[vc_row gap=”20″][vc_column css_animation=”fadeInLeft” width=”1/3″][ult_sticky_section sticky_gutter=”150″]
[vc_empty_space height=”10″][vc_empty_space height=”10px”]Treatments[vc_empty_space height=”10px”][vc_row_inner][vc_column_inner offset=”vc_hidden-sm vc_hidden-xs”][vc_widget_sidebar show_bg=”false” sidebar_id=”sidebar_3″][/vc_column_inner][/vc_row_inner][/ult_sticky_section][/vc_column][vc_column width=”2/3″]The exact cause of Dupuytren’s contracture is unknown, but it is believed to involve a combination of genetic and environmental factors. It tends to occur more frequently in individuals of Northern European descent and is more common in men over the age of 50.
The initial symptom of Dupuytren’s contracture is often the development of small, painless nodules or lumps in the palm, which may gradually progress to form thickened cords. As the condition advances, the affected fingers may become progressively bent, impairing hand function and making it challenging to perform daily activities.
Treatment options for Dupuytren’s contracture depend on the severity of the contracture and the impact on hand function. Mild cases may not require intervention, while more advanced cases may benefit from treatments such as corticosteroid injections, needle aponeurotomy (a minimally invasive procedure to break up the cords), or surgery (fasciectomy or fasciotomy) to remove or release the contracted tissue.
Rehabilitation and hand therapy following treatment are often recommended to restore range of motion and improve hand function. However, recurrence of the contracture can occur after treatment, and close follow-up with healthcare professionals is necessary.
Dupuytren’s contracture is a chronic condition that requires long-term management. While it may not be preventable or curable, early detection, appropriate treatment, and ongoing monitoring can help minimize the impact of the contracture on hand function and improve the quality of life for individuals affected by this condition.[/vc_column_text][vc_row_inner el_id=”doctor-and-specialist”][vc_column_inner][vc_widget_sidebar show_bg=”false” sidebar_id=”sidebar_4″][/vc_column_inner][/vc_row_inner][vc_row_inner][vc_column_inner]
Dupuytren’s contracture is a progressive hand condition that causes the fingers to bend inward, resulting in the inability to fully straighten them. Hand surgeons are well-versed in diagnosing Dupuytren’s contracture through clinical evaluations, physical examinations, and assessment of hand function.
Once a diagnosis is made, hand surgeons work closely with patients to develop individualized treatment plans. They may recommend nonsurgical interventions, such as hand therapy, splinting, or injections with medication (such as collagenase), to manage early or mild cases of Dupuytren’s contracture.
In more advanced cases, when conservative measures are insufficient, hand surgeons may perform surgical procedures to release or remove the tight bands of tissue causing the finger contractures. Surgical techniques can vary depending on the severity and location of the contractures, and may include fasciotomy, fasciectomy, or other specialized procedures.
Hand surgeons also provide postoperative care, including rehabilitation and therapy, to maximize hand function and promote recovery. They monitor patients’ progress, manage any complications, and ensure optimal outcomes following surgery.
Collaboration between hand surgeons and other healthcare professionals, such as occupational therapists or physical therapists, is essential to optimize functional outcomes and support patients in their rehabilitation process.
In summary, hand surgeons or orthopedic hand surgeons specialize in the diagnosis and management of Dupuytren’s contracture. Through their expertise in hand and upper extremity conditions, they provide comprehensive care, including both nonsurgical and surgical interventions, to individuals with Dupuytren’s contracture, with the goal of improving hand function and enhancing overall quality of life.[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_row_inner disable_element=”yes”][vc_column_inner][vc_cta h2=”Doctor and Specialists” h2_font_container=”tag:h3|text_align:left” h2_use_theme_fonts=”yes” h4_font_container=”tag:h4|text_align:left” add_icon=”top” i_icon_fontawesome=”fas fa-heartbeat” i_size=”xl” i_css_animation=”fadeInLeft” css_animation=”fadeIn” use_custom_fonts_h2=”true” use_custom_fonts_h4=”true”]Dermatologists are doctors or physicians who specialize in the diagnosis and treatment of skin conditions, including acne. They are trained to identify the different types of acne and their underlying causes, as well as to develop personalized treatment plans for their patients based on the severity of their condition and their individual needs. Dermatologists may also perform procedures such as extractions, chemical peels, and light therapies to treat acne and improve the appearance of the skin.
In addition to dermatologists, primary care physicians, pediatricians, and gynecologists may also treat acne in their patients, particularly those with milder forms of the condition. However, for more severe cases or those that do not respond to initial treatments, a referral to a dermatologist may be necessary to ensure appropriate management of the condition. Patients with acne may also seek the advice of an esthetician, who can provide guidance on skin care routines and recommend over-the-counter products to help manage the condition.[/vc_cta][/vc_column_inner][/vc_row_inner][vc_row_inner el_id=”treatments”][vc_column_inner][vc_single_image source=”featured_image” img_size=”500×200″][/vc_column_inner][/vc_row_inner][vc_row_inner][vc_column_inner]
Observation: In mild cases with minimal functional limitations, observation without immediate treatment may be appropriate. Regular monitoring is necessary to assess the progression of the condition.
Medications: Currently, there are no medications that can effectively reverse or stop the progression of Dupuytren’s contracture. However, some medications, such as collagenase clostridium histolyticum, may be injected into the affected tissue to help break down the cords and improve finger movement.
Physical therapy: Hand therapy exercises and stretching can help maintain or improve hand function, reduce stiffness, and delay the progression of contractures. Physical therapy may include exercises, splinting, and other therapeutic interventions.
Needle aponeurotomy: This minimally invasive procedure involves inserting a small needle into the affected tissue to release and disrupt the cords causing contracture. The procedure is typically performed under local anesthesia in an outpatient setting.
Surgical intervention: In more advanced cases or when non-surgical treatments are ineffective, surgery may be recommended. Surgical options include fasciotomy, where the affected tissue is partially removed, or fasciectomy, where the tissue is completely removed. Surgical intervention aims to release the contracted tissue and improve finger function.
The choice of treatment for Dupuytren’s contracture depends on factors such as the stage and severity of the condition, the extent of finger contracture, and the impact on hand function. It’s important to consult with a hand specialist or orthopedic surgeon to determine the most appropriate treatment approach for individual cases.[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row]
