The most common Dupuytren's contracture treatment is physical therapy on the hand to retain flexibility and limit the effects of the slow thickening of the connective tissue in the palm associated with this condition. If the patient's condition progresses, the doctor can start to explore more invasive options to address the issue, including medications and eventual surgery to treat the contracture. Patients may find it helpful to visit a hand specialist for evaluation and treatment so they receive access to the best care. It is sometimes possible to participate in a clinical trial to test new treatment options that are not yet available to the general public.
In patients with Dupuytren's contracture, the connective tissue in the palm thickens and forms lumps and nodules. The fingers can start to draw in toward the hand, contracting because of the thickening. The patient cannot straighten the fingers and may experience pain and discomfort. The causes of this condition are unclear, and it is important to receive an evaluation that eliminates other potential causes of hand contractures, like trigger finger.
Initial treatment can include massage, stretching exercises, and splinting. A physical therapist can help the patient maintain mobility in the hand with this Dupuytren's contracture treatment. This also allows the therapist to monitor progress. In the event the hand continues to get worse under treatment, the therapist may recommend additional Dupuytren's contracture treatment options that will be more aggressive.
Some patients benefit from injections of steroids to limit inflammation, or enzymatic treatments for the hand. Another more aggressive option is needle aponeurotomy, a procedure where a doctor uses a needle to carefully separate nerves and relieve the contracture. Surgery is also a Dupuytren's contracture treatment, although this may be considered as a last resort, as it is invasive and carries the most risk. Surgical patients could develop infections, severe scarring, and other issues that might cause problems for them.
Patients considering Dupuytren's contracture treatment may want to ask their doctors about all the options available, and the risks and benefits of each. This information can help patients make informed choices about their medical care. A doctor may have specific recommendations for a patient, based on the type of contracture and the doctor's experience with similar cases. Patients may also find it helpful to consult several physicians to get second opinions on the matter, to make sure they are aware of all possible treatments.
