Ask Dr. Herazy…

Please review this list of almost 200 Q/As on a wide variety of topics concerning Dupuytren’s Contracture.


40 Responses to “Ask Dr. Herazy…”
  1. Suzanne says:

    What is your experience with the use of Castor Oil for Dupuytren’s or related fibromas on the bottom of the foot? There are many in the field of alternative medicine who swear by it. Also, what are your thoughts and experiences with acupuncture for this condition?

  2. BJ Ingwersen says:

    I am a type 1 diabetic, taking insulin for 46 years. Healthy, athletic. Will any of the therapies in the medium Dupuytren’s contracture plan affect my diabetes control? Raise or lower blood sugar, increase metabolism, affect TSH levels, increase any other hormone levels, etc…?

  3. DR Douglas Foster says:

    is there a role for SSKI in Treatment of Dupuytren’s contracture as recommended by Dr Jonathan Wright ? Can you comment on how effective his Tx protocol is? (sski, dmso and vitamin e)
    Thanks for your very informative web site and your work on this difficult disease.
    DR. Doug Foster

  4. Simon says:


    I’ve just read selling Large dose PABA has been banned in some countries including the US

    You are selling it as part of the Dupuytren’s contracture medium plan, is that safe? I bought the medium pack, absolutely no results after 1 month and have been diligent in use.. A little diarrhoea initially…

    The PABA also makes sulfur ineffective I have read.. Another supplement included in the medium plan

    Interested to get your thoughts on paba

  5. Denise says:

    Any comment on the use of Silica Gel as a method of reducing lumps in palm and finger for Dupuytren’s contracture? I was used as a guinea pig several years ago when I attended a hand clinic in a Sydney (Australia) hand clinic. It seemed to work, by reducing the size of the lump. I have now developed symptoms in the other hand and have purchased the brand Dexterity Visco-gel Silicone Scar Management Sheets onlone – they appear to reduce the size of the lumps in palm and little finger. Has this method been considered for Dupuytren’s contracture treatment?

  6. sanford evenchik` says:

    my pinky finger is now at a 90 degree angle to the rest of my hand. Can I expect it to continue downward towards my palm, or will it quit at 90 degrees?

  7. karen beyer says:

    Dear Dr. Herazy,

    I just received my packet of goodies for treatment. According to my instructions, before I start it says I must know the “exact size, shape, etc of my contracture”. I took pictures and I am using the caliper to measure. Do I need to do anything else? I’m on day one of my treatment.

    The Dmso gel didnot absorb in 5 minutes like the info says. I may have used too much, but had a hard time controlling getting the gel out of the bottle. any suggestions?

    Also, I could not get the vit E out of the pump bottle, so I opened the bottle & it went all over the place. suggestions please?

  8. Eric Martindale says:

    Dr. Herazy,

    I need help. My mother has a case of Dupuytrens Contracture that is likely to be the worst you have ever experienced. (She is told that by literally every doctor she sees.) She has had every treatment that we can find, starting with surgery twenty years ago. She has since traveled around the country to get all of the latest treatments, to include Xiaflex and Aponeurotomy. The latest treatments seem to give her some relief, but no one can seem to stop the re-growth of this fibrous tissue on her hands. Morever, no one seems to be able to do anything at all about her feet.

    My mother has all but given up with her Dupuytren’s contracture (although I haven’t). Only her thumbs and forefingers are really usable. Her feet are an absolute mess, and I’m not sure how much longer she is really going to be able to walk without assistance. It is extraordinarily painful to watch her. (I am a Marine major, and I have seen a lot; I don’t say that lightly.)

    Is there anything we can do?


  9. Gen says:

    Hello Dr Herazy,
    My half Dutch, woodworking hubby (37 years) has dupuytrens contracture. He has a small lump in the palm of one hand but not much hand contracture. But his ring finger on the same hand is quite contracted especially the last knuckle. It started a few years ago after he cut his finger. A surgeon has advised that only finger surgery would be necessary and it would not recur. He also has large nodules on the first knuckle on each of his little fingers. These are painful if bumped and often ache painfully.

    Two questions:
    1. Would just finger surgery be a one time solution?
    2. Are the lumps under the skin on his first little finger knuckles related to dupuytrens contracture or are they something else? They too have only developed in the last few years.

    Thank you for considering these questions.
    PS. His father “H” (fully Dutch and in his late 60s) also has dc in one hand. His hand is quite contracted and one of his fingers also but to a lesser extent than the hand itself. H’s late twin sister was a diabetic and H is paranoid about getting it too.

  10. Susan Wright says:

    I have a basic question about Dupuytren’s contracture treatment. How should you take Bromelain 5000 – with or without food? Right now I’m taking 3 per day on an empty stomach along with Neprinol, Inflazyme and Fibrozyme (along with the other supplements and external treatments listed in the Best Plan). But the panel on the Douglas Lab bottle mentions to take it with food. My Dupuytren’s contracture has decreased in size and I’m still playing around with dosages.

  11. Mike Christensen says:

    Am of Danish descent and noticed the first signs of Dupuytren’s contracture in my left hand in 2003. Has since progressed to having a strong cord up to my ring finger with a 1.5cm nodule at the base of the finger and swelling of the finger base, combined with a light cord to the little finger. Now am seeing first signs in my right hand & also the first signs of Peyronie’s Disease. Have avoided surgery so far for obvious reasons, and came across your website recently while looking for alternative treatments. Am going to purchase either your medium or large plan, but first have a query: In some of your posts, you mention using a Genesen Acutouch pen to treat Dupuytren’s contracture, but your large treatment plan includes the 3MHz Bellaire machine. Is there any difference between the two, or specific advantage for using one or the other? Or do you need both, e.g. one for DC the other for PD? Look forward to hearing from you so I can decide what to order. Many thanks.

  12. Denise Lai says:

    I am a 55 year old woman of Sa’ami (Northern Finnish) and Native American origin. I am legally blind, but I work as an artist in fiber arts, doing historical reconstructions of fiber techniques from the past. I also did finish carpentry and Mammoth ivory carving. A lot of hand held power tools. I had a CMC joint arthroplasty on June 25. In mid August the first node appeared. Within 10 weeks, I had 14 nodes in my left hand, and I was at 10• from flattening my hand. I have also lost most of the use of my thumb. I now have several nodes forming in my right hand. The orthopedic surgeon took one look at the CT, and I was in a radiation oncology office the following morning. I start radiation tomorrow. They never saw a case of such rapid and extreme onset. My mother also has Dupuytens Diathesis, which contracture all ten fingers at age 76, but she hardly ever used her hands in working. She has had surgery twice. Rapid recurrence. I only learned the name of the condition by searching her medical records ofter getting dementia. My grandmother also a less aggressive presentation of Dupuytren’s Contracture. I also lost 80 pounds in the past 9 months without really trying. I have well controlled, adult onset diabetes (last A1C=5.3%). Is it Dupuytrens? Is it dangerous? Could I lose the use of my hand? Is radiation the right place to start?

  13. Terri says:

    I am a 56 yr old female that was just diagnosed with dupy in my rt hand after an injury 7 mos ago to that hand. I dev the bumps and have swelling of the pads under the pinky, ring & mid finger. I asked my doc about why my knuckle on pinky finger was swollen and discolored and painful. He said to wait but I want to know if all this is related to dupy and how do I treat and stop. My hand hurts, burns and has no strength. What do I do?

  14. Dr.Herazy says:

    Greetings Denise,

    Based on your history and your general description your hand problem could certainly be Dupuytren’s contracture.

    Yes, it is possible to lose the use of the involved hand if the condition progresses.

    Yes, radiation is a reasonable starting point, but I would also look at using the DCI Alternative Medicine at the same time for your developing Dupuytren’s contracture. If you need additional information please contact me. TRH

  15. David Shrubshall says:

    Hi. I want to start Fibrozym. What is the best dosage for minor Dupuytren’s contracture?
    Thanks David

  16. Dr.Herazy says:

    Greetings David,

    The best staring dosage for Fibrozym in particular to treat Dupuytren’s contracture is the dosage stated on the product label, 2/day; these are taken between meals. But there is a lot more internal and external therapies that are needed to successfully reduce the fibrous tissue of Dupuytren’s contracture than this single enzyme product. As good as it is, Fibrozym will not be sufficient to get the job done for you. A larger plan will likely be required to help your body make the necessary changes at the cellular level. After starting with that 2/day dosage it is almost always necessary to slowly increase the dosage of the Fibrozym to higher levels in order to break down that fibrous mass that is bothering you.

    All the specific information required to use the DCI plans are included with your first order. I suggest you spend some time on the Dupuytren’s Contracture Institute homepage to learn a bit more about how we suggest you go about helping yourself reduce those hand nodules and cords. TRH

  17. Dr.Herazy says:

    Greetings Terri,

    Sorry to hear about your hand problems, but in addition to the Dupuytren’s contracture it also sounds like you might have an additional problem of Garrod’s pads starting.

    Garrod’s pads are a soft tissue problem in which the skin on the first knuckles of the hands (where the fingers join the hand) become darkened, thick, enlarged and often times painful. Sometimes all first knuckles are involved and other times only a few. When severe the condition can also affect the joints of the fingers. This condition can occur by itself, but it is often seen to occur with Dupuytren’s contracture.

    Many people who treat their Dupuytren’s contracture using the DCI Alternative Medicine approach successfully have also reported improvement of their Garrod’s pads; some people with just Garrod’s pads also use the DCI protocols with success.

    Your doctor wants you to wait until your hands are bad enough that surgery will be indicated. I suggest that you try to help yourself avoid that situation by helping your body heal the DC and Garrod’s pads before they get that bad. Please look over the DCI site for information how you can try to support your immune system to get rid of, or at least reduce, your Dupuytren’s contracture. TRH

  18. Dr.Herazy says:

    Greetings Gen,

    Dupuytren’s contracture recurrence rate after surgery is variable; sometimes it can be very rapid, like less than a year, and sometimes it can be slow, like 5-10 years. Bear in mind that recurrence will always develop and the hand lump and cord development will always be worse the second time around. Dupuytren’s contracture surgery cannot be done too many times because of these inevitable recurrences since a person eventually loses normal tissue each time to each surgery; a person gets to the point that no more hand surgery can be done, and amputation is the last option. I feel it is better to avoid Dupuytren’s contracture surgery as long as possible. Many people have found that the DCI approach can help them avoid or delay hand surgery.

    The lumps under the skin over the knuckles are probably related to the Dupuytren’s contracture since this sometimes happens to some people. TRH

  19. Dr.Herazy says:

    Greetings Karen,

    So glad to know you are trying to start your Dupuytren’s contracture treatment in the right way. Thanks for the questions, so here you are:

    Since the Dupuytrens hand lumps are on the surface I suggest carefully outlining each one with a black ball point pen. At the exact area where the abnormal fibrous tissue of the palm lump begins and the normal skin of your hand ends, place a small dot or line. Go over to the next area of the same palm lump and again find the where the abnormal fibrous tissue of the palm lump begins and the normal skin of your hand ends, and again make a small line. Do this all the way around each palm lump until you have outlined in pen a dotted line around the entire mass of fibrous tissue; you will have basically traced around the abnormal tissue. When you have done this, then go to a copy machine and place your hand down on the glass surface as flat as you can and copy the palm. The photocopy of the palm will be an exact and accurate picture of the size and shape of your Dupuytren’s contracture. Write the date on the photocopy and make notes about the density and how well the “lump moves around the face of the clock” which is explained in the DCI information sheet “How to Use the Current Strategy Form.” Make these photocopies in this way every month or so and keep them for comparison so you will know exactly how much progress you are making. TRH

  20. Dr.Herazy says:

    Greetings Sanford,

    Sorry to say, yes, your Dupuytren’s contracture can continue to draw your finger down toward your palm until it touches the surface and even forces it hard against the surface. Some cases do not progress all the way down to the palm, but most eventually go down at least to the point of touching the surface. Just because your Dupuytren’s contracture has developed to a right angle contracture does not mean all is necessarily lost for you. Many people have found complete or at least partial improvement of their DC while using the Alternative Medicine treatment information found on this website. I encourage you to look around and see if the ideas do not make sense to you. TRH

  21. Dr.Herazy says:

    Greetings Denise,

    This is a new one to me in regard to Dupuytren’s contracture treatment. Briefly, I can say that I believe silicone is often used in a homeopathic formula as a common ingredient for scar reduction. I just now looked this particular product up on the internet and could not find out much about it, other than it appears to it be created to treat superficial tissue scars; not sure if it would have any effect on the deep fibrous contractures of Dupuytren’s contracture. TRH

  22. Alba says:

    Is Nattokinase advisable for someone with low blood pressure? Is the blood thinning effects so great as to lower blood pressure significantly?

  23. Dr.Herazy says:

    Greetings Suzanne,

    Over the years I have heard of many people using castor oil for Dupuytren’s contracture, but not much in the way of positive results. That is not to say castor oil might not help Dupuytren’s contracture, it is just that I have just run across any people who report that it helped them. Castor oil has a lot of proponents for a wide variety of conditions, but these localized fibrotic conditions like Dupuytren’s contracture can be especially difficult to treat; this is why we recommend a wide display of various Alt Med approaches used concurrently to get ahead of the palm lumps and cords.

    Acupuncture is a great addition to arsenal that can be used against Dupuytren’s contracture. But by itself it is seldom effective and this is why, again, we have found that only when using several of these approaches can a person get ahead of this problem. TRH

  24. Dr.Herazy says:

    Greetings Alba,

    In my work using Nattokinase for Dupuytren’s contracture I have encountered many people who has also had both high and low blood pressure. A few of the hypertension, or high blood pressure, cases reported that their blood pressure was lowered while using Nattokinase, but none said it was made too low. Remember, Dupuytren’s contracture can be complicated because the fibrous lumps and cords of DC is difficult to remove naturally. It takes a serious effort and good management. Let me know if I can help in any way. TRH

  25. Dr.Herazy says:

    Greetings BJ,

    I have never had anyone tell me that they have had an adverse response or side effect to taking any of the Dupuytren’s contracture therapies, other than diarrhea when increasing dosages too rapidly. This temporary diarrhea is controllable by simply slowing down the rate of increase of the dosages, especially the enzyme group (Neprinol, Inflamazyme, Nattokinase, Bromelain, etc.).

  26. Dr.Herazy says:

    Greetings Eric,

    Surgical repair of Dupuytren’s contracture is always limited because the problem always returns, and it will always be worse when it returns, as you have seen with your mother. The only question is how fast does the Dupuytren’s contracture recur, one year, two years, seven years? It sounds like your mother has had a lot of intervention, causing a lot of recurrence and additional scar development. Eventually she will be come to the point where there will be nothing more for the hand surgeons to do but to offer her the option for amputation.

    At this point I think she can consider using Alt Med to try to slow the Dupuytren’s contracture development down a bit, and perhaps reduce some of the pain she is having. There is no way for me to predict or offer an opinion about how much, if at all, she can be helped. It is possible the DCI concepts of using Alt Med can help her, but I cannot say for certain given her extension surgical history. I can only suggest she gives it a very good try to see what and if she can do to get some relief for herself. Who knows, we might all be surprised and she will find a lot of relief.

    Please read at least the first few pages of the DCI website to get an idea of what is involved in Dupuytren’s contracture treatment using Alt Med. If you have questions please contact me directly.

    She must have been a great Mom because she raised a pretty good son. You are doing a wonderful thing to work so hard for her. TRH

  27. Dr.Herazy says:

    Greetigns David,

    Fibrozym is a great therapy for treating Dupuytren’s contracture as part of a larger comprehensive treatment plan, but by itself it does not do much good. It must be combined with several other internal and external therapies in order to assist the healing process of the body. That is why we have these therapy plans developed that offer a balanced approach to treatment.

    Since Fibrozym is never used by itself according to the DCI treatment concepts, I cannot say what kind of dosage you might take if you used it by itself. When it is used as part of a larger treatment plan it is often used in dosages of 6-8 tablets daily.

    Remember, Dupuytren’s contracture is a tough problem to treat so it will typically not respond to small and half-hearted efforts. Read more about how our readers get the job done using these ideas, to see how you might work to get rid of your hand lumps also. TRH

  28. Dr.Herazy says:

    Greetings Dr. Foster,

    I do not have a good answer for you about SSKI treatment for Dupuytren’s contracture.

    Like you, I have read Dr. Wright’s few comments about using SSKI with DMSO but that is about all I know about it. I have looked around the internet many times for additional information and confirmation of results of reduction or elimination of Dupuytren’s contraction nodules and cords as a result of SSKI usage, but have found none. The only references to SSKI — other than people like you asking about it — are the one or two comments from Dr. Wright himself. Additionally, I have had several personal communications with people over the years telling me that they tried SSKI as Dr. Wright suggests and it did not help them; of course, this usage was as a very limited application of just DMSO, SSKI and vitamin E, so it was used in a limited application that does not subscribe to the broader use of multiple therapies that DCI advocates. For this reason I have not suggested that anyone use the DMSO, SSKI and vitamin E approach for their Dupuytren’s contracture treatment. TRH

  29. Dr.Herazy says:

    Greetings Mike,

    Yes, they are entirely different external therapy approaches for Dupuytren’s contracture.

    The 3MhZ ultrasound machine is a very effective portable and affordable physiotherapy device that is used medically for all types of soft tissue problems. As a result of a DCI research project a few years ago we observed that people who were already on a large DCI treatment plan of various multiple internal therapies and not getting good treatment results with their DC did see an improvement when the 3MhZ ultrasound was added into their plans. Of course, this was not correct scientific research protocol to test the effectiveness of 3MhZ ultrasound against Dupuytren’s contracture. We do not care about isolated research testing of any solo therapies, so we did not test it that way. We care about what works to help the body eliminate DC. We found that adding 3MhZ ultrasound treatment increased effectiveness of already existing treatment. The Genesen Acutouch instruments are a very different and unique kind of external therapy that is best described in detail on the DCI website. It would take me hours to explain it again in this space. Suffice it to say it is a professional acupuncture instrument that is so simple to operate that a layperson can use it for self-treatment at home following instructions that I have written specifically for Dupuytren’s contracture treatment. I suggest that people start with the 3MhZ ultrasound only because it is much less expensive to purchase and a bit easier to apply. Either one of these two machines can be used for either problem, and both can be used for Dupuytren’s contracture and Peyronie’s disease self-treatment. TRH

  30. Dr.Herazy says:

    Greetings Susan,

    Congratulations on making improvement with your Dupuytren’s contracture while you are still relatively early in self-treatment.

    Concerning the timing for taking Bromelain 5000: You are incorrect. The label says to take Bromelain 5000 between meals, not with food. The instructions you received with your initial order from DCI and subsequent orders clearly state to take all enzyme products (Neprinol, Nattokinase, Fibrozym, Inflamazyme, etc.) between meals or at least 1-2 hours before or after you eat.

    I appreciate you are trying to use and apply all your internal and external therapies in the right way, and I appreciate that you checked this point out. You are working hard at your recovery, so it is no wonder you are seeing improvement of your Dupuytren’s contracture. Again, congratulations and keep up the good work. TRH

  31. Dr.Herazy says:

    Greetings Denise,

    There are many of similar silica gel products on the internet, but most promote their use for scar tissue treatment. None directly say they can or should be used for Dupuytren’s contracture treatment. Considering how many of these products there are fiercely promoting themselves, one time I contacted a few of these companies directly by phone. I asked each one if their product had any beneficial effect on Dupuytren’s contracture. In every case no company representative had ever heard of Dupuytren’s contracture or knew what it was. This tells me there is no feed-back or experience these companies have with people who have Dupuytren’s contracture. For this reason I have not included these silica gel products in the DCI treatment lineup. TRH

  32. Dr.Herazy says:

    Greetings Simon,

    Any PABA ban is limited to the dosage of each individual pill; how large the dose of PABA per capsule. The DCI suggestion for using PABA are safe because the total dosage is still within recommended PABA daily usage, and we advise people who are on a heavy PABA dosage to take periodic breaks or vacations from treatment every 6-8 weeks of use.

    So sorry to hear that you did not see any change after one month of Dupuytren’s contracture treatment. However, in many places on the Dupuytren’s Contracture Institute website we advise people to make up their minds that they will use their DCI treatment plan for at least 3-4 months to be fair to themselves. Dupuytren’s contracture is a very difficult and tenacious condition to treat and will seldom respond within one month.

    I have been doing this work with Dupuytren’s contracture since 2002 using these dosages of PABA. During this time no one has reported any adverse reaction or side effect from PABA, other than mild temporary diarrhea that is eliminated by slowing down the rate of usage. TRH

  33. Linda Wojciechowski says:

    My first Dupuytren’s contracture nodule appeared 2 years ago in my left hand.I was told it was a fibroma and to remove it surgically. I now have a row of them in the left palm and nodules are forming in the right hand along the thumb tendon as well as at the base of the palm. No contractures yet. A second hand specialist diagnosed Dupuytren’s contracture last summer. My concern is that I am allergic to sulfa drugs. Am I still a candidate for the DCI treatment? If so, which level should I begin with? I am in the Chicago area, can I come in for a consultation?

  34. Dr.Herazy says:

    Greetings Linda,

    Sorry to hear of your Dupuytren’s contracture problem.

    First, a question please: Did you have the initial fibroma surgically removed when it was first diagnosed, and after the hand surgery did the row of nodules develop on the left hand? Or did you not have the hand surgery and the nodules progressed across the palm? I am curious because of the nature of Dupuytren’s contracture nodules to recur post-surgically when they are removed, and to also recur in a more vigorous or aggressive way than the initial occurrence.

    Sulfa drugs (sulfonamides) and the organic sulfur found in foods (sulfites) and nutritional supplements (sulfonyls) are not chemically related. Therefore, someone with a sulfa drug allergy does not have to avoid sulfur in the diet or in the vitamin portion of a Dupuytren’s contracture treatment plan. You are apparently allergic to sulfonamides, not the sulfonyl that is in our MSM. As you probably know, if you have a sulfa allergy you don’t have to avoid any particular foods. The body metabolizes (chemical breakdown, absorption and distribution) of sulfites, sulfates and sulfonyl differently than sulfa drugs. Further, someone with a sulfa drug allergy is not necessarily predisposed to other sulfur-related allergies.

    Sulfa drugs are known to cause allergic reactions such as hives, tissue swelling especially the mucous membranes, difficulty breathing which includes aggravation of asthma especially if it pre-exists, unrelated to Dupuytren’s contracture. If you’ve ever had a severe sulfa drug reaction it would be wise to wear a bracelet that informs emergency personnel of your sulfa allergy.

    Since 2003 I have worked with DCI involved in Dupuytren’s contracture treatment questions. During this time I have dealt with perhaps 100 people who were concerned about their sulfa drug allergy in relation to the various therapy products in the various treatment plans, most notably the MSM (methyl-sulfonyl-methane) which is a sulfur containing supplement. No one with Dupuytren’s contracture has ever reported back any adverse response, side effect or allergic reaction as a result of taking any of our nutritional supplements, most notably the MSM supplement.

    Lastly, I have been retired since 2012 from active practice and do not maintain an office to see patients. All of the help I can give you for your Dupuytren’s contracture is on the website. TRH

  35. Elizabeth Pullen says:

    I have received the Dupuytren’s contracture medium plan and met with my Functional Medicine Nurse Practitioner. We have a question about getting started. Should I start taking all of the items at the lowest dose at the same time (on the first day), or should I start with one item and then add the 2nd, 3rd, etc. every few days? I understand once I’ve gotten started with all 8 items that I should slowly increase dosage of 1 or 2 items every 7-10 days after reassessing my hand.
    Thank you.

  36. Dr.Herazy says:

    Greetings Elizabeth,

    Glad to know you are checking in and working with your medical practitioner about your Dupuytren’s contracture treatment.

    You can certainly use either option because neither are wrong. However, the first option of “taking all of the items at the lowest dose at the same time (on the first day)” is a faster way to work up eventually to where good tissue changes typically occur and where you want to be; it will save you time and expense. This approach is by far the most common, and is used by all except those with extremely sensitive digestive tracts. The second option of starting “with one item and then add the 2nd, 3rd, etc. every few days” offers no advantage I can determine except to be most cautious if you have a history of gastric or intestinal dysfunction.

    Thanks for the question, and if you have any other concern with your Dupuytren’s contracture plan please let me know. TRH

  37. John Berry says:

    Hello I have just purchased and started a large Dupuytren’s contracture plan this is more about my brother who is recovering from surgery on digit 3,4 and 5 on his left hand has Dupuytren’s contracture very early stages in 3 & 4 of his right hand I’m ordering plan for him to treat his right hand my question is would the ultrasound and external treatment be beneficial to healing his recent surgery surgeon/therapist have said his body has reacted to the operation it is now 4 months since the op. and recovery seem slow thank you in advance for any info.
    Cheers John

  38. Dr.Herazy says:

    Greetings John,

    Well, aren’t you a very good brother to share your Dupuytren’s contracture treatment plan with him like that? Nice guy.

    Your full and appropriate use of all elements of the many aspects of this Alt Med plan should increase and support your body’s ability to reduce and perhaps eliminate your own Dupuytren’s contracture. Your brother’s use of the different external elements of the large plan four months post-surgery, especially the ultrasound, should, in my opinion, be helpful for a speedier recovery from his surgery. However, I insist he first talk to his surgeon before using these therapies in his case.

    Further, I speculate that the slow recovery your brother is experiencing might be related to the tendency of Dupuytren’s contracture to recur after surgery. Usually the recurrence might take a few years to appear, but I have encountered many people whose DC returned within less than a year post-surgery. This is the problem with all Dupuytren’s contracture hand surgery: A person undergoes considerable risk and pain engaging in surgical excision of the Dupuytren’s contracture fibrous tissue, only to have almost no reward since the recurrence is usually just a few years and in some cases even less than that. To make matters worse, the recurrence of Dupuytren’s contracture is always worse than the original case of DC, and the surgeon will have less normal and healthy tissue to work with, since the first surgery consumes normal tissue, when the recurrence problem eventually has to be dealt with surgically. This becomes a vicious DC cycle: surgery, recurrence, surgery, recurrence, etc., until eventually no more surgery can be done. At this time the options become very ugly. It is far better to avoid, or delay as much as possible, having that first Dupuytren’s contracture surgery. This is where the DCI Alt Med self-treatment approach is valuable since many people are able to avoid having any hand surgery for their Dupuytren’s contracture.

    Good luck to you and your brother, John. Let me know if I can help you in any way. TRH

  39. Lilia says:

    I am a female aged 65 y.o. My GP recently diagnosed me with Dupuytren’s Contracture. I have CFS + several Autoinmune Disorders + severe food sensitives/intolerances. I am very sensitive to salicylates, amines, casein, gluten, soy. I am already taking several supplements. I frequently react to new supplements/medicines. I definitely would like to treat my Dupuytren’s contracture. Money is not an issue. What would be your advice regarding which suplemments to buy I definitely have to avoid any herbals re: salycilate and soy.

  40. Dr.Herazy says:

    Greetings Lilia,

    None of the supplements, homeopathic products or topical agents used in our Dupuytren’s contracture therapy lineup contains any ingredient on your list of sensitivities.

    Since you currently take several supplements there is ample room for optimism you can successfully take our supplements; it is do-able. In view of your multiple sensitivities I suggest that you do two things as you start your Dupuytren’s contracture program: Read the label of each bottle to satisfy yourself that you are secure. Also, take a 1/2 tablet or single capsule dosage of each supplement in your program to evaluate your response. If you do these things you should have a clear mind that all is well with you and the DCI program.

    You ask for advice about which supplements to buy. I suggest that you get the largest plan you can afford to use for 3-4 months while you aggressively pursue your Dupuytren’s contracture plan. The more broad and diversified treatment is, and the more faithfully the plan is followed, the better the response tends to be. I will be available to answers questions as you advance your Dupuytren’s contracture treatment protocol. TRH

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