Arora was kind and spent a great deal of time with me. Staff was friendly. The office was nice and bright.

Ariel G.

Very friendly and helpful Great staff!!! Doctor Arora was very professional and did great work. I was very happy with everything!

L B.