Dupuytren’s nodule

Dupuytren’s nodule self-treatment

>> Testimonials from Dupuytren Contracture Institute

Dupuytren’s nodule is the first sign of Dupuytren’s disease.  One or more small lumps on the palm appear near the base of one or more fingers.  A Dupuytren’s nodule forms when excess collagen and fibrin collects under the skin of the palm. The surface becomes distorted and puckered by the underlying excess collagen.The Dupuytren’s nodule is the first sign of Dupuytren’s disease.  Usually, at the start of the problem, one or more small lumps on the palm appear near the base of one or more fingers. The Dupuytren’s nodule forms on the surface when excess collagen and fibrin collects under the skin of the palm. The surface becomes distorted and puckered by the underlying excess collagen.

While the tiny palm lump on the surface gets people’s attention, what happens below the surface of the skin is far more important. The excess collagen and fibrin cause the normally flexible supporting tissue of the palm to thicken, expand and tighten. This process can also create little dimples and creases, as well. The palm lump creates a thick cord as it matures. This cord attaches itself to the finger. Eventually, the cord contracts or shrinks, pulling the finger down and keeps it in a bent position. At this point, Dupuytren’s disease becomes Dupuytren’s contracture.

Most everything about the Dupuytren’s nodule is variable.  Even the size and shape of Dupuytren’s palm nodules are variable. They range in size from a dime to a quarter, although they can be smaller and larger than this.

Eliminate the Dupuytren’s nodule with safe natural treatment

Great news!  It is important for anyone with Dupuytren to understand that Dupuytren can self-heal.  The body self-heals an unknown percent of early Dupuytren disease, and even reduces later, larger palm nodules and cords of Dupuytren’s contracture.

Surgery is not always necessary to eliminate the Dupuytren’s nodule.  Since 2002 the Dupuytren Contracture Institute has helped people who struggle with an expanding and tightening lump on the palm. Those who closely follow the DCI treatment strategy early can do rather well.  We hear from 8-10 people who use our large treatment plan reporting they see moderate to marked reduction of their signs and symptoms of Dupuytren, for every one report of failure.

We find that the larger the treatment plan, and the closer a person follows DCI treatment suggestions, the better the Dupuytren self-heals. For information about DCI treatment plans.

Hand surgery is always an option. However, it makes sense to first attempt non-surgical treatment and therefore possibly avoid the inherent risks of surgery.

How do use natural therapy for Dupuytren’s disease?
► It’s easy.  Click on Start Dupuytren’s Treatment

Take the Dupuytren’s nodule seriously

There is no way to know how large or small a Dupuytren’s problem will eventually become in the early stage of Dupuytren palm nodule development.  Yes, some palm lumps develop slowly, staying small for a decade or more.  And some palm lumps grow into several fingers to make life miserable and a struggle to perform basic activities. Yet, the medical literature says that 30%-40% eventually need palm surgery. Therefore, the best strategy is to take all Dupuytren’s nodules seriously.

DCI talks to many people about their Dupuytren’s disease.  A common attitude is, “My little palm lump has been with me for a long time. It really doesn’t bother me. If it becomes a big problem later, my doctor said I can just have it cut out. So, what’s the big deal?”  The big deal is that DC hand surgery sometimes has small and large complications due to the tendency to make too much collagen when stimulated.  This causes the surgery to heal in unexpected ways with unexpected consequences, regardless of the skill or intention of the surgeon.

That is like saying, “My doctor said if the little grease fire in my kitchen gets any bigger later, I can always call the fire department to put it out.” Why would anyone take that risk? Why wouldn’t you take care of a small problem while it is small, and easier to handle?

It is silly to wait for a Dupuytren’s nodule to get worse.  Allowing the palm nodule to worsen is a lost opportunity to try to heal it naturally. That lost time only benefits the hand surgeon. For the patient, it is best to be conservative.  Take care of a small problem while it is still small and easier to self-treat.

Dupuytren’s hand surgery has unique risks

The big deal about hand surgery for Dupuytren’s contracture is important to understand. The trauma of hand surgery can act as a trigger or stimulus for even more collagen production in the hand. This is called Dupuytren recurrence when the Dupuytren nodule or cord comes back after being surgically removed.  As a result, hand surgery for DC is riskier, and has more complex reactions than having other kinds of hand surgery.  Recurrence happens because it is the nature of Dupuytren’s contracture to make too much collagen. This explains why so many people have 2-3-4 hand surgeries before they eventually refuse to have more.

What are the odds of little Dupuytren’s disease palm lumps becoming a surgical problem?   Fairly high.  Most authors say 30%-40% Dupuytren’s nodules undergo surgery. This does not necessarily have to happen, however. There is a lot a person can do to reverse or slow down Dupuytren’s disease. Do all that you can to improve your ability to self-heal or reverse the collection of excess collagen of your palm nodules.  DCI can show you how.

Major or minor hand problem

For some, Dupuytren’s disease can remain a minor inconvenience for a long time.  While for others it quickly becomes a major problem when the hand does not fully open.  Simple daily activities become difficult, or impossible, to do. Tasks that are an important part of daily life become burdensome, and eventually impossible:

  • Wash the hands and face
  • Operate a cell phone or computer
  • Use a knife and fork while eating
  • Get something out of your pocket
  • Turn a doorknob to open a door
  • Use the bathroom
  • Brush your teeth
  • Button clothing
  • Wear gloves
  • Drive a car

How much the Dupuytren’s palm nodule complicates life depends on many factors in a person’s history.  The more that are present, the stronger the likelihood of rapid and aggressive Dupuytren’s contracture occurring:

  • Members of immediate family have DC
  • DC begins early (under 50 years of age)
  • Presence of liver disease
  • History of diabetes
  • Presence of Garrod’s knuckle pads
  • Long history of manual labor

Final thoughts about the Dupuytren’s nodule

Don’t be fooled by a slow start of the Dupuytren’s nodule.  While it might seem like a minor inconvenience and curiosity, 30-40% eventually make a person’s life so complicated and frustrating that they have surgery to straighten the finger.  Only then do they learn that the Dupuytren nodule can return or recur after hand surgery.

Take advantage of the fact that that Dupuytren’s nodules self-heal.  DCI has worked since 2002 to help people do a better job of healing their Dupuytren’s nodule.  We believe it is smart to use the time your doctor says to wait for the palm lump to get worse, to help your body self-heal.

How do use natural therapy for Dupuytren’s disease?
► It’s easy.  Click on Start Dupuytren’s Treatment

 

Dupuytren’s Contracture Self-Help

How to do Dupuytren’s contracture home treatment  

Dupuytren’s contracture self-help: 5 easy steps  

This website is all about Dupuytren’s contracture self-help.  Meaning, DCI helps people use do-it-yourself natural treatment strategies specifically for Dupuytren’s contracture.  However, the difference with DCI self-care is that you are not alone.  You will not have to guess about your Dupuytren’s contracture self-help.  Everything you need – all therapy products and information about them – is together, all in one place.  You will know what to do, when to do it, and how much to use.  That being the case, let DCI be your source for home treatment for Dupuytren’s contracture.

Since 2004, DCI has worked with 1000s of people doing Dupuytren’s contracture self-care.  We average 8-10 reports of moderate to marked success with Dupuytren’s contracture natural treatment, for every one report of failure – when doing Dupuytren’s contracture self-help as we suggest.

Using natural remedies for Dupuytren’s contracture self-directed treatment appeals to people.  Very often, however, they do not know how or where to begin.  They are not sure which, or how many, vitamins, mineral and enzymes to use.  DCI has all this figured out for you.  There is no guessing with the DCI method.  Best of all, each treatment plan comes with complete detailed information for the best results possible.

DCI Dupuytren’s self-care in a nutshell

Dupuytren's contracture self-help treatment in a nutshell is easy. Basically, the central idea of the DCI method is to “gang up” on the fibrous palm lump. Attack the problem from several different directions – with different kinds of therapies – at the same time.  This combines nutrients (coenzyme Q10, vitamin E, l-arginine etc.) for soft tissue healing, fibrin-eating enzymes, plus stretching, ultrasound, DMSO, etc.  Whatever medical science says helps heal Dupuytren’s contracture, we include in the mix.   No one else does Dupuytren’s contracture self-help like DCI.

There are no short cuts

The key to DCI home treatment for Dupuytren’s contracture is simple.  If you want the best results possible for your DC, do all five steps.

Remember, natural vitamins, minerals and enzymes are not forceful and dangerous drugs.  By comparison, these therapies are gentle.  They cannot make your body do anything.  Instead, they allow your body to work better by supplying those nutrients needed for thousands of healthful chemical reactions in the body.  This generous supply of various nutrients supports and encourages a stalled or slow DC healing process to work better.

Small, occasional or brief Dupuytren’s contracture self-help treatment will not get the job done.  Natural treatment works best when done as aggressively as possible.  Do not limit Dupuytren’s contracture home care to only what is convenient, easy or appeals to you.  Do all five steps, and do them faithfully and well.

5-steps for Dupuytren’s contracture self-help

  1. Get started – Select a plan                                                                                                       

HOW TO SELECT YOUR BEST SELF HELP TREATMENT PLAN

First, decide how you want to treat your problem.  This often comes down to deciding how much time, money and effort to devote to your recovery.  In addition, you should listen to your doctor’s opinion how to do home treatment for Dupuytren’s contracture.

Most people use one of the three DCI treatment plans – small, medium or large.  By far, the large treatment plan is the most popular.   A small percent of customers design their own unique plans.  Of these, they often add to or subtract from an existing plan to suit their needs.

Dupuytren’s contracture is a tough problem to treat.  Even small and early DC problems can be very stubborn and slow to respond.  In these cases, the large plan offers a great advantage based on the diversity of therapies, and earns faster results.  This can save time, money and effort in the long run.

Of course, there are reasons a person would want to use as few therapies as possible – cost being the most obvious.  A good strategy to reduce cost is to shorten treatment time and avoid hand surgery, by getting better results.  Repeatedly, we see good treatment results come to those who work hand and use a diverse and balanced mix of internal and external therapies.

See what you can accomplish first with conservative self-help treatment.  Do as much as you can, and be as aggressive as possible, for at least 3-4 months to give your hand enough time to respond.

For a great starting point to a select treatment plan.    HOW TO SELECT A SELF HELP TREATMENT PLAN

  1. Internal therapies

Taking MSM, nattokinase, PABA, acetyl-L-carnitine, etc., is a guarantee of taking everything the hand needs to eliminate the Dupuytren’s contracture lump and cord.   The broader and more diverse the internal therapies that are used, the better the results tend to be.

Science says these particular supplements found on the DCI website are involved in the Dupuytren’s contracture healing process.  They supply a wide variety of nutrients for the large and complex biological process of healing the DC palm lump and finger cord.  Give your tissue all the nutrients it needs.  Prepare your body to heal DC to the best of its ability.

Link – All Internal Therapies used in a Dupuytren’s contracture home treatment plan.

  1. External therapies

This refers to another layer of DC treatment applied directly to the palm, from the outside.  External therapies focus an entirely different kind of treatment directly to fibrous DC tissue.

DCI suggests using one or more external therapies:

  1. DMSO trio – Each is applied on top of the palm lump and finger cord to soften the thick fibrous tissue. Consists of:
  • DMSO – from the laboratory of Stanley Jacobs, MD, pioneer of DCSO research
  • Super CP Serum – Copper peptide
  • Vitamin E oil – high A. C. Grace quality as found in capsules
  1. Ultrasound – the non-drug treatment of choice for many soft tissue problems. Detailed instructions, easy to understand, come with each unit.

DCI offers a lightweight, portable, affordable 3 MHz ultrasound instrument.  It is popular for several reasons:

  • Good reports of effectiveness from users
  • No pain; comfortable to apply
  • Safe, no side effects
  • Do at home, anytime and day
  • Applied directly to the problem tissue
  • Easy to apply
  • Economical
  1. Moist heat – to increase circulation and soft fibrous tissue. Saturate a large towel with hot water and wring it out, or a moisture-proof heating pad applied to the hand.

Link – All External Therapies used in a Dupuytren’s contracture self-help plan

  1. Diet

This has nothing to do with losing weight. Keep it simple.  Avoid those foods that give you digestive trouble.  Keep your digestive tract happy. This will improve absorption of necessary nutrients for better health and healing.

  1. Avoid specific foods that bother you.  Examples:
  • Onions
  • Hot, spicy foods
  • Pizza
  • Alcohol
  • Sea food
  • Pickles
  • Nuts, etc.
  1. Avoid general or broad food categories that bother you.  Examples:
  • Gluten
  • MSG
  • Dairy
  • Caffeine
  • Sulfites
  • Lactose
  • Amines, etc.
  1. Stretching

Gently and frequently, stretch the tight palm tissues.  Think of it as gently coaxing the lump and cord to relax and lengthen.   Sneak up on it.

Link – Detailed information about gentle palm stretching for Dupuytren’s contracture.

Understanding Dupuytren’s contracture home treatment    

Dupuytren's contracture self-help strategies must be done faithfully and aggressively. What the medical profession says about using nutrition for Dupuytren’s contracture self-help comes from their drug research.

All standard medical research for nutrients is the same.  They test a single nutrient (MSM, PABA or vitamin E, etc.) as a solo or stand-alone therapy.  This is the same way they test powerful drugs.  Naturally, any nutrient tested this way fails, or does poorly.  Yet, they report it is a failure of the nutrient, when it is really their failure to understand the difference between how vitamins and drugs work.

For example, to evaluate the effectiveness of vitamin E against Dupuytren’s contracture, they test two large groups of people with DC.  One group receives vitamin E, or more likely a synthetic vitamin E.  The other group receives a sugar pill – a placebo.  Neither group knows if they are taking the vitamin E or the placebo.  At the end of the research, the hands of both groups are evaluated for changes. The purpose of doing it this way is to see what effect vitamin E – and only vitamin E – has on Dupuytren’s contracture.

Such research is faulty because nutrients exist and work in combinations with other nutrients.  No nutrient exists or operates alone anywhere in nature.   You cannot find a drop of pure vitamin E by itself in nature.  It does not happen that way.  All nutrients exist in large combinations because they work together in combinations.  Yet, medical research tests vitamins in isolation, each by itself.  One type or category of vitamin does not heal Dupuytren’s contracture.  A large group of vitamins, minerals and enzymes do.  Yet, all vitamins testing is done like this.  It does not make sense.

Medical opinion about Dupuytren’s contracture self-help   

A person cannot get information about natural Dupuytren’s contracture self-help in the average medical office.

MDs are experts who specialize in drugs and surgery.  However, they do not study nutrition.  Instead, they study chemistry as it relates to drugs. Thus, only a rare MD knows much about nutrition or natural healing.  If you ask your local MD about nutrition for Dupy, most likely you will be told, “Well, I guess you could try some vitamin E,” and not much more than that.  The average MD uses vitamin E like it is a drug.  Meaning, they use vitamin E all by itself.  As a solo therapy.it is expected to make a magical difference for a complex and difficult problem.  They use all nutrients this way.  That is why they get poor results with them, guaranteed.

For this reason, the average MD firmly believes that only drugs and surgery could possibly help Dupuytren’s contracture.   They believe that Dupuytren’s contracture home treatment is a waste of time.  Still, they deny the shortcomings of Dupuytren’s contracture drug treatment and hand surgery.

Currently, the only way to do natural Dupuytren’s contracture treatment is to do it yourself.  Many things in life are like this.  If you want something, sometimes you just have to do it yourself.   Good luck with your Dupuytren’s contracture self-help treatment.

For information about Peyronie’s disease.

 

My 25 year-old son has Dupuytren’s contracture. What treatment would you recommend?

Hi Dr. Herazy,
I came across your website while searching for more information on Dupuytren Contracture. My son had intricate surgery on his finger in June and recently noticed a small lump on the palm of his hand. It’s not painful, but the doctor said it looked like Dupuytren Disease. He is only 25 years old and I am very concerned about the future. Have you seen this before in someone his age and can he stop the progression of this disease with your products? What treatment would you recommend for someone his age? There also may be a predisposition to this as I have a painful lump on the bottom of my foot that I will be checking out with a doctor. Thank you very much.
PG

 

Greetings PG,

You are a good parent.  Once a parent, always a parent.  My youngest one of three is soon to be 38, so I know how this goes.

My guess is that you have a genetic predisposition to this excessive fibrous tissue response that your son has inherited from you.  This is made even more so if both you and your husband/wife are also genetically predisposed with families coming from Northern Europe or Scandinavia.  If this is true it would explain why some one who is so young has developed this problem.  Perhaps your son has unknowingly made himself susceptible with other factors that increase the odds for Dupuytrens:  diabetes, cigarette smoking, alcoholism, and prolonged hand stress  like with manual labor.  I also notice that many serious musicians who play piano or guitar seem to develop DC more than the average population.  Any of these might explain this problem developing so early in his life. 

I have seen this before in people in their mid-20s and it is usually accompanied by factors as I have explored above.

I would recommend the largest and most aggressive treatment he can sustain for at least 3-4 months of faithful and diligent work.   If this problem is to respond at all to Alternative Medicine methods the treatment approach must be significant to make an impact on his condition.  Please read Can I treat Dupuytren’s contracture naturally without surgery or drugs?       Dupuytrens is a tough problem.  Half efforts are usually a waste of time.  Allow me to explain why I think someone such as your son should be extremely interested – far more than most all other people – in avoiding surgery and getting natural conservative treatment to increase his ability to eliminate his hand nodule.  

Hand surgery for Dupuytren’s contracture is not a cure; any good surgeon will tell you that needle aponeurotomy, palmar fasciectomy or Xiaflex injection are just a temporary measure; the Dupuytren’s contracture problem will always recur – it is a matter of when the recurrence will develop, not if.  When someone in his 60s or 70s develops DC and has surgery, the Dupuytren recurrence factor is not as important because frankly at that age this person might not live long enough to develop the recurrence and have it evolve over a few years to the point that a second surgery is important to them.  Many elderly people get their first DC surgery and just ride out the effects of the recurrence as they try to ignore a growing hand problem.  But with a 25 year old person all of this strategy is changed.

A young person has a lifetime to not only develop one recurrence of Dupuytren contracture, but several or many.   Some people can have a recurrence in just just 2-3-4 years and a few have recurrence in a year or less.  With each surgery recurrence usually is made to come more quickly; with each hand surgery the rate of recurrence increases.  It is as though the irritation and instability created by the surgery speeds up the recurrence phenomenon.    Many times after a few surgeries are done it does happen that eventually amputation is the only viable option that remains. 

With someone in his mid-20s this can be a great problem, since there are so many wonderful years that lay ahead.   For this reason it is my opinion your son should do absolutely everything possible to avoid entering upon this slippery slope.  I suggest that your son start as soon as possible to see if he can increase his natural ability to remove this foreign fibrous palm lump.  As with anything in healthcare (like Dupuytren’s hand surgery) there are no guarantees this will work, but when you consider the fact that his approach is without side effects, that in almost 11 years we have not had one report of recurrence after successful treatment, and that surgery can also be used at a later time if  necessary.

I suggest he does some reading on the DCI site to learn how this approach is done.  Let me know if you have any questions.  TRH

Is my hand problem a cyst or Dupuytren contracture?

dear dr. herazy, 

my name is mark c, and  i have a question concerning my hands.  on my left hand, immediately under my ring finger, it look’s like i have a cyst! very hard to open my hand fully. in the middle of the hand i see something like a tendon sticking out and it appears to be  connected to the cyst. i also have a little one starting on my left hand. i can’t fully extend my left hand flat out because of the cyst.  i have heard there are alternative procedures for my ailment, like cortisone shots, etc. i do not know if i have a cyst or dupuytrens.

thank you for your time,

 mark c.

 

Greetings Mark C,

Thank you for writing to ask about the problem with your hand.

Based on the way you describe your hand problem, and the fact that you did not say so, I will assume that you have not seen a doctor at this time for the problem you are having with your hand.  This is a mistake.  You should see a doctor in your area about your hand so you will know exactly what the problem is that is causing your complaints.

Further, since you are having a problem of a mass located near the base of your ring finger and trouble flattening your hand and cannot open your hand fully, along with the appearance of what looks like a tendon connected to the palm lump, your description does make it sound like you have Dupuytren’s contracture.   

If it turns out that you do have Dupuytren’s contracture it would be helpful to determine if you can increase the ability of your body to remove the dense fibrous tissue that is developing in both of your hands by using Alternative Medicine methods as are outlined on the DCI website.  Many people find improvement after aggressively following a plan of treatment for a few months of self-administered care.   If after this time you do not see improvement in your problem then you can always consult with a surgeon to discuss hand surgery, although Dupuytren surgery is always eventually followed by recurrence of the same problem – usually within a few years.

Once you know the exact cause of the problem you will know how to proceed.    TRH

What do you suggest for a palm bump that might not be Dupuytren’s contracture?

Hi Dr. Herazy,

I am a 46 yr old white female who has had this hand problem for @10 yrs . My left hand (palm) has a large bump then right underneath that a section of straight bone-like section, about 2 yrs ago I developed a knuckle pad which is the same finger extending to the palm area. This pad can be moved but is painful at times very and swells larger some days.  My grandfather (on my moms side ) had dupys and my dad has dupys.  I went to an orthopedic  surgeon about the knuckle because of the pain and he said it was a ganglion cyst and wanted to drain it, now that I’ve read this I don’t believe that diagnosis.  This cause me pain the palm does not.  I am a Medical technologist for over 20 yrs doing a lot of repetitive hand movements which are now becoming more difficult, what do you suggest? 

Thank you,

Martha Burke

 

Greetings Martha,

It is certainly possible for someone with a family history of Dupuytren’s contracture to develop a hand cyst of some type.  As you describe your palm lump problem you do not create a clear impression that you have Dupuytrens contracture.  You do not mention inability to extend your involved finger, and you do mention the variable size of the swelling on your palm that changes from day to day; these factors are not like DC.

Since your orthopedist already gave you a diagnosis of a ganglion cyst, and you do not agree with that diagnosis, I suggest you do to someone you have respect for and ask for an examination and diagnosis.  This way you will have no doubt what you are dealing with.  TRH