Is the medium size Dupuytren treatment plan good for me?

Hi Dr.

I stay in South Africa I have severe  dupuytren contracture in both hands.  I believe that its also part of my trigger fingers. I had operation in both hands to the ring and middle fingers.  Both my thumbs are starting to click as well.

Will your Plan B work for me and is this products available in South Africa.

I’m a 56 year old white male.




Greetings Barend,

Sorry to hear that your hand problem and trigger fingers continue after having Dupuytren surgery in both hands.  No matter what kind of surgery you have to remove the Dupuytren’s contracture, it will always come back.  Occasionally it will take 8-10 years to come back, but most often the hand contracture will come back in just a few years; sometimes people say they can see and feel it begin to come back in just a few months. 

Trigger fingers are a common part of the Dupuytren problem because of the tissue inflammation that occurs below the surface of the palm.  

What you call Plan B I will assume is the DCI medium plan.  The medium plan is by far the most popular plan and could be effective to restore and support your ability to naturally heal your hand problem.  There is no way to predict ahead of time if and how much you might be able to eliminate the Dupuytren hand contractures.  Like everyone else, you will just have to work at it a few months and see how you respond.   Since you have already had Dupuytren’s surgery it would be beneficial to be aggressive in your care.  

DCI sends orders to South Africa weekly.  I am not aware of any source in your country for these products; that is why so many people order from us.  Please let me know what I can do to help you.  TRH 



Dupuytren Treatment: Changes to Look For

Wondering what to expect at the start of  Dupuytren treatment

This post is in answer to question I am asked from time to time about the progression of natural Dupuytren treatment.  This information should be of interest to anyone who is using Alternative Medicine to reduce and remove the dense fibrous contractures and nodules on the palm of the hand related to Dupuytren contracture.   The general question is asked something like, “When people finally begin to notice some positive changes in their Dupuytren palm lumps how does that change first appear?  Do the palm nodules fall of, or do they just slowly disappear?  What can I expect to happen first?  I want to know what I can expect, although I know we are all different.”

First, it needs to be repeated that one of the things about Dupuytren contracture that makes it difficult to treat – just like Peyronie’s disease – is the variability that this problem presents in terms of how it starts, where it is located, how quickly or slowly it progresses, and how bad it eventually becomes.

Having reminded each reader of this wide range of possibilities, when effective treatment is directed toward the Dupuytren hand contractures the improvement will usually – not always – be felt before it is seen.  Rather than seeing any positive evidence of successful Dupuytren treatment (reduction of the size, shape, thickness, density and degree of adhesion to the underlying palm tissue), the first indictor of reduction of the problem is awareness that the fingers and hand might be moving better – as though the palm contracture is allowing easier and less restricted movement.

Some Dupuytren treatment changes easy to notice, but not all

Looking for evidence of this improvement by attempting to note a smaller, softer, less thick, less adherent nodule is usually a waste of time, unless the changes will be very rapid.  Unfortunately, in spite of our best efforts to measure the palm nodules, our ability to accurately measure size, shape, density and degree of adhesion to the underlying finger and palm tissue of the Dupuytren contracture  is not as good as our “tissue memory” of ease and degrees of joint movement.  Thus, a person is far more inclined to say, “You know I do not see any change in my palm lump, but I think I can feel my fingers and hand is moving better.”

Later, as DCI Alternative Medicine treatment continues with a sufficiently large and aggressively applied Dupuytren treatment, further continuation of improved range of hand and finder movement, only followed later by some small visible changes to the size, shape, density and degree of adhesion to the underlying finger and palm tissue of the Dupuytren contracture.

Once you get your Dupuytren treatment plan fine-tuned and working well for you, most of the time it takes 6-12 months or more for the progress to level off and become as good as it is going to be.  That does not mean that in 6-12 months or so you will be cured or completely well.  It just means you will be as good as you are going to be, in spite of your best effort.

If you have any questions about how to start a Dupuytren treatment plan please contact me at