There is no way to stop the progress of Dupuytren's contracture, however, the condition is not dangerous. Because the condition is not dangerous to a patient's health, non-surgical treatments that focus on slowing the progression of the condition may be the best treatment options. This may include lifestyle changes or steroid injections to reduce inflammation.
If the condition progresses to the point that it interferes with a patient's daily life, more aggressive treatment may be needed. Less-invasive techniques focus on breaking down the thick tissue bands while other surgical methods focus on dividing or removing the thick band of tissue that is impeding the fingers ability to straighten.
One option is a less-invasive technique known as needling. During this procedure, a needle is inserted through the hand and used to break up the thickened tissue. The contracture can recur; however, this procedure can be repeated. Other limited-invasive options include enzyme injections which soften the tissue band, allowing the physician to manually breakdown the band by manipulating the patient's hand.
If surgery is needed, the affected tissue will be removed from the hand. This method is more invasive and can be more difficult because the tissue may be attached to the skin. However, the release of the affected joint is more complete than the less-invasive methods. Physical therapy and a longer recovery time are often needed after surgery.
The knowledgeable and highly trained staff at the Hand Surgery Program will work with each patient to determine the best treatment option.