Early Stage Dupuytren’s Contracture

Early stage Dupuytren's contracture is the best time to use natural remedies self-help reduction or elimination of DC.

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Early stage Dupuytren’s contracture

Early stage Dupuytren’s contracture is the best time to help your body heal and remove the palm lump – before the finger cord develops.  The DCI method also helps later and more advanced chronic cases of DC.  However, more advanced DC takes longer to respond, and more effort is needed.

Natural self-help treatment for anyone with a small palm lump makes sense because Dupuytren can self-heal.  The medial literature does not discuss this much, but everyone knows that a fair percent of small palm bumps spontaneously goes away by self-healing.  DCI has worked for over 21 years a system of natural therapies to support and assist that process. When people with early Dupuytren’s contracture tissue follow a large DCI treatment plan, good things can happen. We receive 8-10 reports of moderate to marked improvement, even elimination, of the palm lump when using the DCI large plan, for every one report of failure.

Most people DCI deals with – and helps – are in early stage Dupuytren’s contracture.  This is because the palm lump is smaller, softer and less infiltrated into the surrounding normal tissue.

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Earlier is better

Dupuytren’s palm lumps are not known to stay small or remain a minor inconvenience.  They often become a nasty surgical problem in a few years.

Early Dupuytren’s palm lumps can just go away by themselves.  They self-heal.  For example, like the many skin problems we all have that come and go from time to time.  After all, that is the way the body is supposed to work.  It happens all the time.

The immune system and regular metabolic activity are continually correcting small and large problems as they try to develop. Only occasionally – rather rarely – the body is unable to solve a problem.     While an early palm lump is still small, you might be able to push that repair process along with help from DCI

What is early stage Dupuytren’s contracture? 

Basically, early stage Dupuytren’s contracture refers to the first signs and symptoms of Dupuytren’s disease on the surface of the palm:

  •  Small, callus-like dimples or lumps near the base of one or more fingers.
  •  Over time (months or years) it gradually becomes larger, harder, and thicker.
  •  Only later involves more area on the palm, and more fingers.
  •  Pain is variable, might even be absent.
  •  Almost always there is no finger cord in early stage.
  •  Because there is no finger cord yet, involved finger can be fully straightened, allowing full use of hand.

Standard medical care for early Dupuytren’s contracture

Often, when a doctor first diagnoses DC, he/she will offer no active treatment.  Instead, the doctor will suggest watching and waiting to see how fast the DC will worsen.  Hard to believe, the doctor does nothing to help the patient get better or avoid surgery. The doctor wants the patient to go home to wait for the palm lump to grow into a larger problem. Specifically, the doctor is looking for two things:

  • The MCP joint (large knuckle) flexed over to 30 degree or more.
  • Patient having a rough time living with the fingertip close to the palm.

The strategy is for the patient with early stage Dupuytren’s contracture to return when the fingers begin to curl close to the palm, and cannot be straightened. They call this “being ready for surgery.”

That is like telling a 400-pound patient to come back when they weigh 500 pounds, so the surgeon can do a staple surgery to lose weight.  That does not make sense.  Instead, that kind of strategy is good only for the doctor.

Common sense, please

Wouldn’t it make more sense to do something to keep the palm lump from getting worse?  You know.  Like trying to help the DC heal and go away?  At DCI, we find we can help 8-10 people for every one we do not help, to improve their DC when they use our treatment ideas.

Perhaps DCI can assist you.  

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Conclusion

Don’t wait for early stage Dupuytren’s contracture to get worse.  By doing nothing, you lose an opportunity to possibly recover. The time to act is when the problem is early and small.

Dupuytren’s nodule

Dupuytren’s nodule self-treatment

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Dupuytren’s nodule is the first sign of Dupuytren’s disease.  One or more small lumps on the palm appear near the base of one or more fingers.  A Dupuytren’s nodule forms when excess collagen and fibrin collects under the skin of the palm. The surface becomes distorted and puckered by the underlying excess collagen.The Dupuytren’s nodule is the first sign of Dupuytren’s disease.  Usually, at the start of the problem, one or more small lumps on the palm appear near the base of one or more fingers. The Dupuytren’s nodule forms on the surface when excess collagen and fibrin collects under the skin of the palm. The surface becomes distorted and puckered by the underlying excess collagen.

While the tiny palm lump on the surface gets people’s attention, what happens below the surface of the skin is far more important. The excess collagen and fibrin cause the normally flexible supporting tissue of the palm to thicken, expand and tighten. This process can also create little dimples and creases, as well. The palm lump creates a thick cord as it matures. This cord attaches itself to the finger. Eventually, the cord contracts or shrinks, pulling the finger down and keeps it in a bent position. At this point, Dupuytren’s disease becomes Dupuytren’s contracture.

Most everything about the Dupuytren’s nodule is variable.  Even the size and shape of Dupuytren’s palm nodules are variable. They range in size from a dime to a quarter, although they can be smaller and larger than this.

Eliminate the Dupuytren’s nodule with safe natural treatment

Great news!  It is important for anyone with Dupuytren to understand that Dupuytren can self-heal.  The body self-heals an unknown percent of early Dupuytren disease, and even reduces later, larger palm nodules and cords of Dupuytren’s contracture.

Surgery is not always necessary to eliminate the Dupuytren’s nodule.  Since 2002 the Dupuytren Contracture Institute has helped people who struggle with an expanding and tightening lump on the palm. Those who closely follow the DCI treatment strategy early can do rather well.  We hear from 8-10 people who use our large treatment plan reporting they see moderate to marked reduction of their signs and symptoms of Dupuytren, for every one report of failure.

We find that the larger the treatment plan, and the closer a person follows DCI treatment suggestions, the better the Dupuytren self-heals. For information about DCI treatment plans.

Hand surgery is always an option. However, it makes sense to first attempt non-surgical treatment and therefore possibly avoid the inherent risks of surgery.

How do use natural therapy for Dupuytren’s disease?
► It’s easy.  Click on Start Dupuytren’s Treatment

Take the Dupuytren’s nodule seriously

There is no way to know how large or small a Dupuytren’s problem will eventually become in the early stage of Dupuytren palm nodule development.  Yes, some palm lumps develop slowly, staying small for a decade or more.  And some palm lumps grow into several fingers to make life miserable and a struggle to perform basic activities. Yet, the medical literature says that 30%-40% eventually need palm surgery. Therefore, the best strategy is to take all Dupuytren’s nodules seriously.

DCI talks to many people about their Dupuytren’s disease.  A common attitude is, “My little palm lump has been with me for a long time. It really doesn’t bother me. If it becomes a big problem later, my doctor said I can just have it cut out. So, what’s the big deal?”  The big deal is that DC hand surgery sometimes has small and large complications due to the tendency to make too much collagen when stimulated.  This causes the surgery to heal in unexpected ways with unexpected consequences, regardless of the skill or intention of the surgeon.

That is like saying, “My doctor said if the little grease fire in my kitchen gets any bigger later, I can always call the fire department to put it out.” Why would anyone take that risk? Why wouldn’t you take care of a small problem while it is small, and easier to handle?

It is silly to wait for a Dupuytren’s nodule to get worse.  Allowing the palm nodule to worsen is a lost opportunity to try to heal it naturally. That lost time only benefits the hand surgeon. For the patient, it is best to be conservative.  Take care of a small problem while it is still small and easier to self-treat.

Dupuytren’s hand surgery has unique risks

The big deal about hand surgery for Dupuytren’s contracture is important to understand. The trauma of hand surgery can act as a trigger or stimulus for even more collagen production in the hand. This is called Dupuytren recurrence when the Dupuytren nodule or cord comes back after being surgically removed.  As a result, hand surgery for DC is riskier, and has more complex reactions than having other kinds of hand surgery.  Recurrence happens because it is the nature of Dupuytren’s contracture to make too much collagen. This explains why so many people have 2-3-4 hand surgeries before they eventually refuse to have more.

What are the odds of little Dupuytren’s disease palm lumps becoming a surgical problem?   Fairly high.  Most authors say 30%-40% Dupuytren’s nodules undergo surgery. This does not necessarily have to happen, however. There is a lot a person can do to reverse or slow down Dupuytren’s disease. Do all that you can to improve your ability to self-heal or reverse the collection of excess collagen of your palm nodules.  DCI can show you how.

Major or minor hand problem

For some, Dupuytren’s disease can remain a minor inconvenience for a long time.  While for others it quickly becomes a major problem when the hand does not fully open.  Simple daily activities become difficult, or impossible, to do. Tasks that are an important part of daily life become burdensome, and eventually impossible:

  • Wash the hands and face
  • Operate a cell phone or computer
  • Use a knife and fork while eating
  • Get something out of your pocket
  • Turn a doorknob to open a door
  • Use the bathroom
  • Brush your teeth
  • Button clothing
  • Wear gloves
  • Drive a car

How much the Dupuytren’s palm nodule complicates life depends on many factors in a person’s history.  The more that are present, the stronger the likelihood of rapid and aggressive Dupuytren’s contracture occurring:

  • Members of immediate family have DC
  • DC begins early (under 50 years of age)
  • Presence of liver disease
  • History of diabetes
  • Presence of Garrod’s knuckle pads
  • Long history of manual labor

Final thoughts about the Dupuytren’s nodule

Don’t be fooled by a slow start of the Dupuytren’s nodule.  While it might seem like a minor inconvenience and curiosity, 30-40% eventually make a person’s life so complicated and frustrating that they have surgery to straighten the finger.  Only then do they learn that the Dupuytren nodule can return or recur after hand surgery.

Take advantage of the fact that that Dupuytren’s nodules self-heal.  DCI has worked since 2002 to help people do a better job of healing their Dupuytren’s nodule.  We believe it is smart to use the time your doctor says to wait for the palm lump to get worse, to help your body self-heal.

How do use natural therapy for Dupuytren’s disease?
► It’s easy.  Click on Start Dupuytren’s Treatment

 

What is Dupuytren’s Disease?

What is Dupuytren’s disease, and can it self-heal?

Dupuytren's disease is a genetic hand problem in which the deep tissue below the skin makes excess collagen and fibrin. Dupuytren's disease self-heals in about 12% of cases. DCI works to increase this ability of the tissue to self-heal. Simply stated, Dupuytren’s disease is the beginning phase of Dupuytren’s contracture. These two slightly different names indicate two distinct stages of the same progressive hand problem.

Dupuytren’s disease is a progressive genetic hand problem in which the connective tissue layer of the palm produces excess collagen and fibrin. This extra collagen causes an area of the palm near the base of one or more fingers to thicken and become less flexible. Typically, Dupuytren’s disease first appears on the surface as a small nodule or lump in the palm.  It is often mistaken for a small blister or callus. At this early stage, the area can also form small wrinkles, dimples or pits.

Dupuytren’s contracture is the later or end stage when Dupuytren’s disease becomes a larger, more disruptive and invasive problem. During this contracture stage, the growing mass of collagen and fibrin develops a cord of dense tissue. The cord extends up and attaches to the finger closest to it. All the while, the finger cord is also thickening and contracting. This causes the cord to pull the finger down toward the palm.  It can take many months or years for this slow and gradual process to occur. The contraction process can be continuous, or it can completely stall for months or years at a time. It can even stop, start and stop again a few times before it picks up speed.

Dupuytren’s disease self-heals – spontaneous recovery 

The medical profession says there is no cure for Dupuytren’s disease. But that is not exactly true. When they say there is no cure they mean, “there is no prescription drug that cures Dupuytren, in the way that penicillin cures an infection.”

The truth is, there is a cure for Dupuytren. An undetermined percentage of people self-cure their Dupuytren without help from anyone. It happens naturally, like mending a broken bone. This is the way the body is supposed to work. Life is full of miracles, and self-healing is one of them.

The body can, and does, spontaneously repair Dupuytren disease like it heals so many other small and large health problems. Unfortunately, this does not happen every time, or in every situation.

Self-healing of Dupuytren’s disease

Sometimes the healing process needs some help to work better.  For example, every good doctor will tell a patient with a broken bone to drink extra milk, take vitamin D, wear a cast, and avoid stressing the limb.  These simple strategies help the body heal a broken bone better. The same for taking extra iron for anemia, and extra rest and vitamin C for a cold. DCI applies the same logic for designing Dupuytren’s disease treatment plans.

Based on the simple observation that some people self-heal their Dupuytren problem early, the Dupuytren’s Contracture Institute developed a natural treatment strategy to help people do a better job healing their Dupuytren disease.

As a result, people who closely follow the DCI treatment strategy early can do rather well. We hear from many people who use our large treatment plan.  Of these, 8-10 people report moderate to marked reduction of their Dupuytren, for every one report of failure. We find that the larger the treatment plan, and the better a person follows DCI suggestions, the better the Dupuytren self-heals. For information about DCI treatment plans.

>> Testimonials from Dupuytren Contracture Institute

Keeping Dupuytren’s disease self-healing a secret

However, even though Dupuytren self-healing happens, medical writers never actually use the term “self-heal,” “self-correct;” or any term close to it. On top of that, the usual term medical writers use  instead for self-healing of Dupuytren disease is to say it “goes away.”

For example, the NIH National Library of Medicine (MedlinePlus.gov) admits “Dupuytren’s nodules…occasionally even go away without treatment…”  Exactly what does “go away” mean?  They do not say. The world-famous Cleveland Clinic states, “…some people’s nodules go away on their own.”  They never explain anything about how or why it would go away.  WebMD.com tells readers that palm nodules, “…may go away on their own in a small number of patients…”  The Dupuytren Research Group (Dupuytrens.org) says, “Some Dupuytren’s nodules go away without any treatment.”

Yes, the nodules go away on their own because the body can heal Dupuytren’s disease!

How often does Dupuytren’s disease go away on its own?

Even so, in these simple one-line statements about Dupuytren’s disease self-healing, something is missing.  The reader has no idea how often the body is able to self-correct or naturally eliminate Dupuytren’s disease. In these four quotes – and all the others on the internet – the reader is not told if self-healing is fairly common or is it rare. Does Dupuytren spontaneous recovery happen once in a hundred cases, or once in a million?

It is almost as though medical writers do not want to admit the body can self-heal Dupuytren’s disease.  Like they want to say as little as possible about Dupuytren disease self-healing. As a result, people believe they have only two treatment choices for their hand nodule: drugs and surgery.

Self-healing far more common than people told   

For the most part, internet readers are not told how common or uncommon it is for the Dupuytren nodule to spontaneously self-heal.

However, in a 2005, a Journal of Hand Surgery (JHS) report and follow-up study appeared discussing the progression of Dupuytren nodules over a span of 6-15 years. It covered all the usual data of history, genetic tendency, physical findings and surgeries of 59 people in the middle and later stages of Dupuytren disease. This report is unique and important because it clearly states how many times Dupuytren disease self-repair happened within this group of 59 people. This is the only time DCI has found an author who placed a number on the frequency of Dupuytren’s self-healing.

Near the bottom of the report, the author states that 12% of the 59 people (seven people) had spontaneous remission or self-0helaing of Dupuytren palm lumps.  Even though these 59 people had Dupuytren’s disease that was bad enough that they saw a specialist about their hands, for 12% of them, the Dupuytren’s nodule resolved by self-repair or spontaneous healing.

Is 12% a small or large number?

Perhaps the 12% self-correction is not an impressive number to some readers. Some might even think 12% is a small number of people. Actually, that 12% number is huge. With this number we gain important insight into the course and behavior of Dupuytren disease.

This number represents the Dupuytren disease cases that were bad enough to be in a doctor’s office for evaluation and treatment, yet somehow self-healed.  If cases of DD that are bad enough to be seen by a doctor can clear up without help, what about minor and early cases of DD?  When DD is not much more than a curious little bump, can it also clear up by self-healing?  Of course!  And probably at a much higher percentage than just 12%.  When the palm lumps are smaller, softer and less well developed, would be a much better time and opportunity for this kind of self-repair to occur.

The average percentage of Dupuytren disease that self-heals is not knowable. There is no good way to collect this kind of information.  No one goes to a hand specialist to report a small palm lump that is gone.  Who would spend the time and money to see a doctor to report a tiny problem that healed itself and is not there?  For this reason, the number of early Dupuytren’s disease hands that self-correct can only be estimated.  Perhaps, 25-50%?  Anyone’s guess.

Regardless, it is important to know that Dupuytren disease self-cures happen.  Everyone with a Dupuytren’s nodule has some potential to heal it, especially in the early stages, and probably less so in the later stages.

>> How to start Dupuytren treatment with Alternative Medicine

Reasonable assumptions

We have seen that 12% of 59 people self-healed their Dupuytren’s disease during the middle and later stages. This happened without the benefit of any nutritional, physical therapy, stretching or enzyme treatment.  It happened spontaneously.  It seems reasonable to assume that if these same 59 people received adequate nutritional, physical therapy, stretching and enzyme treatment assistance during the middle and later stages of Dupuytren’s disease, the percentage of people who self-healed would have been larger.

Further, it seems reasonable that if 12% self-healed in the middle and later stages of DD, an even larger percent self-healed in the early stage. This would likely happen because in the early stage of Dupuytren disease the connective tissue mass in the palm is softer, smaller and less infiltrated with excess collagen and fibrin. As an example, it is reasonable to assume that a greater percentage of people self-heal their minor cold or sniffles while the problem is smaller, than when it gets worse and becomes pneumonia.

Lastly, DCI treatment verifies that people self-heal Dupuytren disease.  When people use the large DCI treatment plan, good things can happen. DCI receives 8-10 reports of moderate to marked improvement, even elimination, of the palm lump, for every one report of failure.

>> How to start Dupuytren treatment with Alternative Medicine

 

Can’t Straighten Finger

Is Dupuytren contracture the reason I can’t straighten my finger?

Plus put in link below the titles for testimonials etc.

Dupuytren's contracture cord can't straighten finger.Knowing a finger can’t straighten is not enough information to answer this question. However, the most likely reason a person can’t straighten their finger is Dupuytren contracture.  Other, less likely possibilities are osteoarthritis, rheumatoid arthritis, trigger finger (tenosynovitis) and diabetes.  It is important to see your doctor to investigate these possibilities, and others, if there are good reasons to do so.     

Get help when a bent finger won’t straighten with safe natural treatment

Great news!  Surgery is not always necessary when a bent finger won’t straighten because of Dupuytren’s contracture.  Since 2002 the Dupuytren Contracture Institute has helped people who struggle with a bent finger won’t straighten at all.  People who closely follow the DCI treatment strategy early can do rather well.  We hear from 8-10 people who use our large treatment plan reporting they see moderate to marked reduction of their signs and symptoms of Dupuytren, for every one report of failure.

The larger the treatment plan, and the closer a person follows DCI treatment suggestions, the better the Dupuytren self-heals. When a person can’t straighten a finger from a bent position, it is time to act. For information about DCI treatment plans.

Regardless, it is important for people with Dupuytren to understand that self-repair and self-healing happen every day. People heal an unknown percent of early Dupuytren disease, and even reduce later, larger palm nodules and cords of Dupuytren’s contracture.

Our position has always been that while hand surgery is always an option, it makes sense to first attempt non-surgical treatment and therefore possibly avoid the inherent risks of surgery.

>> Dupuytren Contracture Treatment – FAQs

>> Testimonials from Dupuytren Contracture Institute

How do use natural therapy for Dupuytren’s disease?
► It’s easy.  Click on Start Dupuytren’s Treatment

Let’s explore this problem through a few questions commonly asked by people who when a finger hurts to straighten.

Is Dupuytren contracture the reason I can’t straighten my finger?

As discussed in the first paragraph, there are many reasons to explain why a finger can’t straighten.  Even so, the reader can be fairly confident the finger won’t straighten due to Dupuytren contracture when several of these risk factors are present:

  • Age 50+
  • Family descended from England, Ireland, Scotland, Wales, or a Scandinavian country
  • One or more family members have Dupuytren contracture
  • Musician
  • Diabetic
  • History of recent injury or surgery to upper extremities
  • History of alcohol abuse or liver disease
  • History of diabetes
  • History of heavy manual labor

Dupuytren’s disease and trigger finger

Let’s also consider in a little more detail another reason why it hurts to straighten finger stiffness:  trigger finger (stenosing tenosynovitis).

Trigger finger happens when the tendon that controls a finger can’t glide smoothly in the sheath that surrounds it. Two situations can cause this to happen.  One, a swollen tendon in the palm gets stuck on a narrowed part of the tendon sheath that surrounds that tendon.  Two, when the sheath becomes narrowed for some reason, like pressure caused by an abnormal DC palm lump that should not be in the palm. Any finger can display a trigger finger that suddenly locks up while in a bent position and just as          suddenly releases the hold – like pulling a trigger and it suddenly snaps free. Trigger finger can be occasional or frequent, mild or severe, locked in a bent position for a short or prolonged time, and mildly or severely painful.

It is rather common for trigger finger to develop in one or more fingers that also have Dupuytren’s contracture going on.  To say it another way, trigger finger is a common complication and can occur at the same time a finger won’t straighten due to Dupuytren’s contracture. This happens because of tissue irritation caused by the expanding palm lump and finger cord. Of course, this leads to inflammation and swelling (narrowing) of the tendon sheath.

There are a few important differences between trigger finger and Dupuytren contracture. Trigger finger has a very sudden onset.  Plus, it has a popping sound with the sudden release of the swollen tendon within the sheath covering it. In these cases, a trigger finger is normal between episodes. However, the stuck finger of Dupuytren contracture has a very slow onset. Likewise, there is no popping sound because there is no tendon release.  Lastly, the locked finger of Dupuytren contracture is constant.

>> Natural Dupuytren Contracture Treatment – FAQs

Are the Dupuytren nodules or cords a type of tumor of the hand?

No, Dupuytren’s contracture is not a cancerous tumor.   However, certain serious hand cancers can also cause hand pain, reduced finger movement and swelling.  For example, giant cell tumor and epithelioid sarcoma. For this reason, if there is a history of cancer in your family, or something about your current problem make you suspect cancer, it is wise to have your doctor evaluate your hand complaints. The true cause of a finger can’t straighten without great pain must be determined, cancer or not.

What keeps my fingers bent all the time?

Dupuytren contracture begins as a thickening of the deep tissue of the palm (palmar fascia).  This tissue is located below the skin and above the bones and tendons of the palm.  This thickened palm lump grows slowly.  Sometimes, very slowly, like many years. Eventually it develops a cord of dense tissue that attaches to a finger.  Over time, this cord shortens or contracts, causing that finger to curl down toward the palm. This reduces movement of the involved fingers. At this stage, the finger hurts to straighten.  Sooner or later, the hand takes on the appearance of a modified fist or claw.

How do use natural therapy for Dupuytren’s disease?
► It’s easy.  Click on Start Dupuytren’s Treatment

Is this why my finger can’t straighten?

Exactly.  People comment that when their Dupuytren contracture started up, they can’t straighten finger without pain. This resulted in great clumsiness.  Slowly and gradually, this changes.  Soon the involved  won’t straighten out completely, eventually constricting finger movement completely.

Is this the reason my finger is bent and won’t straighten without pain?

Pain is a fairly common complaint when Dupuytren contracture begins, often described as constant stinging or burning pain wherever there are lumps on the palm of the hand.  Over time, as each finger gets stuck in a constant bent position, pain becomes less frequent and less intense.

Generally, Dupuytren contracture is not a very painful condition.  Dupuytren’s contracture is known mostly for their bent finger won’t straighten s, (slug-here), inability to fully open the hand, as well as the palm lumps. When pain is a major issue with Dupuytren’s contracture it is because the growing and contracting collagen tissue is pressing on, or wrapping around, nerve tissue in the palm.

Bent pinky finger

Why do I have a bent pinky finger, and it won’t straighten out?

Bent pinky finger is a little finger stays bent and won't straighten. This picture shows a pinky finger stays bent with or without pain. Based on the single finding of a bent pinky finger, no confident answer to this question is possible. However, the most likely reason for a bent pinky finger is Dupuytren contracture.  Other, less likely possibilities are osteoarthritis, rheumatoid arthritis, trigger finger (tenosynovitis) and diabetes.  It might be important to see your doctor to investigate these other possibilities if your personal history and situation indicates it is necessary.

Straighten that bent pinky finger with safe natural treatment

Great news!  Surgery is not always necessary to straighten a bent pink finger that is so common with  Dupuytren’s contracture.  Since 2002 the Dupuytren Contracture Institute has helped people when the little finger won’t straighten.  People who closely follow the DCI treatment strategy early can do rather well with it. We hear from 8-10 people who use our large treatment plan reporting they see moderate to marked reduction of their signs and symptoms of Dupuytren, for every one report of failure.

We find that the larger the treatment plan, and the closer a person follows DCI treatment suggestions, the better the Dupuytren self-heals. For information about DCI treatment plans.

Regardless, it is important for people with Dupuytren to understand that self-repair and self-healing happen every day. People heal an unknown percent of early Dupuytren disease, and even reduce later, larger palm nodules and cords of Dupuytren’s contracture.

Our position has always been that while hand surgery is always an option, it makes sense to first attempt non-surgical treatment and therefore possibly avoid the inherent risks of surgery.

How do use natural therapy for Dupuytren’s disease?
► It’s easy.  Click on Start Dupuytren’s Treatment

Let’s explore this problem through a few questions commonly asked by people who want to know more about their bent pinky.  Anyone who can say “my pinky finger is bent and it won’t straighten” knows the frustration of dealing with this kind of problem.

How do I know it is Dupuytren that is causing my bent pinky finger

First of all, there is one big reason to believe a bent little finger in particular is due to Dupuytren’s contracture.  The two fingers most commonly affected by DC, by far, are the pinky finger and the ring finger.  Of these two, the little finger is most common.

As discussed in the first paragraph, there are many possible reasons a pinky finger stays bent. Even so, the reader can be fairly confident the bent pinky due to Dupuytren contracture when several of these risk factors are present:

  • Age 50+
  • Family descended from England, Ireland, Scotland, Wales, or a Scandinavian country
  • One or more family members have Dupuytren contracture
  • Musician
  • Diabetic
  • History of recent injury or surgery to upper extremities
  • History of alcohol abuse or liver disease
  • History of diabetes
  • History of heavy manual labor

Dupuytren’s disease and trigger finger

Let’s also consider in more detail another reason why a bent pinky finger develops:  trigger finger (stenosing tenosynovitis).

Trigger finger happens when the tendon that controls a finger can’t glide smoothly in the sheath that surrounds it.   Two situations can cause this.  One, a swollen tendon gets stuck on a narrowed part of the tendon sheath.  Two, when the sheath becomes narrowed for some reason, like pressure caused by an abnormal DC palm lump. Any finger can be a trigger finger that suddenly locks up in a bent position, and just as suddenly releases the hold.  Just like pulling a trigger and it suddenly snaps free. Trigger finger can be occasional or frequent, mild or severe, locked in a bent position for a short or prolonged time, and mildly or severely painful.

It is rather common for trigger finger to develop in one or more fingers that also have Dupuytren’s contracture going on.  To say it another way, trigger finger is a common complication and can occur at the same time as Dupuytren’s contracture. This happens because of tissue irritation caused by the expanding palm lump and finger cord. Of course, this leads to inflammation and swelling (narrowing) of the tendon sheath. Trigger finger and a bent pinky finger are a direct result of these tissue changes.

There are a few important differences between trigger finger and Dupuytren contracture. Trigger finger has a very sudden onset.  Plus, it has a popping sound with the sudden release of the swollen tendon within the sheath covering it. In these cases, a trigger finger is normal between episodes. However, the stuck finger of Dupuytren contracture has a very slow onset. Likewise, there is no popping sound because there is no tendon release.  Lastly, the locked finger of Dupuytren contracture is constant.

>> Natural Dupuytren Contracture Treatment – FAQs

Are Dupuytren nodules or cords a type of tumor of the hand?

No, Dupuytren’s contracture is not a cancerous tumor.   However, certain serious hand cancers can also cause hand pain, reduced finger movement and swelling.  For example, giant cell tumor and epithelioid sarcoma. For this reason, if there is a history of cancer in your family, or something about your current problem makes you suspect cancer, it is wise to have your doctor evaluate your hand complaints. The true cause of a bent little finger can be determined, cancer or not.

What keeps my pinky fingers bent all the time?

Dupuytren contracture begins as a thickening of the deep tissue of the palm (palmar fascia).  This tissue is located below the skin and above the bones and tendons of the palm.  This thickened palm tissue slowly grows, and as it does it develops a cord of dense tissue that attaches to a finger.  Over time, this cord shortens or contracts, causing that finger to curl down toward the palm. This reduces movement of the little fingers. At this stage, the finger pinky fingers won’t straighten. Eventually, the hand takes on the appearance of a modified fist or claw.

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Is this why my pinky finger is bent?

Exactly.  People comment that when their Dupuytren contracture started up, they had a bent pinky finger  without any pain. This resulted in great clumsiness.  Slowly and gradually, this changes.  Soon the involved little finger stays bent and can’t straighten out completely.

Is this why my bent little finger does not hurt me?

Pain is a fairly common complaint when Dupuytren contracture begins. Early on, it is often described as constant stinging or burning pain wherever there are lumps on the palm.  Over time, as each finger stays stuck in a constant bent position, pain becomes less frequent and less intense.

Generally, Dupuytren contracture is not a very painful condition.  Dupuytren’s contracture is known mostly for the bent fingers,, inability to fully open the hand, as well as the palm lumps. When pain is a major issue with Dupuytren’s contracture it is because the growing and contracting collagen tissue is pressing on, or wrapping around, nerve tissue in the palm.