Are you having limited finger movement and discomfort because of Dupuytren’s contracture? Advanced stages of the condition may leave the affected fingers difficult or impossible to straighten. Before considering surgery, explore some of the nonsurgical treatments that can help you find relief. These options are designed to improve hand flexibility and function without the risks and recovery time associated with surgery.
How Dupuytren's Contracture Affects You
Dupuytren’s contracture is a condition that causes the fingers to curl inward due to a buildup of thickened tissue in the palm. It often develops slowly over months or years starting out as small bumps under the skin in the palm of your hand. Over time, these nodules develop into cords that pull your fingers toward your palm. It is a rare condition that affects 1% of the population.1 While surgery is a common option for severe cases, several nonsurgical treatments exist for milder forms.
Physical Therapy
Physical therapy is one nonsurgical option that can help slow the progression of Dupuytren’s contracture. Stretching exercises and hand-strengthening techniques can improve flexibility and hand function. While therapy won't reverse the condition, it may help maintain mobility, especially in the early stages.
Heat Treatments
Heat treatments, such as warm compresses or paraffin wax baths, are also beneficial. They can soften the thickened tissue, reduce stiffness, and enhance the effects of physical therapy. However, these treatments are best for symptom management rather than long-term relief.
Ultrasound Therapy
Ultrasound therapy is another option that uses sound waves to penetrate deep into the tissues. It can break up fibrous cords and improve blood flow, which may alleviate some of the symptoms of Dupuytren’s. While not a cure, ultrasound can provide temporary relief when combined with other therapies.
XIAFLEX®: The Only FDA-Approved Nonsurgical Treatment
For patients seeking a more effective nonsurgical option, XIAFLEX® stands out as the only FDA-approved treatment when a palpable cord is present. XIAFLEX® is an enzyme injection that breaks down the collagen in the cord, allowing the fingers to straighten.
This minimally invasive procedure involves injecting the enzyme directly into the cord, followed by a gentle manipulation of the finger to improve movement. Patients often experience significant improvement in hand function with a shorter recovery time compared to surgery.
Among the viable options for those looking to avoid surgery, XIAFLEX® provides the most effective solution for advanced cases. If you’re dealing with Dupuytren’s contracture, schedule a consultation with Dr. DiPaolo to find out if you might benefit from XIAFLEX®.
AUTHOR: Dr. Daneca DiPaolo is a highly-skilled, board-certified orthopedic surgeon located in Grenada, Mississippi. She offers the latest orthopedic techniques and provides quality, compassionate, state-of-the-art orthopedic care.
Reference:
1. https://www.verywellhealth.com/dupuytrens-contracture-facts-6500027
