Should I have hand surgery by a doctor who has done 15 surgeries?

I know I have Dupuytren Contracture. I have had one surgery on my pinky. I am 52 yrs old (female) and live in Hawaii. I have Scandinavian and Irish blood. No one in my family has this. I have new contractures on both hands. Middle finger on right hand. Palm on left hand. I have seen the surgeon 3 times this year to track the bending. It’s at 25% both hands. She says she has only done 15 DC Surgery which scare me. All of her patients have been men over 65. Do you recommend any other options than surgery or the enzyme treatment? I am terrified of another surgery, especially here on the island.

Mahalo,

Norma

Greetings Norma,

If your surgeon has experience in doing only 15 surgeries for Dupuytren’s contracture, she still might be a brilliant and gifted surgeon. However, 15 surgeries is not many.  I think it would be a mistake to have your hand surgery dictated by the limitation of living on an island if you are able to go to the Mainland where more experienced help is available to you.   You should be treated by the most experienced and gifted surgeon possible.

You should be terrified of the possibility of needing more hand surgery.   Please read about the tendency of Dupuytren’s contracture to return after having surgery.  From my experience in working with DC I find that most people have their first hand surgery thinking it will be their last, or if DC does recur that it will take many years for it to return.  This is often not the case.  I have communicated with hundreds and hundreds of people who have had 3-4 hand surgeries on the same hand in the span of less than 10 years; many people seem to need a second hand surgery for DC after just a year or two.  Some posts you might helpful are Dupuytren surgery recurrence is always an important factor when deciding treatment options and What should father do about rapid Dupuytren recurrence and weakness after hand surgery?

You need to read a bit more of the treatment information available on this website.  Your question implies that you have not taken the time to learn about Alternative Medicine treatment of Dupuytren’s contracture. Please read start natural Dupuytren’s treatment.

Can Dupuytrens contracture be caused or aggravated by an elbow injury?

Can Dupuytrens Contracture be comorbid with Cubital Tunnel Syndrome? My pinky is locked at a 90 degree angle all the time and I have the bulge around the tendon. I also have the pitting in the palm of the hand. I was diagnosed with Dupuytrens Contracture. Then after seeing orthopedics they noticed that I had Cubital Tunnel Syndrome and I am on a waiting list to get the ulnar nerve decompression surgery. Also when I went back to orthopedics, the new doctor that I didn’t see before didn’t think my hand had Dupuytren’s and just thought the “tendon fell off track.”

She told me for the pinky that they could do a surgery to make the pinky straight all the time. I told her that she might as well cut it off it that was the case. I don’t understand why she didn’t concur with the other person’s diagnosis. I have even see an orthopedic nurse that said right away and without a doubt it was Dupuytren’s.

My grandfather, 66 years old, has Dupuytrens and has had it since his 40’s. He has the deep pitting in the palm just like I have. His pinky finger hasn’t gotten to the point that mine has though and I am only 26 years old. I understand that it usually only affects people over 40. He just recently had to have an ulnar nerve decompression surgery as well.

I hyper-extended and/or dislocated my elbow back in 2008 while doing combatives when I was in the Army. That is when I first hurt my elbow and it has just been getting worse ever since. The pinky started kinking off to one side in 2009 or 2010. It progressively got worse and by the end of 2011 my pinky was at a 90 degree angle. Within the past year (2012) is when the palm started going numb and losing the strength in my grip. I started dropping things and sometimes get shooting pain down the elbow to the hand. My palm is always numb. Now, 2013, my forearm now has atrophy. My right forearm looks like Tarzan while my left is wasting away. Everything is all on my left side.

I guess my biggest question is could the ulnar nerve that is pinched have started to cause “claw hand” which later developed into Dupuytrens contracture and “claw hand?”

Greetings,

In medical practice the idea of comorbidity indicates that diseases affect an individual in varying degrees and each health problem influences all other health problems, so that the total effect of all diseases or health problems influence an individual person is greater than the than a primary disease or health problem. I often see that Dupuytrens contracture is comorbid with other physical problems of the hand, as well as liver and lungs.

The fact that you are only 26 years old does not rule out the possibility of Dupuytrens contracture occurring so early if you have strong genetic factors and a history of sufficient trauma to trigger it.   As such, with a Dupuytrens diathesis that could be revealing itself in your case you must be extremely careful how you proceed.  You have a lifetime ahead of you in which a poorly managed case of DC that is botched early in life has sufficient time to go further awry.  Proceed with great caution and exercise extreme conservatism in whatever treatment route you take.

It is rather common for Dupuytrens contracture to develop after surgical trauma, or conventional trauma, to the upper extremity.  Your cubital tunnel syndrome is an entrapment of the ulnar nerve near the elbow, and could possibly be related to the symptoms you now mention.

It is difficult for me to comment on the accuracy of either doctor’s diagnosis concerning your hand problem, either that you do or do not have Dupuytrens contracture since I have not personally examined you.   However, taking you at your word for the accuracy of your complaints, as well as your family history of Dupuytrens contracture, it certainly does seem likely that you have DC.

I suggest that you ask an experienced and knowledgeable body worker to examine that problem elbow of your to determine if there is a functional misalignment or dysarticulation of the elbow complex that might possibly be altering the normal mechanics of your elbow and consequently impact your hand.  In addition, it would be a good idea to look at how using Alternative Medicine to assist your ability to reverse the possible Dupuytrens contracture going on in your hand.   TRH

Could weightlifting have triggered my Dupuytren’s contracture?

I am a 64 year old female of German and Scandinavian descent. i have not yet been to a doctor, but I am sure I have the beginning stage of Dupuytren in both hands.

It seemed to come on when I started working out with weights. Could that have triggered the condition and should I discontinue using weights that involve my hands.

I plan to order your products. Are there dietary restrictions?

Greetings,

You are in the right age group and the right ancestral background for Dupuytren’s contracture.  With that as a background, it is certainly possible that the hand stress involved with weightlifting initiated your current hand problem.  As such I encourage you to switch to some other type of exercise that is less demanding to the palms of the hands.

I suggest that you get your hand problem evaluated by a knowledgeable and experienced hand specialist or orthopedist to be sure of what you are dealing with.  Once you have done that you can feel free to undergo a program of care to see if you can reduce or eliminate whatever degree of palm lumps or nodules you might have at this early phase of your problem.

There are no particular dietary restrictions I have seen that make a unique difference in Dupuytren’s contracture.

Let me know if I can help you in any particular way.  TRH

To prevent Dupuytrens recurrence is it necessary to continue my DCI treatment indefinitely?

Assuming that my DC condition improves significantly with the use of your recommended products, will it be necessary to continue the treatment indefinitely to prevent Dupuytrens recurrence?

Greetings,

No.  Once you have improved your hand to the best of your ability – partial or complete recovery – you will not need to continue treatment at all.   I have done this work with Dupuytren’s contracture since 2002.  In that time I have not had one person come back later to tell me that their finger contracture, hand nodules or cords have returned. 

It seems that after using the DCI method of treatment for Dupuytrens contracture that once the problem is gone it tends to not return.  This is remarkable  because Dupuytrens recurrence after hand surgery is a terrible problem.  Many people report to me that after Dupuytren’s surgery not only does their hand contracture returns in a few years, sometimes within just one year.  Not only that, but the recurrence is often worse than the original problem in terms of number of fingers involved and the degree of finger contracture.  

I notice that some people continue all or part of their treatment for a few months to assure that it does not return, and after a few months they slow down their intake.  Some people continue to take a few items from their treatment plans for their general health, simply because they like the way that they feel and respond to the different therapy items.

Regardless, based on past experience it is not absolutely necessary to continue using your various treatment items since it is fair to say that Dupuytrens recurrence is not a problem after eliminating the problem with Alternative Medicine methods as described in the DCI website.

You might also be interesting in reading Do Xiaflex injections really have a low Dupuytren recurrence rate?

Please let me know how your treatment is proceeding and how I can assist you in your effort to complete recovery.  TRH

Do I need to apply Super CP Serum in my Dupuytrens treatment plan?

I have received my medium pack for Dupuytren’s contracture treatment.  On reading the instructions I find that I need to apply a copper solution (Super CP Serum) which I have not received.

I have the Unique-E vitamin E pump bottle and the Dusa Sal DMSO gel.

Are those two products all I need to put on my hands, or do I also need the Super CP Serum?

Thank you,  Heathervyle

Greetings Heathervyle 

The DCI medium plan does not include the copper solution, Super CP Serum.  The DCI medium plan consists of nine separate items, two of which are topical applications – Dusa Sal DMSO gel and Unique-E vitamin E in a pump bottle. 

There is a third topical therapy product you could use, the Super CP Serum which is a copper peptide solution.  It is a good therapy to use, if you decide to do so. Super CP Serum is not part of the DCI medium plan, and that is why you did not receive it. However, Super CP Serum is part of the DCI large plan.

The DCI concept of treating Dupuytren’s contracture is that this is a very difficult and stubborn problem to treat successfully.  For this reason I advise everyone to be as aggressive and complete as they possibly can for at least 3-4 months to attempt to enable the tissue to heal the fibrous tissue of the hands. My experience is that the average person treating Dupuytrens will take 2-3 months to use one bottle of Super CP Serum.  Since this product costs $23 for a bottle, I judge this to be a rather good value and low cost for almost three months of treatment.   I do not take the position of telling anyone what kind of therapy to use.  And I cannot tell you that you need to use Super CP Serum.  But I will tell you that those people who widely diversify their treatment and use multiple therapies tend to get better results than those whose treatment plans tend toward the small side.  The more you do to treat your Dupuytrens contracture the better the results tend to be. 

If you decide you wish to add the Super CP Serum to your therapy plan you can order it separately.

Please let me know if you have any additional questions about your therapy plan as you progress in your treatment.   TRH