How can I make Dupuytren treatment plan better?

Hi Doctor,

After 5-1/2 weeks following a variation of your medium Dupuytren treatment plan I notice that my fingers are more flexible and I can flatten my hand down on the table about 3/4 of an inch more than I could for the last 4 years.

I am taking
Integral E 400/400 – 2/day with meals
Maxi-Gamma E – 1/day with meals
MSM – 6/day between meals
Quercetin-bromelain – 4/day between meals
PABA – 6/day with meals
Scar-X – 2/day between meals
Neprinol – 6/day between meals Acetyl-L-carnitine – 2/day with meals
Fibrozym – 4/day between meals

Almost six years ago I had hand surgery and it was the biggest mistake of my life. I had a beautiful recovery with no problems, my incisions healed in record time, I flew through PT without a problem. All that time I kept asking my doctor and my therapist why I lost feeling in my fingers, and they kept telling me my feeling would come back real soon, but it never did. On top of that, my palm lumps came back in about 11 months worse than before, and I can predict the weather because of the hand pain I have now that I did not have before.

After having the Dupuytren surgery my doctor said would take care of my hand, I have a worse case of Dupuytrens, and a bunch of new problems.

Your treatment ideas are the first ray of hope I have had in almost six years, but I want to do better. I want to thank you for this website, and I want to ask your opinion how I can make my treatment plan better?

HCF – Ohio

Greetings HCF from Ohio,

It makes me feel so good to know you have finally gotten some help with your Dupuytren contracture, especially after such a bad result from your hand surgery.   Your kind of poor results with nerve damage causing numbness and pain is a lot more common than you would imagine.

Most people have recurrence of their Dupuytren nodules and cords after surgery and some as quickly as within the year after their operation, just as you experienced.  This is the way that Dupuytrens commonly reacts – it comes back even when you think it was all completely removed after having surgery to correct the problem.  But the real kicker is that so few surgeons tell their patients about Dupuytren contracture recurrence after surgery ahead of time, and then they act like it is something unusual and strange about the patient when it returns.  The reality is that surgeons do not like to tell patients ahead of time that the Dupuytren nodules and cords will only return in a few years because of fear the patient would back out of surgery and the doctor would lose income.   And they also do not tell their patients that when the Dupuytrens returns it will probably be worse than the first or original problem.

Anyway, congratulations about making such nice headway with your problem, and congratulations on having such high hopes and optimism that you can continue to recover use of your hand.  That really is great and I applaud you.

What is wrong with your current plan – as effective as it might be for you – is that it consists only of internal therapies (vitamin E, MSM, acetyl-L-carnitine, etc.). What I mean is that you are only popping a lot of vitamin pills, and you should be doing some other external therapies to balance and broaden your treatment approach. While it is always a good idea to use as many  internal therapies as you think are needed and appropriate for your case, these system-wide internal therapies will work better when used with external therapies.

External therapies that can be used for Dupuytren contracture are:

  1. Dusa Sal DMSO
  2. Super CP Serum
  3. Unique-E Vitamin E Oil
  4. Genesen acupuncture therapy
  5. Moist heat application

Since you are doing well with your current plan, please do not become overconfident that it is able to sustain a complete recovery.  And do not make the mistake of just swallowing a lot of pills, and thinking you are doing a good job of treating your Dupuytren contracture.  Good treatment is a balance of internal and external therapies.

Please consider adding in a few of these external therapies and I suspect you will see a further surge of improvement in your hand situation.

Please let me know if I can help you as you go through your therapy.  TRH