Is this lump in my palm anything to worry about?

Lump on palm of hand should be investigated

As a general rule, anytime you discover something new happening to your body you should be concerned enough to quickly determine if the new situation has important short- and long-term consequences.   In the case of a bump, nodule or lump on the palm of the hand that appears without reason, it could be important and should not be dismissed.

Of course, the first explanation for a palm lump or nodule is that it could be a simple callus.  If a callus makes sense based on new or greater manual work you have been doing recently, especially without the protection of gloves, then that is probably all the concern that is necessary.

However, if you have not been using your hands more than usual lately, then you should do a quick mental inventory of any other recent symptoms you have noted about your hand:

  • Can’t extend or straighten one or more fingers
  • Can’t open hand completely
  • Can’t lay palm flat down on a table top
  • Fingers won’t open up after being used
  • Fingers won’t straighten
  • Fingers are restricted in full movement
  • Fingers curling in toward palm
  • Pinky finger or ring finger won’t extend fully
  • Lump, bump or nodule on the palm of the hand
  • Can’t open hands without pain
  • Stinging or burning pain in hand
  • Feels like a swollen tendon in the palm of hand
  • Feels like hand constricting and won’t open easily

If you note one or more symptoms that reduce your ability to use your hand and fingers, then you could have a fairly common condition known as Dupuytren contracture.

Lump in palm of hand common Dupuytren contracture finding

Dupuytren contracture is a problem of the soft tissue characterized by thickening and shortening of fibrous bands located in the deep tissue of the palm of the hand (palmar fascia), caused by an excess amount of a tissue protein called collagen.  As this progresses a cord of tissue will develop below the surface or a lump in the palm on the surface, resulting in reduced mobility and contracture of the hand and finger.  This involvement can affect one or both hands, and a variable number of fingers.  Dupuytren contracture presents in a wide variation, from a mild and slowly progressing contracture of a single finger, to severe and rapidly progressive involvement of several fingers of both hands, or many variations in between.

Alternative medicine treatment when combined into an aggressive assembly of natural therapies (vitamin E, PABA, acetyl-L-carnitine, massage, stretching, copper peptides, systemic enzymes, etc.) are often effective in reducing or eliminating the excess collagen cord or nodule formation and the subsequent finger contracture that so often prevents the 4th and 5th finger from being able to extend or open fully and keeps the involved fingers curled in toward the palm.   For information about using natural treatment methods to treat Dupuytren’s contracture, and to possibly avoid the need for Dupuytren release surgery, click natural Dupuytren Treatment Plan.

One or more dimpled and thickened bumps on the palm are most often caused by Dupuytren’s contracture.  This is especially true for any unusual small nodule or lump on the hand that appears on the palm at the base of the 4th (ring) or 5th (pinky) fingers, especially if the involved finger or fingers won’t completely straighten out.  Although it is always advisable to get a medical diagnosis of this kind of health problem, it is possible to develop a strong suspicion the problem is Dupuytren disease if several indicators and factors are present in your history:

  • Ancestors who came from England, Ireland, Scotland, Wales, or a Scandinavian country
  • One or more family members also have Dupuytren contracture
  • Palm lump located immediately at the base of the ring and/or pinky finger
  • Age 45 plus
  • Male
  • History of manual labor doing heavy or repetitive work, often with hands unprotected
  • History of tobacco smoking
  • Diabetes
  • Alcohol abuse or liver disease
  • Epilepsy

Dupuytren contracture will often return or recur within a few years after surgery that releases the finger contracture by removing the cords or lumps on the palm.  In fact, some forms of Dupuytren surgery have am 80% recurrence rate 3-5 years after the first operation, and even faster recurrence for a 2nd or 3rd surgery.  Hand surgery should not be seen as a solution or cure for Dupuytren’s contracture since recurrence is such a common problem not only for hand surgeons, but also the patients they serve.

Many surgeons voice the opinion that in many cases Dupuytren hand surgery seems to accelerate and worsen the development of cords and lumps on the palm.  For this reason it is suggested that a person who has Dupuytren cords and lumps should first attempt a therapeutic trial of aggressive Alternative Medicine to determine if the body is capable of reversing or even eliminating the tissue changes that makes the fingers curl in toward the palm and prevents the hand from opening completely. If after two or three months of natural treatment no change is seen, Dupuytren surgery can always be done at a later time.

Natural alternative therapies such as suggested by the Dupuytren Contracture Institute do not receive evidence-based research because of their limited profit potential and easy access by laypeople, and so have little support from the medical profession.  Even so, with a little independent research on this website it should be obvious that these natural healing ideas make sense and do not interfere with subsequent medical treatment.


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

Dupuytren Contracture Treatment: Winning or Losing

Dupuytren contracture treatment and making a decision

Anything you decide to do for your Dupuytren contracture – even if that decision is to do nothing – is a choice and a calculated gamble.

The opinion of the Dupuytren Contracture Institute is that it is smart to use the best of what is known and available while the truth about Dupuytren treatment is still being debated.  If what you do to treat your hand contracture makes a difference to your palm lumps and finger contractures, look what you gained.  If your effort does not help your hand, you did not harm yourself and chances are the different various therapies were an improvement of your usual nutritional intake and benefited your overall health and well-being.

This website offers a base of information for you to create a personal treatment plan with reasonable possibility to improve your opportunity for success, based on the synergy created when using multiple therapies.  This is a safe option for Dupuytren treatment since none of these therapies are inherently dangerous. With so many simple, safe and sensible things that often work, even though none of them have full scientific proof and acceptance, you have a reasonable chance to increase your tissue’s ability to heal and repair the contracted and puckered tissue on the palm of your hand.  Even if these therapies do not help, there is only remote chance any of them could do harm. This is not true of medical therapies.  DCI uses therapies that are refinements of substances normally and naturally found in your tissues – vitamins, minerals, enzymes, and amino acids.  None of the therapies we propose are foreign or invasive in nature.

Natural Dupuytren treatment all about increasing ability to self-heal

f you are successful in supporting your immune response and your tissue responds by reducing your dense and constricted tissue, you win.  If you are not successful in supporting your health sufficiently or early enough to adequately make the changes or improvement in your Dupuytren contracture as you hoped, you don’t lose. There are no known side-effects to the elements of this treatment plan, and you improved your eating habits, improved your nutrition input, exercised your hand muscles a bit more than usual, probably removed some plaque from your arterial walls, probably lowered your blood pressure, probably noticed that your blood circulation was improved and your hands and feet are not cold as they were before, and probably witnessed general improvement in your overall health – so you don’t lose.

If after following an aggressive and scientifically based Alternative Medicine program of care for the lump on the palm of your hand do not respond, as can certainly happen, then Dupuytren hand surgery can still be used.  The DCI Alternative medicine approach to treating this problem is a safe and reasonable way to use the time that the average MD would suggest that you do nothing to help yourself.

The person with a cold takes vitamin C to increase the function of his immune response, and expects to shorten the time he is ill.  The person who has a broken bone takes a calcium supplement to speed up bone healing.  The person who is anemic takes some extra iron.  The body builder who wants to build up some additional muscle tissue knows to take extra protein. The DCI tactic of aggressively using nutrition information about soft tissue healing in a Dupuytren contracture treatment plan is not much different.

The normal and full use of your hand or hands can be taken from you as Dupuytren contracture progresses.  Do all that you can, as early as you can, to allow your body the best opportunity to naturally reverse this problem.

For ideas and suggestions to organize an effective Alternative Medicine treatment plan, click Dupuytren Treatment Plan.