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Suggestion for Dupuytren treatment

Immediately below you will see three different Dupuytren treatment plans.  These are good examples how you can treat the lumps on palms of your hands.

Each therapy plan is contains products that have been used with success to treat Dupuytren contracture. Each item found in any of the plans contributes toward helping your body eliminate the hand lump that is bothering you.   There is no way to know ahead of time which plan might work best for you; you will just have to begin care to determine your response to treatment.

You do not have to use each and every item available from this Product List in a DC treatment plan. One therapy – any therapy – should be better than none; two even better, three even more so, etc.  Perhaps the average number of therapies used in a treatment plan is about 8-9.  Our experience is that those who try to do the least, get the least.  No one can predict how a person will respond to any plan, but as the old saying goes, “You usually get out of it what you put into it.”

It would be good before the start of treatment to review our Dupuytren treatment philosophy of care.

Using these three examples you can do one of two things:

1. Select one of the plans. Each one is a well-balanced and effective way to start your Dupuytren treatment.  Which one should you use? Well, like a lot of things in life, the more you do the more you get.   Applying this logic to Dupuytren treatment, the larger the plan you select the more likely you will see a favorable response.  Many times a person will make that decision based on personal finances or how badly they want to rid themselves of their hand contracture.

2. Modify one of the plans. Any of the following plans can be changed by adding to it or subtracting from it.   You can choose to increase or decrease any Dupuytren treatment plan based on your thinking and what you have learned from this site.  Regardless, each of these Dupuytren treatment plans can be a good starting point that can be custom tailored to suit your thinking.  However, when you decide to modify our large, medium or small plan you will have to order each item separately.

Need a suggestion for putting a plan together? As examples, here are three balanced and reasonable treatment packages to consider using. You can make these plans smaller if you choose to do so, but you diminish the benefits of synergy.


The DCI small plan includes the following SIX products:

1. Unique-E vitamin E capsules

2. Dusa-Sal DMSO Gel

3. Fundamental Sulfur supplement

4. Acetyl-L-carnitine supplement

5. Inflamazyme enzyme supplement

6. Scar Free homeopathic liquid spray

Questions about the small plan?  For more information like price, how long each plan lasts, and how much it costs to replenish this plan each month please click DCI small treatment plan.


The medium DCI plan includes the following EIGHT products:

1. Unique-E vitamin E capsules

2. Dusa-Sal DMSO Gel

3. Fundamental Sulfur supplement

4. Acetyl-L-carnitine supplement

5. Inflamazyme enzyme supplement

6. Scar Free homeopathic liquid spray

7. PABA supplement

8. Topical unique-E oil

Questions about the medium plan?  For more information like price, how long each plan lasts, and how much it costs to replenish this plan each month please click DCI medium treatment plan.


The large DCI plan includes the following TEN products:

1. Unique-E vitamin E capsules

2. Dusa-Sal DMSO Gel

3. Fundamental Sulfur supplement

4. Acetyl-L-carnitine supplement

5. Inflamazyme enzyme supplement

6. Scar Free homeopathic spray

7. PABA supplement

8. Topical unique-E oil

9. Quercetin-Bromelain supplement

10. Ultarsound 3 MHz therapy machine, model HS3040

Questions about the large plan?  For more information like price, how long each plan lasts, and how much it costs to replenish this plan each month please click DCI large treatment plan.


It’s as simple as that.

To see a complete display of all products:   Dupuytren Treatment STORE

Remember: You do not have to use each and every item available from this Product List in a DC treatment plan. One therapy – any therapy – should be better than none; two even better, three even more so, etc.  Perhaps the average number of therapies used in a treatment plan is about 8-9.  Our experience is that those who try to do the least, get the least.

We suggest you attempt a brief therapeutic trial of Alternative Medicine care for your hand contractures before you consider Dupuytren surgery with its inherent risks

No one can predict how a person will respond to any plan, but as the old saying goes, “You usually get out of it what you put into it.”

F PLAN AHEAD … keep an extra at work. EMake it easy to follow your treatment plan away from home.  Order an extra bottle of what you need during the day, to keep at work or in your car.  You won’t have to carry anything because it will already be where you need it.  Stay faithful with your plan by planning ahead.
Why Buy from DCI?
1. Service DCI offers email support and assistance for the products and services we provide. We provide experience and interest in helping you with your problem.  DCI is here to help you with questions about the products we sell. This is an extremely valuable service the others cannot possibly match.
2. Quality and Quantity Repairing the hand contractures is such an important mission. It is critical you use a high quality and quantity of nutrients. We have done the hard part selecting good companies and products. Buy with confidence.
3. Value DCI has a competitive pricing structure of which we are proud. We doubt you can find better products that deliver the quality and quantity for the prices we have set.
4. Convenience The longer you take to start treating your hand, the longer and more difficult treatment becomes, and the likelihood of success deteriorates. Everything you need is here, right now, in one place.



39 thoughts on “Start Dupuytren Contracture Treatment

  1. Lei says:

    Recently developed Dupuytren’s contracture. Got way worse with curling small weights!!!

    Off to a specialist next week.

  2. Dr.Herazy says:

    Greetings Lei,

    Dupuytren’s contracture can start as a result of the repeated and prolonged stress to the hands and forearms associated with serious weight lifting. It is not so much the amount of weight you are lifting at the time, but how much prolonged tension is created in the upper extremities during lifting that can predispose to the development of Dupuytren’s contracture. You must learn how to handle the weights in a more relaxed and comfortable manner to minimize this problem. TRH

  3. Mike says:

    Good day sir, two months ago, I had open hand surgery for Dupuytren’s contracture. I should have done my research prior to, not after. I now know I made a terrible, uneducated mistake. Hand is is in horrible condition. Still swollen, fingers will not bend much at all, maybe 60-70% towards being a closed fist. Extreme pain thru therapy, I do 2-3 hrs. a day every day in home, see an OTR twice a week, and have an upcoming consultation with an advance pain management specialist. My surgeon shows no concerns as of yet. Just reminds me that I’m only 2 months post-surgery. I went to get a second opinion from a different hand surgeon who also has done many Dupuytren’s contracture surgeries. I have dime-size soft to medium tissue “bulge” center of palm in the corner of incision. Does not cross incision. However, it appears to me that I can feel a cord growth (I’m assuming, I’m no Dr.) that goes at right angle until below my ring finger. It then goes upward to base of finger. Again, I am not a Dr., but it would appear that something went wrong. Hand never recovered, haven’t had much use of it at all since surgery and the other Dr.’s opinion was that I would need surgery to correct the new development of more Dupuytren’s contracture. He also stated that he didn’t think he got it all out. My question would be can it come back this fast and this aggressively? Thank you for your time.

  4. Dr. Herazy says:

    Greetings Mike,

    Apparently you were not prepared for the reality of Dupuytren’s contracture surgery. Welcome to the club. I hear from a continuous stream of people like you who were not told about the poor outcomes that can occur when the fibrous Dupuytren’s contracture tissue is surgically disturbed. DC is a nasty and relentless problem. Think about what happens if a hornet’s nest is disturbed. The DCI idea is that it is far better to not disturb the hornet’s nest directly and aggressively; it is better to try more subtle and natural ways to get those hornets to leave on their own.

    You ask if I think DC can come back this fast and aggressively as you are experiencing. Recurrence of Dupuytren’s contracture after surgery is inevitable; it is just a matter of time. Sometimes post-surgical recurrence is evident in a month or even less, and other times it can take 10-15 years. It is practically impossible to find meaningful information about the frequency and speed Dupuytren’s contracture recurrence. This information is not made public because it is not good. Based on the personal records and reports from patients I have received since 2004 on this subject, it appears that the average person shows some sign of DC recurrence around 2-3 years, and maybe 5-10% of people with much faster recurrence (a year or less) and at the other end maybe 5-10% with much slower recurrence(10-20 years).

    Many people have reported to me that their DC fibrous tissue began to return in a month. It happens more often than surgeons want you to know. It is terrible news for their business. If it is happening to you, I cannot say. Time will tell.

    Apparently your second-opinion doctor thinks there is something wrong going on. I would give him/her extra points for being honest with you because a lot of them downplay these things to protect their colleagues.

    Yes, at two months post-surgery you cannot expect to be perfect and you cannot expect to be completely healed. But, I do not think that you are complaining about. What I think you are saying is that your hand has not shown much improvement – or maybe no improvement – or maybe it is worse – since your hand surgery. Is that correct? If that is the case, then I would agree something is wrong. From what I read from the many people who report their post-surgical progress to me, when DC surgery goes well the progress is evident within a week or so after surgery and slowly continues without much regression.

    One last thing, I suggest that you sit down today to accurately and meticulously document every day, every doctor’s visit, every conversation, every problem, every fact you can recall sine your hand surgery.

    Good luck to you with the next step you take for your Dupuytren’s contracture. TRH

  5. Dr. Herazy says:

    Greetings again Mike,

    I have no idea if your hand can be helped now by Alt Med treatment. Some people get help, and some do not.

    It depends on so many factors that I hesitate to list them all here. The point is that your Dupuytren’s contracture situation has been made more complicated by surgery; your hand anatomy has been surgically altered, you now have scars and you have the lesion that sounds like is in early recurrence. Those people who have had Dupuytren’s contracture surgery and come late to trying a natural and conservative form of treatment, yet see improvement with their problem, do so only by using very aggressive and prolonged treatment. Their progress is probably limited and diminished because of the surgical hand changes, compared to what could have happened if they did not have any hand surgery; but who knows? You can only speculate.

    You can always consider doing an aggressive therapy session, for just a few months, to see if and how much you might respond. If it works, great, if it does not help, at least you tried. TRH

  6. Bill says:

    Sir, how do I know that all the products are safe to use. Has any FDA or other type testing/evaluation been done on the products, Long term, side affects etc. Thank you.

  7. Dr. Herazy says:

    Greetings Bill,

    All of our products are manufactured in facilities that follow FDA guidelines for nutrient formulation. They are examined according to FDA standards, and report to the FDA as required by law. Remember that these are not drugs, but nutritional products, so not all requirements are the same. TRH

  8. Phil says:

    I have at this time Dupuytren’s contracture of my little finger that is almost 180 degrees and I have been offered amputation (the finger is just in the way for normal use of the hand) as the best course of action. He thinks surgery will be a crap shoot at best and the ring finger is about 30 degrees. He thinks this can be fixed with surgery. I have not had surgery or the amputation yet. My other hand has the ring finger at about 30 degrees also of which he thinks he can fix before it gets any worse. Is it your opinion he may be telling me the truth and that amputation is the best route at least for the little finger given its advanced stage?

  9. Dr. Herazy says:

    Greetings Phil,

    You are asking good questions that I cannot answer because I do not have enough information. You need to get a second opinion about the kind of surgery that is being proposed for your hands. So many surgeries for Dupuytren’s contracture turn out to be a crap shoot, with disappointing and worsening results. The basic reason for this is that the tissue of anyone with Dupuytren’s contracture will frequently — almost always — over-produce scar tissue after surgery which stimulates new DC nodule growth. This can result in a larger and more aggressive Dupuytren’s contracture problem than the original.

    Please go to a hand specialist who has a lot of experience with Dupuytren’s contracture for a second opinion who will evaluate your situation with a fresh perspective.

    Perhaps you should consider a more conservative alternative to your problem. Many people have avoided hand surgery completely by using the DCI treatment ideas. Please look around this website for more information to learn how your body might respond to a little natural help. TRH

  10. Aleesha says:

    Hi there. Husband has already been taking Vitalzym Extra Strength for 2 months (Fibrozym not available) for his Dupuytren’s contracture and thinks there has been a minor improvement to his hand. Is adding Neprinol and/or Nattokinase a good idea? He basically has full flexibility in his hand, just one knot that is uncomfortable/hurts to push on for that part of his hand. Thank you.

  11. Dr. Herazy says:

    Greetings Aleesha,

    As great as Neprinol and Fibrozym are for Dupuytren’s contracture, taking additional fibrolytic enzymes will likely not give him additional improvement. Taking only systemic enzymes (or only any one kind of supplement such as vitamin E or PABA, etc. by itself), is seldom helpful. If you wish to help your husband improve further have him follow a diversified and complete plan of treatment that does a better job of supporting the healing process. This is accomplished with a greater variety of balanced therapy items. For additional information about correctly expanding his treatment plan, please refer to the DCI section on treatment selection.

    When people correctly use the Dupuytren’s contracture they note moderate to marked improvement in 8-10 cases, for every one report of failure. A lot more can be done for your husband. Please let me know if you need special assistance. Dupuytren’s contracture is not an easy problem to get ahead of, but it can done in a good number of cases when it is done correctly. TRH

  12. Paul Lauginiger says:

    Had Dupuytren’s contracture surgery little over a year ago in 2018 on little finger. Tried 36 sessions of physical therapy.
    Still cant make a fist,stiffness has spread to ring/middle finger. 2nd opinion said it was scar tissue now on tops of fingers;said have to do more surgery. What are chances that it could be ulnar nerve damage causing lack of full flexibility. If so what can be done for this? Really frustrated with situation!

  13. Dr. Herazy says:

    Greetings Paul,

    Poor results like yours after Dupuytren’s contracture surgery are far more common than people believe. This is why so many doctors are reluctant to do DC surgery because the results are so often disappointing or just outright bad.

    The nature of the tissue in Dupuytren’s contracture is to make too much fibrous and collagenous tissue in response to injury. So when a DC hand is operated upon it is common for that hand to respond with an excess of scar tissue, resulting in an even worse case of Dupuytren’s contracture. Its like when you poke a stick at a mean dog; he will get meaner. Best to leave the mean do alone. The idea of doing even more surgery to correct this kind of situation is indeed risky. I suggest you consider doing some Alternative Medicine to see if you can get things under control with natural healing. It might make a difference, and help your body resolve what is going on. If it works, great; it it doesn’t work, you can always think about more the more drastic measure of more surgery.

    We get 8-10 reports of moderate to marked success with Dupuytren’s contracture for every report of failure with our method; not bad results. Let me know what you think. TRH

  14. Andrea says:

    There are quite a few drugs involved in your DCI plans. If I choose to try one of these plans, how will it affect me, as I have diabetes as well?

  15. Dr. Herazy says:

    Greetings Andrea,

    Thanks for the important Dupuytren’s contracture question; I get that one a lot.

    The most important point to remember is that no DCI plan contains any drug; DCI treatment plans for Dupuytren’s contracture are all natural and non-drug. As far as your body chemistry is concerned, you will simply have a much better supply of high quality nutrition as a results of following our treatment recommendations. For this reason, you can use any of the treatments you see on this website without worry about drug side-effects or complications for a condition like diabetes.

    When Mayo Clinic discusses vitamins that can cause toxicity due to over-dosage, the vitamins they list is not very long:

    ” Vitamin D
    ” Vitamin A
    ” Vitamin B1
    ” Vitamin B2
    ” Vitamin B3
    ” Vitamin B6
    ” Vitamin B12
    ” Vitamin C
    ” Vitamin E
    ” Vitamin K
    ” Folic acid

    Of these vitamins listed above, only vitamins E is used in the DCI treatment plans. For this reason vitamin E is used in the DCI protocols at a relatively low dosage. The simple truth is that those vitamins, minerals and enzymes used in the DCI protocols are known to have a low or no toxicity potential. This is why our program is as safe as it is. DCI simply does not use therapy items with potential toxicity or side-effect issues.

    DCI has been around since 2002. In all that time no one has ever reported a problem with side-effects or complications with any of the therapy products in these plans.

    Thanks for the question, and good luck to you. TRH

  16. MIchelle Besant says:

    HI Dr Herazy, My husband has Dupuytren’s contracture in both hands – one more advanced than the other. To be honest one hand has had lumpy nodules on the finger pads for 20 years but it is only recently(last 18 months) that his fingers have started to draw forward and it has become quite painful. There is no family history although he is of British descent. He has also had same lumps in his feet for 20 years but no pain there. He is considering a needling technique which has mixed reviews on long term success for Dupuytren’s contracture. My research has led me here to enzymes and natural therapies. What are your views on the needling procedure? I note you say that there are 8 cases of improvement to one case of failure with this natural treatment – is there any data available to show if there is any common thread to those that it doesn’t work so well with? many thanks Michelle

  17. 88TRH88 says:

    Greetings Michelle,

    Sounds like your husband has a strong genetic tendency to fibrous tissue deposition. Having both Dupuytren’s contracture (hands) and Ledderhose disease (feet) is not uncommon. For that reason I strongly urge that you two be careful during sexual activity to avoid injury that might lead to Peyronie’s disease (penis).

    The needle technique you refer to is probably needle aponeurotomy (NA), sometimes called percutaneous needle fasciotomy. In NA a needle is inserted in the area of the Dupuytren’s contracture cord(s). It is blindly moved around in an effort to slice the cord and related fibrous tissue of the palm. I say blindly because the surgeon cannot see what he is doing, having to rely on his/her sense of touch and knowledge of anatomy. All too often mistakes are made. Normal and important tissue can be cut that should be left alone, resulting in numbness partial or complete), pain (constant or intermittent), loss of movement, coldness, etc. Sure, there can be some good results, and people mention those. But they do not discuss or promote the many failures that occur. No one talks much about the failures, except the poor souls who have to live with it and occasionally write a post or two about it. Be forewarned.

    Besides the accidental injury to normal tissue, NA has the problem of fast recurrence of the Dupuytren’s contracture problem. The tendency of the fibrous tissue to over-produce does not change just because the tissue has been cut by a needle. In fact, that tendency for Dupuytren’s contracture is still just as strong and now there is a new area for over-production where all the tissue is slashed during NA. More cutting often leads to just more Dupuytren’s contracture. Be forewarned.

    Our research at Dupuytren’s Contracture Institute is limited; we do not have the funds like a university or multi-billion dollar pharmaceutical company. It is extremely complex and difficult to determine something like what common thread there is among those who fail in DCI natural treatment. My own personal observation is that most DCI failures occur simply by using a plan that is too small or simplistic, or by being unfaithful to the instructions that are provided. At this time we believe your husband’s best success with natural treatment is based on using the various plans we have developed over the years, and using them exactly as suggested in the instructions that are supplied.

    Good luck to both of you. TRH

  18. Susan says:

    My husband is exploring the different Dupuytren’s contracture treatments. Your above treatments sound like a good place to start. What is your input on needle aponeurotomy? It sounds much less invasive than surgery but if the outcomes are problematic I see no reason to use. (P.S.My dad had Dupuytren’s contracture surgery 20 years ago. After that his hand was never able to straighten. Thank you

  19. 88TRH88 says:

    Greetings Susan,

    Surgery is the treatment of an injury or a disorders of the body by incision with instruments to investigate, treat or otherwise improve health, function or appearance. Dupuytren’s contracture needle aponeurotomy fits that general definition. Only a doctor can do it, local anesthesia is used just like so many surgeries, the skin is opened by something sharp, something goes down into the body, there is bleeding involved, tissue is cut, and insurance companies pay for it as a surgical procedure (you bet they do!). Sounds like surgery to most people when it is explained to them.

    Needle aponeurotomy for Dupuytren’s contracture is made to sound like a simple non-surgical procedure when a doctor is trying to get someone to agree to have it done. But, it really isn’t. Long ago doctors learned that they can get greater cooperation and agreement from a patient for surgery by saying very little about it, or making it sound like a simple and easy procedure.

    Local anesthesia is used for Dupuytren’s contracture needle aponeurotomy, just like for so many surgeries. It is done in a doctors office or hospital. Sterile technique must be used. Blood loss and complications of surgery can and do occur. The surgeon inserts a needle under the palm near the Dupuytren’s contracture cord. The doctor moves the sharp needle around to cut the DC cord. This is done without the surgeon being able to actually see the tip of needle under the skin, or be able to actually see the structures that are being slashed and cut. This sometimes – perhaps often – results in normal tissue like nerves, muscles, tendons, blood vessels being cut. This results in complications and errors that can result in loss of feeling, pain, loss of movement and mobility of fingers, coldness and swelling that can be permanent or temporary. This is why malpractice insurance policies are so expensive.

    For more information, you can read more about this subject here: or TRH

  20. Anne Neal says:

    I had hand surgery six months ago to remove a cyst that was located on the palm of my right hand below the pinkie. That cyst has now healed nicely. However, I now have Dupuytren’s contracture in the middle of the same palm that appears to be lining up with my middle finger. This is not something any of my relatives had and I am wondering if the hand surgery could have caused this. I am so happy to have found this page as I plan on trying some of your natural remedies rather than go back into hand surgery, especially if the original hand surgery could have caused this Dupuytren’s contracture.

  21. 88TRH88 says:

    Greetings Anne,

    Yes, hand surgery can trigger the start of Dupuytren’s contracture. Even hand surgery or Xiaflex injections to remove a Dupuytren’s contracture palm lump or cord can cause more DC.

    Why Dupuytren’s contracture starts after hand surgery in some people who do not have it in their family, and not in other people, has not been determined. For some undetermined reason your body over-responded to the first surgery by producing excess collagen and fibrin to repair the tissue cut and removed during surgery. Now that you have witnessed how your body responded this way to the first surgery, it is not unreasonable to be cautious and concerned about more hand surgery.

    Please let me know if you have any questions about natural alternative medicine to support your ability to heal and repair Dupuytren’s contracture. TRH

  22. Jolie Jashni says:

    My husband has been keeping his slow progressing Dupuytren’s contracture managed with physical therapy and Vitamin E over the last 3 years. He went to a hand doc yesterday to get an evaluation. He was also diagnosed with mild osteoarthritis of the hand, carpal tunnel syndrome and golfer’s elbow (does not play any sports). He works out with a trainer 2x/week. Fortunately, doc does not recommend surgery or anything for DC. His mom had arthritis, fibromyalgia and CFS. The doc says all 4 of his diagnoses are unrelated. Do you agree and do you know if your recommended protocol will help the osteoarthritis? I am a BIG believer in Functional/Alternative/Integrative medicine. Thank you. Jolie

  23. 88TRH88 says:

    Greetings Jolie,

    From the limited information you presented, I cannot agree or disagree with the medical opinion of a doctor who examined your husband.

    The DCI treatment protocol is specific for Dupuytren’s contracture. When I communicate with people about their Dupuytren’s contracture, they seldom mention concurrent problems with the hands, like osteoarthritis, nor do I ask. TRH

  24. marilyn moebus says:

    Hi, your site and comments are very informative, thanks.
    I broke my right wrist in January 2020. I had the fracture repaired and a plate and screws inserted (wish I’d not had them inserted as I believe not necessary, but at the time felt it the right thing to do). Anyway all has healed well, but I have developed Dupuytren Contracture nodules on my right hand. No problem to date. Are there exercises I can do to keep the hand flexible? Thank you. Marilyn.

  25. 88TRH88 says:

    Greetings Marilyn,

    Dupuytren’s contracture often starts after trauma and/or surgery to the upper extremities.

    Exercises to strengthen the hand and arm are usually not necessary, but stretching of the soft tissue is often helpful. Go to stretches for Dupuytren’s contracture for several helpful ways to keep your hand as stretched and relaxed as possible.

    You might want to consider taking some helpful natural therapies to get ahead of your problem. let me know if I can help you in any way. TRH

  26. WHIT BROWN says:

    I have Dupuytren’s contracture in both hands in the 3rd and 4th finger. I have a lump in the palm of my left hand adjacent to the 4th (ring) finger that has grown for 2 to 3 years. It progressed to the point that the finger was curling up toward the palm of my hand, followed by the same situation with the pinky. It has now reached a point where during the night while sleeping, both fingers curl inward toward the palm. My left hand has a visible lump below the knuckle of the 3rd finger. That lump seems to have stopped growing. Recently my right hand started giving me pain in the 3rd finger. On occasion, I have to straighten the fingers using my other hand to straighten those fingers. I hand considerable pain when I do this and I can feel the finger catch when it straightens out. I had no idea about Dupuytren’s contracture until a few months ago. I have developed a home remedy that has helped to avoid the fingers curling up. I bought some fairly tight fitting work gloves that I wear during the night. I made a splint that goes into the 3rd finger of the glove on both hands. The splint keeps the finger from curling up while I sleep. When waking up I have a significantly reduced amount of pain, For a period of time I soaked my hands in hot water, hot as I could stand, flexing the fingers for several minutes. This treatment helped to get the fingers loosened up and functional. I also discovered that placing my hands on a vibrator several times a day prevented the fingers from getting stiff and fingers have become more flexible during the day.

    I use a vibrator that is designed for use on feet and it has a “platform” large enough for me to place both hands on it, The platform can also accommodate round metal balls that screw into the platform that facilitate the lumps in the palms of my hands getting focused attention. I seems that the lump in my left hand has softened quite a bit and has reduced in size. My right hand does not have a visible lump but I can feel it beneath the skin. Pain has reduced—flexibility of the fingers has increased considerably. I have an appointment to see a hand surgeon in the near future. But after reading your comments re: surgery and the risks, if my home remedies continue to be successful, it will take a lot of convincing for me to have surgery, I take a lot of Rx meds every day and will cautious when it comes to taking more and risk complications with my heart meds.

  27. Dr. Herazy says:

    Greetings Whit,

    Thanks for the detailed discussion of your Dupuytren’s contracture problem, and the early stop-gap measures you are using to find relief. Hope you are able to manage your problem this way for a long time. However, Dupuytren’s contracture is a progressive problem — it is not static or reach a plateau of development where it will remain. Sometimes the deterioration is extremely slow (a decade or more), and other times it is rapid (a few months). The point is: it works its way downhill at different speeds.

    You must realize that what you are currently doing is only using a few superficial measures that give you temporary relief; once the fibrous tissue below the surface develops into thicker and larger masses, the hot water and vibration will no longer give you temporary improvement.

    You would be wise to try to prompt your body to eliminate the fibrous lumps and bands in your palm. This early stage, while your tissue is just starting to draw up, is a good time to do something to permanently help yourself. Sometimes the DCI method works brilliantly, and sometimes only a small amount, and rarely not at all. The DCI method is reported to make moderate to marked improvement in DC palm tissue in 8-10 cases, for every case in which there is no improvement. Those a re pretty good odds.

    Most people try the DCI protocol because they want to avoid the horror stories of DC hand surgery. We help our people in any way we can to get them on the right track to follow the detailed DCI protocol to their best level of success.

    Dupuytren’s contracture is not some minor problem that will respond to heat and vibration for very long. Let me know if I can help you in any way. TRH

  28. Audrey Kelly says:

    Good afternoon

    I have dupuytren disease in my left palm. Diagnosed 18 months ago. I noticed now that the lump on my palm is expanding and causing me pain. I am looking at Radio Therapy but would prefer a more natural healing. What are your thoughts on Radio Therapy as a treatment and also do you send items to the UK.

    Kind regards


  29. Dr. Herazy says:

    Greetings Audrey,

    Please enter a search on the DCI website for several articles I have written about radiotherapy for Dupuytren’s contracture. A good place to start would be an article about Dupuytren’s contracture radiotherapy.

    Radiotherapy has probably truly helped more people with DC than direct surgery. This is true because of the high degree of fast recurrence of DC after surgery. Even so, radiotherapy also has drawbacks. Because radiotherapy is a non-surgical procedure used within the medical profession, it has its detractors who contend that its effectiveness has not been proven. This is true; there is a higher failure rate with radiotherapy than drug therapy. As is common in the medical profession, there s continual controversy about Dupuytren’s contracture treatment.

    I cannot tell you what to do in regard to your long-term Dupuytren’s Contracture treatment options; that is a decision you will have to make on your own, in concert with your family doctor, when you have enough information. I can tell you that many people who failed to develop positive results from Dupuytren’s contracture radiotherapy received improvement with DCI natural treatment. We receive reports from 8-10 people from around the word saying they notice moderate to marked improvement of their DC from the natural Alt Med treatment as we describe on the DCI website, for each report of failure. TRH

  30. Linda Voit says:

    Wow. i’m so glad i found this web site. I have Dupuytren’s contracture in my right hand and i’m right handed. I have gone to 2 hand specialist and both recommended needle that cost $3000.00 a shot and said i would need 2 shots. So far i have chose to do nothing. I have 3 cords going to my fingers. The pinky is the worse, then the ring finger and middle. My pinky the cord is now going up the finger and that is tender. Dr Herazy please tell me what you think is my option to do. I never smoked, no one in my family that i know has had this. Its in one hand only but i do have a small nodule on my left foot. I’m a 65 yr old women. And no injury to that hand or arm. And i’m not on any medications in the last 14 years nothing. I try to be very health. Vitamins and i have been taking MSM sulfur for the past 6 years but i wasn’t taking enough but im on the right track now. I take the crystals. Please help me out. i’m all about the body healing itself in non surgical ways. Thank you so much for your time and helping others,

  31. Dr. Herazy says:

    Greetings Linda,

    Your story is similar to so many people I work with. Those folks who get onto the large DCI plan and follow the instructions correctly and faithfully get some pretty decent results — 8-10 report moderate to marked improvement of DC tissue changes with improved finger movement, for every report of failure. That is much better than the Xiaflex and needle aponeurotomy (plication) surgery for Dupuytren’s disease. You only have to do a little Internet reading to learn the horror stories of failed Dupuytren’s contracture surgeries. The MDs play them down, but they are real.

    You ask about options for Dupuytren’s contracture. Consider rigorously following a conservative DCI natural treatment of your DC for at least 3-4 months to give yourself a decent opportunity to respond. If after that time, you do not see any improvement of your hand, then consider having the best hand surgeon you can find work on your hand in the best way he/she sees fit. However, if you see reduction and improvement of the size, shape, density, or degree of adhesion of your palm lump(s), or improved finger movement, then continue to use the DCI plan until the palm lump(s) are either gone or you are satisfied that you can live with what little Dupuytren’s contracture remains. That is what most folks do. Like I said, 8-10 get good results when they do it as suggested, for every one person who does not.

    Let me know if I can help you.


  32. Myria says:

    I suddenly noticed Dupuytren’s nodules in my hands about three weeks ago. My mother and grandfather had Dupuytren’s contractures, so I recognized them. I took pictures of the nodules, and then a week later I took more pictures. This time, there was a raised white tendon about an inch long descending from the middle finger nodule in my left hand that hadn’t been there in the previous photos. I tried to figure out what I might have done to trigger mu Dupuytrens. I have lost 80 pounds over the last two years, bringing my BMI to 24.3 so far. (I follow a whole foods plant based diet and get most of my protein from legumes.) I have read studies saying that people with BMIs below 25 are more apt to have DC than heavier people (odd, that!). But this was gradual, and it seemed that something more immediate was happening.

    So I looked at changes in my supplements. I had added calcium recently. The calcium hydroxyapatite supplement I was using also contained 200 mg of phosphorus. And because of the wrinkles and loose skin due to the weight loss, I had added hyaluronic acid (BioCell Collagen 500 mg containing Hyaluronic Acid 50 mg, Chondroitin Sulfate 100 mg, and Hydrolyzed Collagen Type II 300 mg) as well as UC-II Standardized Chicken Cartilage 40 mg. The hyaluronic acid and collagen seemed to be helping reduce the wrinkles on my face. But could they or the calcium and phosphorus have been what triggered the Dupuytren’s contracture? By the way, I am 71 years old. Thank you so much for your thoughts on this.

  33. Myria says:

    Addendum to previous post: An analysis of my typical daily meals showed that I was low on Vitamin E (and had been so for at least the last 2 years), so I had added some Jarrow Famil-E from an old bottle I had on hand at the same time as the other supplements. It contains d-alpha-tocopherol 41 mg plus d-gamma-tocopherol 250 mg in mixed tocopherols plus mixed tocotrienols 38 mg. I would think this would help rather than hurt, but what do you think?

  34. Dr. Herazy says:

    Greetings Myria,

    It is not at all likely that your Dupuytren’s contracture was triggered or aggravated by your dietary intake of nutrients and supplements; DC does not work that way. Dupuytren’s contracture is more so a genetic aberration of soft tissue (collagen and fibrin) cellular metabolism, not excess calcium, phosphorus, collagen and fibrin intake. Your mother and grandfather likely did not follow the excellent nutritional intake that you do, yet they had DC. Your family members got Dupuytren’s contracture the way their ancestors did — genetically and likely via various physical triggers. But, that is another story.

    Check out the natural treatment information on the DCI website. We have hundreds and hundreds of reports of moderate to marked improvement of Dupuytren’s contracture from 8-10 people who follow our protocol faithfully and aggressively, for every one report of failure. Those are good odds for success. TRH

  35. Dr. Herazy says:

    Greetings again Myria,

    Yes, vitamin E is an important part of the DCI treatment protocol. Many other nutrients and therapies also must be used, but vitamin E is certainly important. However, please do not think that using vitamin E alone would help DC very much; it must be used in combination with all the others. TRH

  36. Myria says:

    Thank you so much, Dr. Herazy. I’ve also noticed that my palms and the soles of my feet have been burning/stinging/tingling/feeling tight for the last few days, since I last changed my supplement doses. I’ve noticed this in the past associated with changes in the amount of selenium I am supplementing. Whether it is too much or too little, I’m not sure. I’ve had plantar fasciitis in the past, and selenium was part of the cure.

  37. Wendy says:

    I was just diagnosed with dupuytren’s contracture and also noticed a lump in the arch of my foot. Which of your programs would you recommend for someone who is at the beginning of this journey.

  38. Dr. Herazy says:

    Greetings Wendy,

    Dupuytren’s contracture is a kind of fibrous growth that affects the hand. A general medical term for it is a fibromatosis. That lump on the bottom of your foot is perhaps related to Ledderhose disease, a similar fibromatosis condition that affects the foot. It is not uncommon for genetically predisposed people to have fibrous growth on one or two hands and feet. This is all the more reason to assist the natural healing ability of your body, while these problems are just starting.

    All three treatment plans are be used for Dupuytren’s contracture, can also be used to treat Ledderhose disease. However, far more people use the Large Plan since it offers more diverse and broad treatment coverage and provides statistically better results. I have long maintained that all cases of Dupuytren’s contracture should be treated as aggressively as possible, even when the problem is relatively small and has not yet affect finger/hand usage, such as yours. It is just a matter of time before the mass of fibromatosis tissue grows and impacts your daily life. For some people this process takes several years before hand use is affected, but for others it can be just a few months. We find that DCI natural Dupuytren’s contracture treatment gets easiest and fastest results in early cases. Keep in mind that DCI treatment also gets results with cases of Dupuytren’s contracture that are 5-20 years old, and even after failed hand surgery, but the results take longer and have limitations.

    Simply put, I suggest you use the largest and most aggressive DCI protocol that you can afford to use for 3-4 months of faithful and aggressive care to learn how well your body responds to this type of help. Since 2002 we have noted that when a person follows the DCI Large Plan carefully, as instructed, 8-10 folks report moderate to marked improvement of their palm lumps (up to and including complete elimination), for every one person who reports failure. When you consider the terrible risks of Dupuytren’s contracture hand surgery, and the frequent failures of Xiaflex and the lawsuits that arise from them, safe and conservative DCI treatment is certainly worth looking into.

    Good luck to you. Let me know if you have further questions about DCI treatment of Dupuytren’s contracture. TRH

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