New Customer – how to select your best treatment plan

Suggestions to help you decide how to start Dupuytren’s contracture treatment with your doctor’s help   Read these descriptions and see which one applies most closely to your situation.  You can start with any plan you chose, but the more aggressive your treatment plan the greater your opportunity for success. 

 

Small Dupuytren’s treatment plan suggested: 

  • DC less than 12 months
  • DC appears to be slowly advancing
  • DC is not known in my family; I am first in family to have DC
  • One hand involved at this time
  • No observable tissue changes at this time; no knots or lumps on palm of hand, no finger cords­; fingers just feel tight and achy ­
  • Full finger range of motion; can flatten palm against table top
  • Any age
  • Generally good health
  • Non-cigarette smoker
  • History of no to little hand stress – non-manual labor all of life; played nomusical instruments; no history of hand injury
  • No prior Dupuytren or other hand surgery; no Xiaflex injection

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Medium Dupuytren’s treatment plan suggested: 

  • DC between 12-24 months
  • DC appears to be moderately advancing
  • DC is in one other family member
  • Two hands involved
  • Mild to moderate knots or lumps on palm; mild to moderate finger cords
  • Slight to moderate reduction of finger range of motion; some difficulty flattening palm against table top
  • Any age
  • Generally good health
  • Moderate cigarette smoker; used to smoke, but not now
  • History of mild to moderate hand stress – manual labor all of life; played musical instruments; history of mild to moderate hand injury
  • One prior Dupuytren or other hand surgery; one Xiaflex injection

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Large Dupuytren’s treatment plan suggested: 

 

  • DC longer than 24 months
  • DC appears to be rapidly advancing; recently started to develop at a faster rate
  • DC is in two or more family members
  • Two hands involved, one of them severe
  • Moderate to severe knots or lumps on palm; moderate to severe finger cords
  • Moderate to severe reduction of finger range of motion; difficulty flattening palm against table top
  • Under 50 years old, or  over 70 years old
  • Heavy cigarette smoker
  • Generally poor health or complicated medical history
  • History of moderate to severe hand stress – heavy manual labor all of life; heavy and   extensive playing of musical instruments; history of moderate to severe of hand injury
  • One or more prior Dupuytren or other hand surgery; one or more Xiaflex injections
  • Poor surgical results   

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You don’t have to follow a DCI plan; you can create your own plan based on the ideas found in the “Worksheet to build or modify a Dupuytren’s contracture disease treatment plan with your doctor”. Some of our visitors decide to use a Large Dupuytren’s treatment plan simply because they want to do as much as possible to help themselves, even when their problem is relatively mild.  How you proceed is based on how much you wish to devote to your recovery and how your doctor wishes you to treat your condition.