Is it a trigger finger or Dupuytrens contracture?

I have it bad in my hands, my fingers either draw in or lock up during use and pain is THERE … I also have lumps under my skin on my lower back, are these the same thing?

 

Greetings,

When you say you have “it bad’ in your hands, exactly what do you mean?   Do you mean that you have a problem of bad pain and finger locking?   I cannot assume that you actually have Dupuytren’s contracture unless you have formally been given a medical diagnosis.    Usually, finger locking and severe pain are not a prominent part of Dupuytren disease.   The way you describe that your  “fingers either draw in or lock up during use” makes it sound like it is an occasional event, and this is not true of Dupuytren because when your fingers are flexed with Dupuytrens they stay that way except to slowly worsen; they do not straighten beyond the point of their involuntary flexion deformity. 

What comes to mind is that you have a trigger finger in one or more fingers.  Please see this link for information comparing trigger finger and Dupuytren contracture.  

A soft lump under the skin of the lower or mid back is often lipoma.    If this is true for you needs to be determined by medical examination.    There is no association between lipomas and Dupuytren’s contracture. 

Please have a competent orthopedic doctor examine you to determine what is going on with your hand and back.   TRH           

 

 

 

Comments

4 Responses to “Is it a trigger finger or Dupuytrens contracture?”
  1. joann guzman says:

    I have a question about dupuytren’s contracture. my middle fingers on both hands will lock up when doing movements that require me to grasp things like twisting off a water bottle cap. ive done enough reserch to know thats its trigger finger. my dr. insists that its dupuytren’s contractor. how do i get across to him what i believe. im concerned about the treatment he might perscribe in the future. please give me some advice. thanks. joann

  2. Adam says:

    I was seen by an orthopedic specialist today to examine what I think is very mild CTS/repetitive strain, and not Dupuytren’s contracture. When I asked about my index finger (stiff in the morning, some discomfort) I was told it COULD be Dupuytren’s contracture. I assumed it was some trigger finger and also naively assumed that the protrusion between base of finger and middle joint was an enflamed tendon sheath or a vein. I don’t have any bumps or anything on my palms and in doing some light research see nothing online that resembles my finger protrusion. The finger doesn’t catch and I can extend it–just unsure of the diagnosis. I only ask because the doctor seemed like an arrogant mook and I want (and will) to get a second opinion. Anyways, thanks. Again, I see a “vein-like” bump running from base to middle joint when I extend the index finger. Could it be Dupuytren’s contracture?

  3. Dr.Herazy says:

    Greetings Adam,

    I cannot say for sure if you have Dupuytren’s contracture or not, since I have not seen or examined you. Based on what you have written it might possibly be an early case of Dupuytren’s contracture, but not definitely.

    I suggest you get a second opinion from someone who you feel good about; nothing worse than trying to work with a doctor who does not seem to have an interest in your problem. If it turns out you do have Dupuytren’s contracture, I suggest that your spend some time on this website learning about the conservative things you can do to help yourself naturally heal DC. Better to be conservative first, and only then to try more aggressive and radical procedures like surgery. TRH

  4. Dr.Herazy says:

    Greetings Joann,

    So your doctor says you have Dupuytren’s contracture in both hands, but you think it is a trigger finder. Perhaps you are both right. It happens in many cases , and it might be going on with you. One of the secondary findings of Dupuytren’s contracture can be a trigger finger that starts due to inflammation and edema in and around the tendon sheaths of those fingers with the contractures.

    Even more important perhaps than your difference of opinion, I am concerned that you sense your doctor is not listening to what you are saying, even if you are wrong; if you are saying one thing and he is saying another, and he is not listening to you and has not taken the time to explain your situation to you and why he thinks you have Dupuytren’s contracture, it is a bad sign. The problem is not that he might be wrong with his diagnosis (he is probably right and you probably do have Dupuytren’s contracture), but that he is not taking the time to talk to you and explain why he is saying what he is saying. It might be a good reason to get a second opinion while you shop for another doctor. TRH

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