Are the Genesen pens in the large Dupuytren treatment plan model M5.2?

Dear sir, my husband has dupuytren and we found your website. What we are wondering: are the Genesen  pens in the large treatment plan model M5.2? Thank you for your reply in advance.  Kind regards, Sandra Jansen

Greetings Sandra,

Yes, we sell more Genesen pens than anyone on the internet and they are always the latest model, which is currently M5.2.  TRH

Am I missing something in my Dupuytren treatment plan ?

I recently ordered your “medium” pack for dupuytrens, however I only received the DMSO and Vita E for use on my fingers. You say in instructions to use the “copper” first, then vit E, then the dmso. Am I missing something? also, it takes hours to absorb into the skin, and no, I do not taste a “garlic” taste in my mouth after applying. I am 62 and have had dupuytrens for about 10 years. I also play piano and it is causing havoc. no longer can reach octaves.

Bill Green


Greetings Bill,

No, you are not missing anything.  The medium plan does not include the Super CP Serum (copper peptide).  You received everything you ordered.

If you please read the instructions you were given you will see that you do not have to wait more than 7-8 minutes to wipe off the residue after applying the DMSO to your hand.   What is see on the surface of your skin is just the oily residue of the DMSO carrier and gel.  Please read the notes you were given.  

Please contact me if you have further questions.  TRH  

How long does the supply of items in a Dupuytren treatment plan last?

How long does the supply of items in a plan last and does the plan need to be ordered more than once.  I have a finger that is getting contracted and have had surgery on other fingers that had some success but are still somewhat involved and I’ve been told another surgery would probably not help.  I can function well but cannot do piano / guitar playing or clap my hands etc. I have had some Peyronie symptoms which seem to have mostly subsided.  Is there really curative benefit for me with one order of the plan?  Thanks.  DB


Greetings DB,

Each person approaches his Dupuytren treatment plan a little differently, not only in regard to size of treatment plan and overall direction of therapy, but especially in terms of dosage.  Some people take all their Dupuytren therapies in a very conservative way, others take all their Dupuytren therapies in a very aggressive way, while some take 1-2 of their therapies conservatively and a few very aggressively, and unfortunately some do not follow their plans very faithfully and so forget to do what they should do.

Because of this, each bottle and each therapy plan will last for a variable length of time.  In other words, not all people who get a Large Plan use it in the same way or at the same rate.  So, how long individual bottles of any therapy plan will last is a personal and variable issue for which I can only give you approximations based on what I see others doing.

Based on my experience with others who use the large DCI treatment plan the average person re-supplies the DMSO, Unique E oil and Super CP serum closer to every 3 months, while the Factor 400/400 and Maxi-Gamma E, Scar-X, PABA and MSM about every 4-6 weeks, and the systemic enzymes every 4 weeks.  Of course, the most expensive part of the Large Plan – the Genesen pointer pens – never have to be replaced.   My guesstimation is that the average person will spend about $80-110 monthly to replenish the large plan.

Generally, what is said about the Large Plan is also true of the Medium and Small Plans.  Since there is not that much difference between these last two plans except two therapies (Super CP Serum and Quercetin-Bromelain) they cost about the same each month to replenish – about $60-80 monthly.

Most people approach their treatment plans aggressively, taking the limit of their therapy each day dependent on the amount they can tolerate of a particular product.  In other words,  they pretty much take as much as they can comfortably tolerate without creating gastric symptoms.  Others limit themselves to the suggested daily dose as found on a particular bottle label, and thus they will be slower to go through a product, but also get slower and more limited treatment results.  In short, how long it takes you to go through a bottle all depends on what you decide to do.   As a suggestion for your own deliberation about formulating a plan: it is my experience and my observation of other’s success that those who are “heavy hitters” tend to do much better than those who are modest and conservative in their approach.

You will find that there is an abundance of practical information and suggestions to maximize benefit and performance for each product that is sent to you.  I have a “stuffer” for every product that requires explanation and direction.  Many people comment that they are impressed with the follow-through in making sure that each person is given more than enough information in regard to when, when not, how, and how not to use each therapy that is sent to you.

I caution visitors to read between the lines to understand what you mean when you comment about your limited  “success” with Dupuytren’s surgery.  You mention “success” but in the same sentence you say your fingers are still “somewhat involved.”   What you do not mention is how long ago you had this hand surgery.  My guess, based on many years of working with people who have had Dupuytren surgery, is that you had it done just a few years ago, and that you will soon see your hands and fingers once again contracting and becoming limited in use.   People tend to say things like, “Oh, I am really happy I had my hand surgery and it really worked out well, except that one finger is worse than before and there are still many things I cannot do, and I notice that my good finger is now beginning to get flexed.”    People tend to throw around the idea that their surgery was a “success” and then list what is still bad or what has gotten worse.  I think this happens because we do not want to face the fact that all the pain and risk of hand surgery did not do what we wanted it to do, and actually is worsening.

When you say “I can function well but cannot do piano / guitar playing or clap my hands etc.”   I think this gives a confusing message to the readers of this DCI blog.  While I know what you mean, I am concerned that others might not.   When you say you can function well it says one thing, but when you say you cannot play a musical or clap your hands I will assume there are many practical and important daily functions you cannot do as well.  I suspect you have trouble getting dressed, opening doors, washing your face, driving a car,  or going to the bathroom.  These significant limitations are important for the reader to understand about the common outcome of Dupuytren surgery so that they can accurately understand what really happens after hand surgery.  If someone takes you at your word, that you are functioning well after hand surgery, but the reality is that still you cannot many important things after taking the risk of surgery, it will help someone who is considering surgery to evaluate the outcome.   Be aware.

I cannot answer your question about curative benefit the way you have posed it.   You are asking me to predict the future for you.   I do not know if you will faithfully or accurately follow a treatment plan, so I have no way of knowing about your particular outcome of care.  When someone follows a large and aggressive plan as outlined on the DCI website, and asks for help along the way as needed, the outcome is for positive and favorable tissue change in 10-12 cases out of one.  Those are very good odds.  But I cannot say what your particular outcome will be.  You also ask if one order will get results for you.  That I also do not know, but I doubt it.   You must invest time and effort in recovery.  If you are not willing to do that, then you will have to live with the situation you now have.  TRH 

Have you ever used therapeutic laser on Dupuytren contracture?

Have you ever used therapeutic laser on this condition?  Have you had success with laser and do you recommend it? I have access to laser treatment and have used it twice on my bumps (2 on the right palm.)  Thank you.



The great majority of therapies DCI recommends that are used together in a Dupuytren treatment plan have been researched with some degree of positive or favorable outcome.  This is not true of cold laser therapy; it has never been researched directly for treatment of Dupuytren contracture.

In the past I have considered conducting a private research program with volunteer members from DCI to test the efficacy of non-penetrating or cold laser therapy on palm lumps and cords, but have refrained due to cost and logistical issues.    If you are interested in participating in such as study please contact me personally and I will investigate this issue for your benefit.    I would be interested to look into such a laser project since I  have had often thought it might hold promise.   TRH

How can I help the foot tension I have with my Ledderhose disase?

I have nodules in both hands and both feet. I am interested in finding support for working on my feet as the tension in the tendon is increasing.  Any advice or direction is appreciated.

The hand nodules are due to the Dupuytren’s contracture and the foot nodules are due to the Ledderhose disease.  I have worked with many people whose feet problems were reduced as a result of following the DCI treatment strategy.  Many had complete reduction of pain and increased mobility and loss of nodules in the feet while primarily addressing the hand issues.

You would not have foot tension if you did a few things to reduce the density and nodule formation on the bottom of your feet, so your question might not be relevant once you start treatment to assist the process of recovery from your Dupuytren and Ledderhose problems.

If you are concerned about immediate orthopedic support for your feet problem I suggest going to a podiatrist to have an evaluation made of your current situation so that perhaps foot supports (orthotics) can be made for you.  Since these usually cost around $400 or so, you might want to simply start treatment to see how rapidly your feet might improve.   The problem with getting orthotic foot supports made before your start DCI treatment, is that once your feet change – as we hope they do – they will be of little value to you and might delay your recovery by keeping your feet held in the posture they currently present.  

Good luck with your decision about how you will proceed.  TRH