Xiaflex is an injection that can straighten a finger bent by Dupuytren’s contracture without an incision. Dr. Avery Arora offers Xiaflex at our West Bloomfield, Howell and Macomb offices, along with needle release and surgery, so you can choose the option that fits your hand.
What Xiaflex is
Xiaflex is an enzyme (collagenase) that breaks down the tough collagen cord in the palm that pulls the finger down. Once the cord is weakened, it can be broken so the finger straightens.
Who it suits
- A cord you can feel in the palm
- A finger bent at the knuckle or the middle joint
- People who would rather avoid an incision and a longer recovery
It isn’t right for everyone. Dr. Arora will look at your hand and tell you whether Xiaflex, needle release or surgery makes more sense.
How it works: two short visits
- The injection. Xiaflex is injected into the cord in the office. You go home the same day.
- Straightening the finger. A day or a few days later, the hand is numbed and the finger is gently stretched to break the cord.
Afterward you’ll wear a night splint and do simple exercises at home. Our certified hand therapist in West Bloomfield can help.
What to expect afterward
Swelling, bruising and tenderness in the palm are common for a week or two. Sometimes the skin splits a little when the finger is straightened; it usually heals with simple dressings. Serious problems such as a tendon or ligament injury are rare. Dr. Arora will go over the risks before treatment.
Dupuytren’s can come back over time after any treatment, including Xiaflex.
Is it covered by insurance?
Coverage depends on your plan. We check your insurance before treatment.
Talk to Dr. Arora
Not sure if your finger needs treatment yet? Read about Dupuytren’s contracture and all the treatment options, or call (888) 392-4263 to book a visit. Same-day appointments are available.