Risks of hand surgery as a limited Dupuytren treatment
Any type of surgery presents risks and can produce unintended side effects. Unanticipated complications following open hand surgery for Dupuytren contracture has been reported in 17% to 41% of cases. Further, these side effects are nearly twice as likely to occur for repeat surgery when Dupuytren’s contracture recurs after a first surgery.
This article will focus on the potential complications of Dupuytren’s contracture surgery, specifically a category called palmar fasciectomy.
Avoid Dupuytren hand surgery with Alternative Medicine
Anyone considering Dupuytren surgery should be encouraged to know that by natural Dupuytren treatment it might be possible to avoid a hand operation.
Medical research by Messina, Loos, and Bulstrod report successful outcomes for Dupuytren contracture after using the non-surgical methods of massage, exercise and traction, yet their work receives little attention. Research interest has always been primarily directed toward high profile profitable surgery and drug therapies. Alternative medicine is not a high profit way to treat hand contracture although the Dupuytren Contracture Institute has been helping people since 2002 deal with their hand problems.
Not all people respond to Alternative Medicine, just as not all people respond well to drugs and surgery. However, the advantage with using simple and low cost natural therapies and remedies is that when they do successfully assist the body to recover from a health problem, the need for drugs or surgery is lowered or eliminated. The idea of attempting a short therapeutic trial of natural remedies first, rather than last, takes advantage of conservative ideas at the beginning of care. Later, if Alternative Medicine fails to assist the healing response then more aggressive drugs or surgery can still be used.
The Dupuytren Contracture Institute is not against hand surgery for Dupuytrens contracture. Obviously there is a need for surgery when natural methods have been unsuccessful.
The risk and limitation of Dupuytren surgery should be considered not only because of the potential permanent consequences (permanent pain and numbness, reduced finger movement, reduced hand strength) that can occur, but also because surgery is not the only option to reduce palm lumps and finger cords.
Hand surgery is not final
Two primary cautions should be kept in mind before submitting to surgery for the hands: First, even when Dupuytren’s surgery is done well by a skilled surgeon, unintended consequences occur that no one can anticipate or explain. Second, Dupuytren surgery is well known to stimulate the recurrence of additional nodule and cord formation in the palm after removal – sometimes as soon as in a single year, often three or four years. Since Dupuytren contracture is famous for recurrence within a few years after surgery, anyone thinking about a surgical option should realize that once the first surgery is done it is just a matter of time before the next surgery will have to be done. The typical pattern is that with each Dupuytren surgery the next recurrence of hand nodules will be a little faster than the last.
The only way to know for sure if Alternative Medicine will stimulate the natural healing process is to use a solid round of natural remedies for a month or two to determine if positive changes occur. If successful, then the patient should consult with her physician to learn if surgery can be avoided. If it does not help, then surgery can proceed knowing any potential risk is justified by the lack of progress with conservative methods. .
To learn about Alternative Medicine self-management, please see Different Way of Looking at Dupuytren Contracture Treatment