New Customer – how to select your best treatment plan

Suggestions to help you decide how to start Dupuytren’s contracture treatment with your doctor’s help   Read these descriptions and see which one applies most closely to your situation.  You can start with any plan you chose, but the more aggressive your treatment plan the greater your opportunity for success. 

 

Small Dupuytren’s treatment plan suggested: 

  • DC less than 12 months
  • DC appears to be slowly advancing
  • DC is not known in my family; I am first in family to have DC
  • One hand involved at this time
  • No observable tissue changes at this time; no knots or lumps on palm of hand, no finger cords­; fingers just feel tight and achy ­
  • Full finger range of motion; can flatten palm against table top
  • Any age
  • Generally good health
  • Non-cigarette smoker
  • History of no to little hand stress – non-manual labor all of life; played nomusical instruments; no history of hand injury
  • No prior Dupuytren or other hand surgery; no Xiaflex injection

Click-if-describes-you-small

 

 


 

Medium Dupuytren’s treatment plan suggested: 

  • DC between 12-24 months
  • DC appears to be moderately advancing
  • DC is in one other family member
  • Two hands involved
  • Mild to moderate knots or lumps on palm; mild to moderate finger cords
  • Slight to moderate reduction of finger range of motion; some difficulty flattening palm against table top
  • Any age
  • Generally good health
  • Moderate cigarette smoker; used to smoke, but not now
  • History of mild to moderate hand stress – manual labor all of life; played musical instruments; history of mild to moderate hand injury
  • One prior Dupuytren or other hand surgery; one Xiaflex injection

Click-if-describes-you-medium

 

 


 

Large Dupuytren’s treatment plan suggested: 

 

  • DC longer than 24 months
  • DC appears to be rapidly advancing; recently started to develop at a faster rate
  • DC is in two or more family members
  • Two hands involved, one of them severe
  • Moderate to severe knots or lumps on palm; moderate to severe finger cords
  • Moderate to severe reduction of finger range of motion; difficulty flattening palm against table top
  • Under 50 years old, or  over 70 years old
  • Heavy cigarette smoker
  • Generally poor health or complicated medical history
  • History of moderate to severe hand stress – heavy manual labor all of life; heavy and   extensive playing of musical instruments; history of moderate to severe of hand injury
  • One or more prior Dupuytren or other hand surgery; one or more Xiaflex injections
  • Poor surgical results   

 Click-if-describes-you-large

 
You don’t have to follow a DCI plan; you can create your own plan based on the ideas found in the “Worksheet to build or modify a Dupuytren’s contracture disease treatment plan with your doctor”. Some of our visitors decide to use a Large Dupuytren’s treatment plan simply because they want to do as much as possible to help themselves, even when their problem is relatively mild.  How you proceed is based on how much you wish to devote to your recovery and how your doctor wishes you to treat your condition.


 

9 thoughts on “New Customer – how to select your best treatment plan

  1. John Trexler says:

    The small plan most closely fits my history of Dupuytren’s contracture except for a couple things. I am 66 and have had it only in the left hand on the ring finger for maybe 20 years and it is NOT aggressive, has not advanced very noticeably but is annoying. Can’t flatten hand on table unless I force it flat. No prior surgery and no family history. Non smoker and in good health. The other two plans just don’t fit well yet I want to see improvement. What is your suggestion? John

  2. Dr.Herazy says:

    Greetings John,

    Not many people are as fortunate to have such a slow moving case of Dupuytren’s contracture. Because of your unique history with DC I would really appreciate it if you would reply to our 5-minute Dupuytren’s contracture survey on variability. Thanks in advance.

    I always suggest that any treatment plan for DC be as aggressive as you can afford to sustain for at least 3-4 months to see how you will respond; please refer to the expense information for each plan to get an estimate of monthly costs. There is not that much difference between the monthly plan costs from one to the other, once the initial purchase is made.

    Your DC is a stubborn and tenacious problem that has continued for 20 years, don’t you think? For this reason it might take a strong effort to assist your body to remove those deep fibrous tissues. I suggest if you cannot afford the medium or large DCI treatment plan that you consider the small plan expanded with 1-2 additional therapy items to assure success.

    Let me know if you need any help along the way with your Dupuytren’s contracture treatment. TRH

  3. John Trexler says:

    I was surprised by your quick response, but thought I would get an email, glad I checked back on this site and saw this, might have missed it. I will reply to the survey but where do I see it? Is it a survey after getting the product? I will check back here to see about the survey then order the small plan for now and find if I get any results at all. Is there any chance of allergy to any of the supplements?

  4. John Trexler says:

    Thanks Doc, I did the survey, wish I could send a picture of the hand. Glad no allergic reaction because I just recently became sensitive to aspirin after a lifetime of no problem. I’ll order the Small plan for now and see what happens.

  5. Carol Orrell says:

    I see that you highly recommend the Genesen Acutouch pen. I am very interested in it, but I do not see any customer testimonials on the website or am I missing something. I also did a web search and found little. If it is so wonderful if used correctly for 220 conditions, why can I find so little information on results for Dupuytran? Thank you in advance for your response.

  6. Dr. Herazy says:

    Greetings Carol,

    Good question. I do not have a great answer, except that I think it has something to do with the fact that the Genesen Acutouch pens are so integral to the practice of acupuncture and that they originate in South Korea where they are very popular, that they do not receive the exposure or attention they deserve. How much attention or clamor do you observe in this country for acupuncture in general – a 5000 year old healing art that has probably delivered more treatment over history than has medicine? What gets attention in modern society has marketability and profitability for a limited number of people who can benefit by it, and the Genesen pens to do not have much of that. They are just relatively inexpensive little devices that individual doctors or various types use to help patients.

    Another reason they are not as widely accepted in our modern culture is that they deal with those subtle energy forms which are also integral with the practice of acupuncture and the martial arts. Those who have studied and use Chi (qi) in their lives know all about this. Those mysterious groups of people you see practicing Tai Chi in the parks are doing it for a reason; they say it is exercise, but it is more. It is not spoken of to the uninitiated. Accepted and understood in the East, and scoffed in the West.

    When I was in active practice many years ago I was slowly shifting my work over more and more to the Genesen pens than to traditional needles. I had some great results with those strange golden sticks! TRH

  7. Cecile Bengtsson says:

    The small plan seems to fit best. I do have a knot in the palm of my left hand, below the affected finger. I cannot get this finger unbent without using my other hand. I also have trigger finger on the middle finger of my right hand. It came after hand surgery around the thumb and the wrist three years ago. It’s not painful and doesn’t interfere with my activities. The hand surgeon didn’t seem to believe it was related to the surgery.

  8. Dr. Herazy says:

    Greetings Cecile,

    This article about selecting your best Dupuytren’s contracture treatment plan helps many people get treatment started. However, once started, it is the response to treatment that determines how treatment proceeds. While there is some general similarity in most successful treatment plans, each one eventually is modified in some way. The idea is to seek out those dosages and therapies that give the best therapeutic response; people seem to need slightly different combinations and different dosages of therapies for greatest effectiveness.

    You will receive full instructions how to use correctly whatever DCI treatment plan you select. Part of this information discusses how to monitor your hand for improvement in the size, shape, density and degree of mobility of the DC palm lump. This is very important. It is the response of the tissue, or lack of response, that determines how a plan is managed. This determines how dosages or or various therapies are used over time. Some people note improvement of the size, shape, density and mobility of their palm lump early in treatment. They do not need to increase their dosages very much, or to add to their plan. Other people must continue to increase their dosages, or to add to their plans, before seeing improvement of the size, shape, density or mobility of their palm lump. They need to mount a larger and more aggressive treatment before their tissue responds to treatment. The DCI instructions explain all this in detail.

    How Dupuytren’s contracture is successfully treated is not based on what you think you might need to recover. It is based on what your tissue eventually shows you is needed to recover. At this time, we do not know what is needed to assist the healing of Dupuytren’s contracture for each individual. We have a good idea of the wide complexity of the problem, and we have a good idea how to guide that recovery process. We have a good idea how to help a person build the plan their hand shows them they need. This is why we receive 8-10 reports of moderate to marked improvement of DC for every one report of failure. This success is based on the idea of carefully watching how the palm lump and cord size, shape, density and mobility responds to the DCI protocol. We advise modifying and expanding the treatment plan until the palm lump shows signs of reduction and elimination.

    This is why I have advocated for many years that “A person should start treatment with the largest plan they can afford to use for 3-4 months. During this time they should carefully follow the DCI protocol, to determine if they will respond to this form of therapy. Far more people respond favorably, when the plan is used properly, than not.”

    I receive many reports from people like you of Dupuytren’s contracture starting after hand surgery. This suggests there is some causal relationship between the two. Doctors admit that Dupuytren’s contracture can and does start after hand trauma of many kinds. Yet, they but do not admit that hand surgery – no matter how deep and extensive the cutting – is a form of hand trauma. This is an issue that the surgeons will deny as long as they can.

    Good luck, Cecile, and let me know if I can help you in any way as your conservative hand treatment proceeds. TRH

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.