Dupuytren’s Contracture Stretches

Dupuytren’s Contracture stretches

7 safe stretches for Dupuytren’s contracture – easy and effective

Dupuytren’s contracture stretches are different from other stretches.  DC is special.  If it is injured or torn (micro-trauma) by heavy stretching, it heals with a huge amount fibrous tissue.  You could get more Dupuytren’s contracture if you stretch too aggressively or roughly.  The way to avoid this is to stretch Dupuytren’s contracture with only gentle force.

Key points for Dupuytren’s contracture stretches to fingers and cords, and palm nodules:

  • Stretch with a gentle and light touch
  • Stretch often through the day

Dupuytren’s contracture stretches must done gently and often. 

Keep it gentle and light

Do stretches for Dupuytren’s contracture as if you are sneaking up on the problem.  Any force should be minimal.  Like it is not really a force.  More like a little pull or nudge.  By keeping the stretch light and gentle, no tissue injury can occur.

When done correctly, people say they feel a gentle tugging or pleasant sensation in the palm.

Never cause any level of pain when you do Dupuytren’s contracture stretches.  Keep all stretches gentle and light.

Doing two things at once

There are all kinds of habits.  Some people check their iPhone a few times an hour.  Others shake their foot whenever they sit.  It is what they do.  They do them without thinking while doing something else.  They check their iPhone while standing in line, or pumping gas.  Or, they shake their foot while getting a haircut, or in church.  They do them easily, casually, with almost no effort.  These little habits are a part of every day.

Get the DC finger and hand stretching habit.  Do it often.  Hundreds of times a day, while you go about your day, you can stretch.  Whenever, wherever, and for as long as you want.  The time spent stretching can add up to hours, if you wish.  This is the way to safely stretch that bent finger or palm lump.

Because these Dupuytren’s contracture stretches are so gentle and light, there is no way to hurt yourself.  You cannot do too many stretches, or do them too long.  The more time you stretch in a day, the better your results should be.

Just a few places and times to stretch

Look for countless times you can do two things at once.  Stretch Dupuytren’s contracture while you:

  • Talk on the phone
  • Watch TV
  • Wait for your spouse to get ready
  • Take a long car ride
  • Read a magazine
  • Wait for an elevator
  • Sit at stop lights
  • Fall asleep
  • Wait for your meal at a restaurant
  • Listen to the radio
  • Wait at the doctor’s office
  • Sit at church or synagogue services
  • Wait for an oil change
  • Wait for a bus or train
  • Ride a bus or train
  • Wait for your number at the deli
  • Spend time with a cup of coffee
  • Get a haircut
  • Stand endlessly in line
  • Wait at a toll booth
  • Sit in a traffic jamb
  • Wait for the microwave
  • Pump gas
  • Sit in the car in line at McDonald’s
  • Solve a crossword puzzle
  • Wait for the computer to boot up
  • Sit in the bathroom

Before you get started – Points to consider 

  • Stop stretching if you feel even a little ache or discomfort. Lighten up and do it easier.  Take personal responsibility to avoid pain and prevent injury.  Do nothing that might make your Dupuytren’s contracture worse.
  • These instructions do not say how long to stretch. Do them for a few seconds, a few minutes, or a few hours.  Whatever fits your schedule.  The more you stretch, the more you will get out of it.  If you do them as gently as instructed here, you cannot do them too long, or too often.
  • Dupuytren’s contracture is a tough problem to treat. MDs get frustrated dealing with Dupuytren’s contracture.  No one natural therapy – no matter how good – will change DC.  You will get nowhere if you stretch Dupuytren’s contracture tissue as a stand-alone or solo therapy.  No one gets rid of DC by trying to stretch it away.
  • Use these stretches combined with a DCI Dupuytren’s contracture treatment plan for best results.
  • Do not endlessly repeat the same favorite 1-2 exercises. Do all seven hand and finger stretches.  Mix them up.
  • Even if you have DC in only one finger, stretch both palms and all fingers. Stretch all parts of both hands.  It is therapeutic and preventive to keep all of the hand less tense and stretched.

Dupuytren’s contracture stretches – 7 safe hand and finger stretches   

Several of these stretches do not require any actual effort or work.  Just position the hand, and relax.

These Dupuytren’s contracture stretches assume your DC finger(s) can straighten out.  If not, you could have a problem doing a few stretches as presented.  Keep the bent finger out of the stretch, but still stretch the good fingers next to it.  Modify the stretch as needed.  Do the best you can.  Stretching one or two fingers next to the bent finger still helps the bent finger.

  1. Table top stretch

Table top stretch is a great way to stretch Dupuytren's contracture. Gentle stretching is most effective. Table top stretching can be done most anywhere for Dupuytren's contracture. Do it while working on a crossword puzzle.Place the DC hand, palm down, on a table.  If there is no table, sit down and put the DC hand on your thigh.  Keep the fingers straight, palm as flat as is comfortable.  Relax the DC hand at all times.  Place the good hand on top of DC hand.  Let the weight of the good hand apply light pressure on the DC hand.

This is the most versatile – and super-easy – stretch you can do for hours in a hundred different situations.




  1. Praying hands stretch –

Stretch Dupuytren's contracture often with praying hands stretch. Stretch Dupuytren's contracture while you are watching TV.Put your hands together as if you are praying.  Press the finger pads gently against each other.  Keep the fingertips together, and move the palms 3-6 inches apart.  At the same time, move the elbows up and away from the body.  Spread the fingers 1-2 inches apart.  The finger pads should still be touching, wrists comfortably bent.  You should feel no pain or discomfort, only a very gentle pull across palms.

This Dupuytren’s contracture stretch works the fingers, palms and even the forearms.




  1. Side-to-side cord stretch –

Safely stretch Dupuytren's contracture cord with the side-to-side technique. It looks like you are just holding your finger, so it can be done anywhere, anytime you want to stretch the Dupuytren's cord.Hold the middle of the DC cord using two fingers of the good hand, lightly but firmly.  Next, push or nudge the cord gently toward the thumb-side of the hand.  Hold it there for 10-15 seconds. Then stretch in the opposite direction.  Push or nudge it gently toward the little finger-side of the hand.  Again, hold it there for 10-15 seconds.  Go back and forth, pushing the cord toward either side of the hand.  Think of the side-to-side cord stretch as trying to shake the cord in slow motion.     




  1. Knuckles to elbow stretch –

Stretch Dupuytren's contracture by pushing the DC hand backward with the knuckles to elbow stretch for Dupuytren's contracture.. This can be done while talking on the phone.Bend the wrist of the DC hand backwards.  Keep the fingers as straight as possible.  Hold the DC fingers in the cupped fingers of the good hand. Relax the DC hand at all times. Gently push the DC hand backwards toward the elbow with the good hand.

You should be aware of no pain or discomfort, only a very gentle pull across the palm.




  1. Doorbell stretch –

Doorbell stretch technique will stretch Dupuytren's contracture in a 100 different situations. Dupuytren's contracture stretches are easy this way. Use it while you get your hair cut., or while talking on the phone. Hold a fingertip of your good hand on your DC palm lump, as if you are ringing a doorbell.  Apply a few ounces of downward pressure with the fingertip.  Keep the palm relaxed and slightly cupped; do not flatten the DC palm, or hold it stiff.  While the fingertip continues to press down, gently move the palm lump around in a small circle. The fingertip does not leave the center of the palm lump.  Do not simply rub the surface of the palm lump.

The palm lump will only move by a fraction of an inch, but is important to stretch it this way.



  1. Sleep on it –

This stretch is used while trying to fall asleep. Stretch Dupuytren's contracture this way while resting on the couch, also.Lie flat on your back in bed.  Put both hands – palm-up or palm-down – just under the outside edge of the thighs.  Slide the fingers only a short distance under the thigh.  Go only as far as necessary to create gentle and slight stretch in the palms and fingers.  Try both, palm-up and palm-down, to learn which produces a better finger and palm stretch.  With this stretch, you should have no problem falling asleep.

Just tuck you hand below your thigh while you rest on the couch, too.



  1. Sit on it –

While sitting you can do Dupuytren's contracture stretches with a sit on it technique. Great to use anytime you sit and relax.Sit on a comfortable chair.  Put both hands – palm-up or palm-down – just under the outside edge of the thighs.  Slide the fingers only a short distance under the thigh. Go only as far as necessary to create gentle and slight stretch in the palms and fingers.  Try both, palm-up and palm-down, to learn which produces a better finger and palm stretch.

Any place to sit will work for this stretch, but works best with a soft padded chair.




Please take these Dupuytren’s contracture stretches for your treating doctor to review.  Get your doctor’s approval before doing any of the above stretches. Dupuytren’s Contracture Institute and Natural Health Education LLC want your doctor to know what you are doing to help yourself.

Information provided above is not personal medical advice or instruction.  Statements, information and opinions expressed throughout the entirety of this website have not been evaluated by the Food and Drug Administration nor are all of the materials or products presented herein intended to treat, cure or prevent disease.

  • For best results, stretch Dupuytren’s contracture gently. Do not do these stretches to the extreme that you feel discomfort or pain.  All stretches done gently and easily.
  • For best results, do all stretches frequently. Find times throughout your day to help your hands.
  • Combine these stretches into a larger internal and external DCI therapy plan.

For more information about DCI non-drug non-surgical treatment of Dupuytren’s contracture.

Learn about Peyronie’s disease.

© Copyright 2004-2020 Natural Health Education LLC and Dupuytren’s Contracture Institute, Arlington Heights, IL 60004.   All rights reserved.  Unauthorized use or copyright infringement, without written authorization, will be prosecuted to the full extent of the law.

Would Dupuytren contracture massage be helpful or aggravate the problem?

I am in the very early stages of this problem and want to know about Dupuytren contracture massage.  My problem started 6 months ago and want to try to turn this around sooner than later…. Not sure I can afford or even want to take everything on your plans….so if you could list out the TOP 6 supplements to take, could you let me know…?  Would 6 even be enough?

Do you think massage helps Dupuytrens contracture? Or would it aggravate it?

I have one other question…..lets say I get the most expensive plan as well as the most expensive enzyme you sell…which would be a ton of money to maintain over the months….and I do get positive results…what is to stop it from coming back again like it might after surgery? I want to get to the UNDERLYING cause of this rather than treating the symptoms. I know some say it is genetic but I am wondering about diet etc. It makes no sense to spend thousands on supplements which it could end up costing that for the body to re absorb the tissue, which I believe the body is capable of doing…only to have it come back again…..

Regards, Catherine


Greetings Catherine,

Your thoughtful questions bring up many broad and interesting topics to explore that I believe will not only help you, but others as well.

The first point is that you do not need  to “take everything” found in the DCI plans.  These various plans are well rounded and balanced examples of what a person might need to use to enhance their healing ability against the foreign fibrous tissue of Dupuytren’s contracture.  No one knows what you might need to make this happen, or even if it will happen.  The idea is to do as much, and to take as much of a variety of nutrients, as you think reasonable and appropriate to get the job done.   The problem is that no one knows what you will need to get the job done.  Because of this DCI recommends that you use a broad and diverse array of possible therapies, while monitoring the size, shape, density, surface features and degree of adhesion of the deep and superficial fibrous tissue in your hand plus the range of motion of the involved fingers, to determine the effectiveness of the therapy you are using.

As a second point, there are no top six therapies in terms of those that are most effective because the therapies are not used this way.  They are all used in groups and combinations, and it is never recommended that any one therapy be used by itself as a solo therapy.   Besides, if I could give you a top six list it would not mean that they would necessarily help you.  What works for one person will not necessarily work for the next person in the same way.

Dupuytren contracture massage

Thirdly, Dupuytren contracture massage can be helpful, but extreme caution and care must be followed.  I have seen internet discussions in which people have recommended deep and forceful pushing and gouging of the internal fibrous tissue to “break it up.”  This is a mistake that can lead to aggravation and spreading of of the initial problem.   The best kind of soft tissue work is extremely light and passive manual stretching – so light that while you are doing it you think that it is too light to be effective.  Dupuytren contracture massage must be done with grave caution since it can easily be misused, and you only realize you have overdone it when it is too late

Lastly, you ask about recurrence of Dupuytren contracture after DCI treatment.  Dupuytren recurrence is a constant problem that has plagued surgeons for centuries and even to today.    Please see Dupuytren Surgery and Recurrence of Hand Contracture.   Even so, in almost 12 years of doing this work of helping people to deal with their hand contracture using Alternative Medicine I have never had the occasion of someone coming back who got good results to say that their problem recurred after using the DCI concepts of treatment.  Perhaps there is someone out there who had their DC return, you never know, but no one has told me so.  I suppose it is possible, but I have no knowledge of it.

Even if the DC did recur after DCI style treatment, the consequences would be far different than if the DC did recur after hand surgery.  When a hand is operated on for Dupuytrens, normal healthy tissue is removed along with the diseased tissue.  As a result of that hand surgery the hand is vastly different than it was before surgery; it has been diminished and is less structurally strong; not only are some tissues now missing, many are shortened and altered by the surgeon.   When –not if – Dupuytren contracture recurs after the first hand surgery, the next surgeon will have less tissue to work with for the second hand surgery.  If the second hand surgery is done then the next recurrence will be all the more difficult for the third hand surgery.  For this reason many people find that after the 2nd or 3rd surgery – and sometimes even after the 1st surgery – that no more surgeries can be performed.  These people face the possibility of either allowing the hand to develop full blown contracture or amputation.

All I can tell you is that it makes most sense to me to be as conservative as possible and to try as many non-surgical options as make sense to you before submitting to DC surgery.   I am not against DC hand surgery, just very conservative about its use because of the dire results I encounter on an almost daily basis.

If I can help you in any way please let me know.  TRH

Could your Dupuytrens treatment help my Garrods knuckle pads and Ledderhose disease?

Hello from 44 yr old northern European descent Midwest U.S. male.

I have had Ledderhose on feet for 15+ yrs. Plantar fibroma was surgically removed from left foot 15 yrs ago – returned in <5yrs. Ledderhose also developed in right foot subsequently – not severely restrictive until recent development at right heel. Garrod’s knuckle pads began approx 13yrs ago – is now severe on 8 of 10 knuckles (restricted finger bending / movement of knuckles, with significant pain). Dupuytrens has developed in last 2yrs in right hand (no associated contracture or pain as yet). Also have developed a fibrous mass on left rib area in recent 2-3yrs. I tried Varpamil for 1-2 months with limited results & difficultly of twice / day application per mess and time consumption.

I am interested in suggested aggressive therapy primarily for Garrod’s knuckle pads, secondarily for Ledderhose in feet.


All these localized fibrosis conditions (Ledderhose disease of the feet, Dupuytrens contracture of the hands, and Peyronies disease of the penis) will return after surgery.   Your report that your Ledderhose disease returned in less than five years is about average, with many whose problem returns within a year or two.

It is also not uncommon for surgery on one foot to trigger the start of Ledderhose on the other foot.

Many people who come to this site for Dupuytren’s self-treatment have reported to me that their Ledderhose or Peyronies problems improved at the same time.  I think this is perhaps due to the similar tissue changes that occur in these three problems.

I have no way to know if your application of our Dupuytrens treatment will be of benefit to your particular Garrod’s pads or feet problem.  However, at this point I think you do not have much to lose by at least trying for a short therapeutic trial of perhaps three or four months to learn what benefit might occur.

If you should decide to pursue this line of self-treatment, please send me an email identifying you as the person who is working for Ledderhose and Garrod’s and I will take up a separate conversation with you to offer special insights and experience I have gained over the years.  Good luck.  TRH

Is Neprinol a stand alone treatment for Dupuytrens contracture?

I am doing your 3 topicals – Super CP Serum, Unique-E oil and Dusa Sal DMSO. After 5 minutes, I am using the ultra sound machine on my hand.  Is this correct? There are limited instructions on using the ultrasound and would like to know how many times a day and any other tips that would help.

Also, I am doing many of the supplements (PABA, Omega, Fundamental Sulfur, Unique-E) along with my regular regiment of supplements (I am a nutritionist) also Scar-X.

My question is regarding the enzymes – is Neprinol a stand alone, or would you recommend using Nattokinase and Fibrozym in addition to it. I have been taking Neprinol for a month and have no problem with it, however lumps have not changed.

I am in the very early stages (I hope) -no bending of fingers yet, just 2 small lumps on my palm under ring and large finger and a very thin cord up large finger. I wasn’t seeing much improvement (although maybe I have stopped progression) with just supplements. I have just added the topicals and already can see improvement.

Really want to do everything I can and be aggressive with treatment. I cannot thank you enough for how thorough your website is. I certainly agree with your quality of supplements. Bless you for helping with what so few know how to treat!


Greetings Rhonda,

I am not sure I understand your question about Neprinol being a stand alone treatment.  There are some who say Neprinol can be used by itself to treat Dupuytren contracture (or Peyronie’s disease), but frankly I have not heard from anyone who reports good progress with that kind of treatment approach.  As far as I am concerned, although Neprinol is a very concentrated multiple enzyme therapy it still must be used in combination with several other therapy items to help create the kind of response you hope to create.  TRH

Is it possible for thumb surgery to trigger Dupuytrens contracture?

Is it possible to have a surgery trigger this disease? Just curious. I only have it in one hand and it started a few weeks after CMC thumb surgery. I did have a cast too tight a few times the first weeks. I had NO symptoms before. I am only 53 and female. Not from Europe either. I want to do all I can do to stop this but am just baffled why it came on right after surgery. Does that mean it may not spread to other hand? You programs sound awesome. Thanks


My study of the literature, but more importantly my personal one-on-one discussions with men and women who have Dupuytren’s contracture, shows some frequency of stories similar to what you report.   Shortly after carpal tunnel surgery developing Dupuytren’s contracture.  Shortly after most any type of hand or upper extremity surgery developing Dupuytren’s contracture.  Shortly after moderate to severe hand or upper extremity trauma developing Dupuytren’s contracture.   A study reports that 40% of people who sustain a Colles’ wrist fracture will develop Dupuytrens contracture within three years.   The association of DC developing after even more indirect trauma with some people reporting after moderate to severe lower extremity surgery or trauma.

The typical explanation for this causation of Dupuytren’s contracture is the cascade of tissue hormones and inflammation response in the form of mast cells, lymphocytes and substance P, that develop after any injury (and surgery can easily be seen as a type of local tissue injury), triggering a local response in the hand.

Additionally, besides being concerned about what caused your Dupuytrens contracture you should also be concerned about what you can do to help your body eliminate this foreign tissue from your hand.  If I can help you or answer your questions  in that regard please let me know.   TRH