Hello Dr. Herazy, I have a question about dupuytrens treatment. I am a 51 yr old women who was just told the small lump in my hand is dupuytren’s contracture. I was told right now there is nothing that can be done because I can still put my hand down flat on a table. My husband found your site and wants me to start the treatment. Can I start the dupuytrens treatment at this early stage of the disease?
Will this keep the lump from getting larger and my fingers from curling?
Thank you for any information you can give me. Roseann
Sorry to hear of your hand problem.
From my experience in working with this form of natural Dupuytrens treatment for almost 11 years I can tell you that the earlier you start self-treatment, the better the results tend to be. All we are attempting to do is to support and reinforce the natural ability of the body to remove foreign tissue; an early start when the problem is as small as possible, makes most sense.
This concept is different from the standard medical approach your doctor is suggesting, because that approach is for radical removal of tissue. The standard medical model is based on the hand contracture being as advanced, debilitating and severe as possible before surgery, so that the surgery is not done too soon in the course of the disease. All surgeons know that the surgery is not a cure, and that Dupuytrens recurrence is inevitable after each surgery, no matter how well done. By waiting to do surgery as long as possible the number of recurrences is minimized.
Our concept is that if surgery can possibly be avoided by doing everything possible to help the hand lump heal with natural Dupuytrens treatment, then a real service has been provided. There is no way for me to tell you if this approach will work for you. I can tell you it has worked for many people, especially when started early in the progression of the contracture. I suggest to you that you use the largest and most aggressive therapy approach you can afford to apply for at least 2-3 months to see if your body is capable of making this Dupuytrens treatment work for you. If it helps you, look at what you have gained. If it does not help you, you will know you have at least tried to do something conservative before undergoing aggressive hand surgery.
Please let me know if I can help you in any way. TRH
In September I had an operation to remove the tendon-like Dupuytren cord from my upper palm and little finger. Developed a good bit of scar tissue as a result can’t bend the finger yet, so lots of exercises. Just yesterday I noticed nodules in my lower palm where the muscles are being used to do the exercises to get rid of the scar tissue. Went to the doctor today and he confirmed a re-occurrence of Dupuytren contracture just six months after my hand surgery. But he says there is nothing to be done until they curl the fingers. Should I be doing something else because I feel I am in early stage with the Dupuytren cord in my palm?
It is not at all uncommon for Dupuytren contracture to recur in less than a year after having hand surgery to remove the palm lumps and cords that are a part of this problem. Yours seems to have come back in six months, which is not rare; I hear a lot of these fast recurrences. I hope your hand surgeon told you all about this. Again, I hear a lot of stories from people who are not told ahead of time about how the Dupuytren contracture will always come back after surgery. These people go into surgery thinking that the hand surgery will get rid of their problem, only to find that is not the case.
Dupuytren surgery will only give a temporary relief from the problem, and sometimes the temporary relief if extremely brief, as in your case. This is very discouraging because the brief relief comes at the high price of months of surgical pain, poor healing, months of painful exercises, all ending with a hand that is not as good as before the surgery and needing more hand surgery anyway.
You need to talk to your hand surgeon about where all of this is headed. You should understand that usually the result of additional hand surgery is not a better hand, but a hand that has even more normal tissue removed resulting in risk of greater pain, limitation of movement, coldness, numbness and weakness. Additionally, you must understand that typically the speed of recurrence of Dupuytren disease after hand surgery increases with each surgery; each operation seems to make the problem come back a bit faster than the one before it.
Notice that at no point do I say that you should not have more hand surgery. I am just cautioning you that not all surgery is successful – like all Alternative Medicine care is not successful. You should ask a lot of questions and be sure of what you are getting into because all of the hand surgery sites warn about the return of Dupuytren contracture after surgery. In my opinion it is better and smarter to first use conservative self-help measures that do not carry the risks of surgery, and only use surgery after all possible conservative options have been used and have failed.
The Dupuytren Contracture Institute has been helping people for over 10 years increase their ability to heal and repair the Dupuytren tissue changes. Some people get dramatic results and some only slow down the rate of progress; every one is happy for the improvement and progress made because it is better than doing nothing but allow the problem to advance on its own. I suggest that you go to the DCI website and read a bit about how you might be able to help yourself.
I have both Dupuytren’s contracture and trigger fingers. Will your treatment cover both problems?
I do not have an answer for you. While the DCI treatment for Dupuytren’s contracture has had a lot of successful application for palm lumps and contracted fingers, I have not had much feedback from people how if affects a trigger finger. I think there are elements of the DCI treatment protocol that might help the swelling and inflammation of the tendon sheaths in the palm of your hand that causes your fingers to periodically catch, called trigger finger.
For the most part a trigger finger problem tends to be more of a nuisance to a person, but Dupuytren contracture is a much larger and more dangerous problem to the health of a hand. I suggest that you get busy doing everything you can to help your body heal your Dupuytren disease, and see if at the same time your trigger fingers improve. I think the most important consideration is to first get the Dupuytren under control and deal with the trigger fingers later – if they are still even a problem. TRH
my doctor told me i have dupuytren contracture in my right hand. i had a small lump came in my hand after i had carpal tunnel surgery about 3 years ago. lately it has gotten worse. now doctor tell me about dupuytren disease. at the start i had very little pain, but i have pain all the time now. i play the piano and maybe that the reason i’m in pain. what do you think? my fingers are not bent, just in pain . joyce
It is not uncommon for Dupuytren’s contracture to start after hand surgery, like for Carpal Tunnel Syndrome. It is also not uncommon for Dupuytren’s contracture to occur in piano players who stress their hands, arms and shoulders by prolonged practice and playing. Early stages of Dupuytren disease will only demonstrate a palm lump or two with variable pain, and no finger contracture or stiffness. The problem of finger contracture appear only later when cords of soft tissue develop in the palm. Based on your brief description your problem does not seem out of the ordinary for an early case of DC.
Apparently your doctor, who has examined you, thinks you have Dupuytren contracture so I think there is no reason to doubt that diagnosis.
I suggest you consider getting busy treating your hand problem with Alternative Medicine therapy while it is still manageable. Go to start Dupuytren treatment for more information to help your body heal this problem. TRH
How should I treat my Dupuytrens disease?
“What is the most important product or vitamin I should use to treat the Dupuytren lump on my palm?” I am asked that question frequently.
The correct response is that there is not any single therapy that is more important than the others; they are ALL important, especially when used together. Each natural therapy product if taken by itself has limited ability to make a difference with the dense fibrous Dupuytren contracture tissue on the palm of the hand or fingers. However, when they are used together as we advocate at DCI, their combined effort we find is capable of generating a healing response. None when used separately will achieve the clinical results that compare to a broad-based synergistic approach to Dupuytren therapy using Alternative Medicine.
There is simply no way to predict which vitamin or mineral or enzyme therapy will do the most for you, if in fact any can make a difference to the contracted tissue when used alone. There is no one product that can cause the contracted palmar fascia tissue to be reabsorbed by the body.
Treatment of Dupuytrens like playing baseball – you need all players
It is similar to determining something similar about a baseball team. You cannot ask “What is the most important position on the team?” and expect a meaningful answer. Certainly some would answer, “Oh that is easy. The pitcher is the most important player.” If that were true, you only have to imagine how much trouble a team would have if there was no short stop or catcher or first baseman, or center fielder on a team, or if you tried to play a game with nine pitchers on the field. Each player is important in his own way and vital to the ultimate success of the team when they work together. The same is true with treatment of Dupuytren contracture.
Please read and re-read sections of the DCI website that describe the treatment philosophy and the principle of synergy, found at Dupuytren Contracture Treatment Philosophy. If you are having any concerns or indecisions about what you are doing while using Alternative Medicine to treat your hand lumps, you owe it to yourself to go over some of these points. Educate yourself well about this terrible problem and come to understand exactly why you are following this course of Alternative Medicine care.
There is a lot of good information for you on the DCI website. If you haven’t already spent considerable time reading the background and principles that explain why this therapy works for so many people, now is a good time to review what started you thinking in this direction in the first place. After you understand more about the philosophy that guides this process of eliminating the dense contracted hand tissue, it will be easier to successfully create and follow your own Dupuytren treatment program.