Can a person get Dupuytrens in the feet?

Hi Dr. Herazy. Can a person get dupuytrens in the feet? I’ve already had surgery on both hands, but I also have 5 or 6 nodules in both feet. Any information would be appreciated.
Thank You.


Although you cannot actually develop Dupuytrens in the feet, I know what you mean.   The answer to your question is that there is indeed a condition of the soles of the feet that resembles Dupuytren’s contracture.  In this foot problem excessive an fibrous tissue reaction occurs with nodule formation.  It resembles the contracted and fibrous tissue of Dupuytren’s contracture, with painful nodules, lumps and contracture formation on the bottom of the feet.  In this sense, Dupuytrens in the feet is called Ledderhose disease.

 You might also enjoy reading the post, Any suggestions for lady with a strong family association with Dupuytren contracture and Ledderhose disease?

I have had people who have treated their Ledderhose disease using the DCI treatment protocol and they have reported success.  You might consider this as an option before having foot surgery.  TRH

Are these several health problems and surgery related to Dupuytren’s contracture?


I was recently diagnosed with Dupuytrens on my right hand, VERY mild.  A year later, I had a pyogenic granuloma on my left second toe. It was removed a month ago. A few weeks after it was removed I noticed a lump on the arch of my foot seemingly attached to the tendon that attaches to my big toe. It does not hurt and is soft and moveable (for now). It is sounding like it may be Ledderhose disease since one in 4 people that have dupuytrens also gets Ledderhose? My right shoulder also suddenly started hurting and my doctor thought it was an injury from exercise but now I am wondering if the pyogenic granuloma, dupuytrens, growth on arch, shoulder pain are all related somehow signifying that something else is going on in my body. Most Doctors tend to treat each separate but I read where dupuytrens may signify some sort of liver or lung problem. I want to cure these things naturally and do NOT want the recommended radiation for the Ledderhose nor do I want to have this foot growth enlarge causing pain when walking. It does not hurt now. Do you know if these are all related or perhaps something else is going on in my body I should convince a doctor to pursue?

Thank you for your help.



Without getting into a lot of the details, pyogenic granulomas are small, red/pink to purple  bumps on the skin that bleed easily due to an abnormally high number of blood vessels they each contain.  The name pyogenic granuloma is misleading for two reasons:  It is not a true granuloma, but it is actually a capillary hemangioma.  And it is not infectious as the pyogenic part of the name would indicate since the origin is typically hormonal or traumatic.  What concerns me about your story is the fact that pyogenic granulomas are almost always found on the top half of the body (75% occur int he mouth) and most often in pregnant woman (they are sometimes called pregnancy granulomas) as well as in children or younger adults.  If this is not the case with you, I strongly suggest that you get a second opinion if there is any other irregularity about your health or extremities in general that arises to give you concern.

Many times I encounter people whose Dupuytren contracture starts after some type of trauma– not only trauma to the hand as you would naturally assume, but to trauma elsewhere in the body.  It is almost as though the trauma (like the trauma of surgery) somehow triggers a latent tendency for excessive fibrosis to occur elsewhere in the body as with Dupuytren’s contracture in the hand or Ledderhose disease in the foot.

Yes, Dupuytrens and Ledderhose often occur together in those who are genetically predisposed.

If you have to convince your doctor to purse a course of action or investigate your problem further, you have the wrong doctor.   Medical doctors by their training and personalities as a group tend to be “team players” and to not think outside of the box. Please.  I am not saying that MDs do not think; I am saying that they think within a narrow and pre-defined range of information that has been approved for them to use.  Anyone who is a medical doctor and prefers or needs to think independently, or to use innovation, will go into research.  Those MDs who are comfortable doing what they are told and following the narrow paradigm of how the AMA, FDA, hospital review boards tell them they MUST practice, will go into practice where they will work like everyone else in their profession. This is why when you go to four different MDs with a problem they will all want to do the same tests and they will want to know what the other MDs said about the problem, and will come to pretty much the same conclusion.  Organized medicine does not want and cannot afford to have MDs going out on their own and experimenting with patients; they must interpret test results as they are told to do by their peers and regulators; they must use drugs only as they are allowed and told to do; they must not operate in new and novel ways.  To put it another way, an MD will get into trouble if he or she does independent thinking and digs too deeply into the practice of medicine and the healing arts beyond what is given to him or her as the standards of practice.  This is why some MDs get so frustrated and discouraged with the practice of medicine; this is why a few will either eventually quit or go radical by engaging in “holistic health care” in which they declare themselves independent and rather radical in their approach to healthcare.    

Ask your average MD,Do you know if these different things – Dupuytren’s contracture, pyogenic granuloma, surgical removal of pyogenic granuloma, Ledderhose disease are all related or perhaps is there something else is going on in my body”?   By his or her education, training and personality characteristics he or she will not do much if any independent thinking, but will only say something like,  “I have not read anything like that.  And the research says that it is not possible.  So therefore I do not have any information for you about that.”  MDs work with information that has been given to them by others.  If an idea is not an approved idea they are not comfortable with it, and they are safest not using it and actually ridiculing it. This is the only safe answer that the average MD can use to practice medicine because they all know that if they think or act independently they can get into trouble. Heck, they have hospital committees watching what they do, how they test, how they diagnose, how they prescribe, how they operate, and what kind of results they get.  If they practice outside the standards of medicine they have a whole lotta explaining to do.  No one wants trouble,eh?

Since I am not an MD, but a retired Chiropractic Physician, who has thought independently all of my professional life, I will say that my experience says there is something to what you have observed.  It suggests to me a weakness or irregularity of the immune response perhaps related to a systemic allergic reaction.  My recommendation is that if you see larger health issues at play in your life that you should seek out a local holistic MD who will look at you with a different set of eyes and ears than the garden variety MD possesses.

In the meantime I also suggest that you read a bit more from the DCI website about the use of Alternative Medicine to support and enhance your natural ability to reverse the soft tissue changes of Dupuytren’s contracture.  Many people have slowed down, or reduced, or even eliminated their Dupuytrens this way when it is done as described here using an aggressive and faithful treatment approach of several months care.

Please let me know if I can do anything more to assist you.  TRH

Does Dupuytren’s contracture occur in feet?

Does Dupuytrens occur in feet, are they not
the same as hands. I have painful feet too like
my hands. Thanks.



If you already know you have Dupuytren’s contracture in your hands, it is possible to have a similar problem of fibrosis in the feet also.  When the problem of tissue fibrosis occurs in the hands it is called Dupuytren’s contracture.  When tissue fibrosis occurs in the feet it is called Ledderhose disease.  Both conditions can be painful. 


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    

Does this sound like Dupuytrens and Ledderhose?

hi.  i think that i have dupuytrens. twice in the last six months my pinky and ring finger was bent when i woke i have nodule on pinky. otherwise apart from pins and needles in my hands and feet and going very red i have no other problems. does this sound like dupuytrens and ledderhose?  regards, sharon

Greetings Sharon,

I am not clear on the details you write about here.  You make it sound as though on two separate occasions you woke with your ring (4th) and little (5th) fingers bent and a nodule on the little finger; you email also gives the impression you do not now have bent fingers or a nodule anywhere.   It is not likely that if you had Dupuytren’s contracture that it would go away twice on its own without treatment.  For this reason your situation does not sound like you have Dupuytren’s disease.  

If I did not read your email correctly, and the finger flexion and nodule formation have been constant for the last six months, then your situation could more likely be Dupuytren’s disease.

However, to know for sure if you do or do not have this hand problem you really should be examined by a skilled orthopedist or hand specialist for a definite diagnosis. 

You also mention pins and needles sensations, and redness, in your hands and feet.   Neither of these are commonly associated with a Dupuytren or Ledderhose problem, but it might be possible under certain circumstances.  In summary, get yourself checked out so you know for sure what is going on, OK?  TRH