Successful Dupuytren treatment demands that you know the exact limit of your hand contraction each step of the way
The Dupuytren Hand Contracture Caliper is a requirement for good results with self-directed Dupuytren treatment. You must know how much your hand is contracted and finger movement is limited in order to guide your therapy plan to a successful conclusion. Otherwise you are only guessing about your hand contracture, and that does not help you regain full use of your hand.
People are wrong to only pay attention to the obvious palm lumps and finger cords of their Dupuytrens contracture. The Dupuytren Hand Contracture Caliper makes it easy to know exactly how much their finger contracture is affecting hand movement and flexibility.
The DCI caliper with built-in measurement scale will help you easily and accurately determine reduced finger and hand movement caused by Dupuytrens disease. With it you will document how far your finger contraction is kept flexed toward the palm or wrist, as well as the other important measurement of how far your palm is kept from flattening against a table top or other flat surface. These two numbers are essential baseline measurements to determine progress, or lack of progress, of your self-directed Alternative Medicine Dupuytrens treatment.
If you do not know the true state of your bent finger and hand contracture at the start of care you will never know exactly how much improvement you have made, or if you have made any at all. You must know if you are making actual progress over your Dupuytren hand problem because this information will tell you if and when to change your treatment or perhaps not change it at all.
Many people think, “I’m not stupid. I will know if my finger is improving. I do not need to measure.” But they find after a few weeks of treatment they are totally unsure if the progress they think they have made is real or just a hopeful product of their imagination. Armed with this valuable information you will know if and when to change a treatment plan that is not working, or to keep following a treatment plan that it is working. Either way, for best treatment results you must not guess about any of this.
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Using the DCI caliper to measure contracture of the hand:
- The caliper is tightened or loosened by using the large plastic knob at the pivot in the middle. The caliper has two pairs of “legs.” The “inside legs” are used to measure the inner distance of a closed surface, and the “outside legs” are used to measure an outside surface. The inside legs of the caliper are straight but bent only at the very tips to look like the letters “J” and “L.” The outside legs are rounded to look like big pincers or the letter “C.” To measure with either the inner or outer legs the caliper must be positioned so the straight legs are crossed over each other and the curved millimeter (mm) scale to provide a distance reading, just as you see it in the picture, above.
- Adjust the large plastic knob in the center of the caliper so the legs move with moderate resistance; this assures your measurements are accurate. The knob must be loose enough that the legs move with some ease, but tight enough that they do not move once you put them in position.
- Each line on the curved scale represents 2 millimeters (mm). The scale ranges from 0 to 200mm.
- Position the tips of the straight inside legs so the “J” and “L” touch each other. Notice that the edge of the moveable leg touches the “O” on the mm scale, meaning no millimeters. When the tips of the inner legs are 50mm apart the tips of the outer legs are also 50mm apart.
- Either half of the caliper – the “inside legs” or the “outside legs” – can be used to document improvement of your limited finger and hand movement. Use either side or pair of legs that is more comfortable or whichever one works best for your circumstance since the measurement will be the same.
Marking hand and fingers for measurement
Each time the hand is measured the same pair of reference points must be used, and the information must be written down for later comparison using the “Caliper Hand Measurement Chart” you received with your DCI Hand Caliper.
It is best to use naturally occurring landmarks on the fingers, palm or wrist of your hands if they are small enough to make a precise measurement, and if you will be able to easily find the same landmark each time you use the caliper for hand and finger measurements.
Locate a small and easily recognized natural landmark on the involved finger and hand. These two points should be obvious and easily located each time you measure your progress. Carefully place a dot precisely at the point you wish to use each time you measure. Using large dots or different point locations make inaccurate readings that cannot be compared over time, and this does not help you to know if you are progressing or not.
- When taking measurements for the first time write notes or make a quick drawing of the local area that explains each point location in a way that is easy for you to understand and duplicate. For easy reference, write the notes that describe the points you are using on your “Caliper Hand Measurement Chart.
- Mark you skin with a fine felt tip or ballpoint pen to clearly identify the exact points you will use each time to make your measurements.
- Examples of natural landmarks on your fingers, hands or wrists that will increase the speed and accuracy of your measurements:
a. Where a fingernail has a natural vertical ridge or flaw that does not change.
b. Where the fingernail bed and skin touch at the end of the finger (that little corner location where you might sometime get a hang nail). Use the same fingernail corner each time.
c. The very tip of your finger; it is the highest point when you look at your finger from the front and from the side view.
d. At the base of your palm, on or near the wrist crease, find a point where two or three creases meet to form a “V,” “X” or “Y”.
- Slightly bend your wrist. Notice if one or two wrist creases create a nice landmark that will be easy to locate each time you want to measure your progress. A crease or wrinkle of skin may cross over a vein, tendon, scar or blemish, making a precise reference point.
If all else fails you can locate the center of the wrist crease using a ruler, although this is much more difficult and less precise.
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Measure distance bent finger flexed toward palm
Each time you how close your finger is kept flexed toward your palm you must use the same two reference points on the finger and palm or wrist. If you have Dupuytren contracture of one finger you will use two reference points. If two fingers are flexed toward the palm of one hand, three reference points are needed (one on each finger tip and a single point on the wrist). Three fingers require four points for measurement. You will make a mark on the fingertip of each involved finger and you will use the same point on the palm or wrist as a reference point for each finger.
- Mark each involved finger – Find a natural landmark or locate the center of the fingertip, as described above, of each finger affected by Dupuytren contracture. Place a small precise mark at each point.
- Mark the palm or wrist – Find a natural landmark or measure for the center of the wrist crease, as described above. This wrist point does not have to be in direct line with the involved finger(s); it can be off to an angle or side of the wrist. The only rule is that you use these same points each time you measure.
a. The wrist point can be located on the palm-side at the center of the wrist, or at an angle off toward the thumb or little finger side of the wrist crease; it can be anywhere on the crease as long as it easy to locate accurately and can be duplicated each time a measurement is made.
b. If two or more fingers are involved on the same hand, the same palm or wrist point is used as the reference point for all fingers of that hand.
c. Open your hand as far as possible.
d. Place the tips of two caliper points (either inner or outer legs) on the small dots you selected at the finger and wrist points.
e. Write the millimeter (mm) distance, as shown on the curved caliper scale, on your measurement record.
Measure amount of hand contracture
Each time you measurement your inability to flatten your hand on a tabletop, you must use the same two reference points.
If you find that only one side of the hand is kept from flattening out, and the other can be made flat, then you need to only measure the side that cannot be flattened. If both sides are kept from flattening, then you should measure both the little finger and index (pointing) finger side of the hand.
- Locate a deep wrinkle or crease that is near the knuckle that cannot be flattened. Place a small dot at the end of the selected crease or wrinkle to serve as the landmark or reference point for that joint.
- Mark the side of the finger joint or knuckle that cannot be flattened against the table top. The 1st point can be anywhere on the side of the knuckle that is a naturally occurring landmark; it does not have to be in the center of the joint.
- The 2nd reference point in this measurement is the tabletop the hand is resting on, and therefore does not have to be marked.
- Place your hand on a table top or similar surface. Press the hand down firmly so the palm is as flat as you can make it.
- Using one leg of the inside caliper (with the long straight legs), allow it to touch the dot on the side of the knuckle.
- Using the other leg, place the tip on the flat surface directly below the mark you placed on the knuckle being measured. Do not place the tip of this leg at an angle or far from the knuckle being measured. If you are not careful with this tabletop point selection you will add a variable to the measurement that will make comparison of other measurements invalid and inaccurate.
5. Write the millimeter (mm) distance, as shown on the curved caliper scale, on your measurement record.
6. To measure the distance the joint on the other side of the hand is being kept from flattening against the tabletop, repeat steps 2-7.
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This is the measurement form that comes supplied with the caliper to record increased finger and hand movement. You will need good records because they are essential to know when to alter your Dupuytren treatment plan and how to do it.
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2 thoughts on “Use Dupuytren Hand Contracture Caliper to measure bent fingers”
Hello I live in Melbourne Australia. I have recently taken delivery of Dupuytren’s contracture treatment kit 3. Not using all the med’s yet, in my case I can accurately measure progress with a dedicated protractor. Total result after only 4 weeks is 8 degrees reduced finger flexion from 93 degrees to 85 degrees. Have been measuring periodically and seems to be around 2 degree improvement a week. I’m extremely happy with the results and will happily recommend this treatment. At the moment I’m using, DMSO, unique E oil, super CP, ultrasound twice a day, scar free spray, Quercitin Bromelain, MSM + vitamin C and Inflamazyme.
Greetings John, and welcome mate!
Congratulations of making such nice improvement with your Dupuytren’s contracture! You are documenting what many people think cannot be done. Good man.
Thank you, it was nice of you to share the details of your progress with your Dupuytren’s contracture. Reviewing your records I can see that you have been aggressive and faithful in conducting your plan during this past month, just as the DC treatment information suggests to do. This is important for our readers to know because it explains why you are earning such nice progress with your hand problem.
For those who are not sure what you mean by “Dupuytren’s contracture treatment kit 3” it is otherwise known as the Large Dupuytren’s contracture plan.
Your comments about accurate measurement of functional changes is important because they show how to use documentation to guide good Dupuytren’s contracture Alt Med treatment. Using a protractor or caliper to accurately measure improvement (or lack of improvement) of finger flexion provides much needed guidance of treatment dosages. If a person is not using some hard and fast objective guidance like John, then they can never be sure of progress. According to our standard treatment protocol, dosages are slowly increased every 7-10 days until progress is noted; if no progress is noted, then dosages continue to be slowing increased until the body reaches that physiologic saturation point at which the immune system responds to remove the foreign fibrous tissue in the palm. When a person is unsure of progress they are also unsure of the treatment they are using. In the case of how we suggest Alt Med treatment of Dupuytren’s contracture should be used, then they would be merely guessing at the correct dosages, blindly stabbing in the dark for a combination of therapies to help themselves. My guess, John, is that you are following this idea exactly as you should.
I and our readers would appreciate knowing what your current dosages are for each of the therapy items you are using. With this information they might compare what they are doing to what you did to earn your improvement. Since you are relatively new to DCI allow me to offer that the best way to note dosages is to use a “_/_/_” grid to note the usual three times a day that a person takes their various enzymes, vitamins and mineral supplements. For example, if you are taking Neprinol at the rate of two in the AM, three before lunch, and six after supper or at bedtime, this would be reported as “Neprinol 2/3/6.” If you are taking CoEnzyme Q10 at the rate of one in the AM, none around lunch, and one after supper or at bedtime, this would be reported as “CoQ10 1/0/1.” If you please would give our readers this type of outline to show how you are currently using your large Dupuytren’s contracture plan, we would greatly appreciate it.
Lastly, I offer the general suggestion and observation to you that you should continue your current plan, being careful not to become over-confident or satisfied with what you have achieved thus far until your Dupuytren’s contracture problem is either completely gone or you are sure it is as improved as you are capable. Some people see their Dupuytren’s contracture completely eliminated without interruption or delay, while others see 25-50-90% improvement when their progress stalls. If this happens to you, as it occasionally does, please contact me and I will do my best to help you with your plan so that you might improve further to complete recovery of your Dupuytren’s contracture.
Again, thanks for your interesting report. TRH