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 



Will your Dupuytren treatment also help a trigger finger problem?

I have both Dupuytren’s contracture and trigger fingers.  Will your treatment cover both problems?


I do not have an answer for you.  While the DCI treatment for Dupuytren’s contracture has had a lot of successful application for palm lumps and contracted fingers, I have not had much feedback from people how if affects a trigger finger.  I think there are elements of the DCI treatment protocol that might help the swelling and inflammation of the tendon sheaths in the palm of your hand that causes your fingers to periodically catch, called trigger finger. 

For the most part a trigger finger problem tends to be more of a nuisance to a person, but Dupuytren contracture is a much larger and more dangerous problem to the health of a hand.  I suggest that you get busy doing everything you can to help your body heal your Dupuytren disease, and see if at the same time your trigger fingers improve.   I think the most important consideration is to first get the Dupuytren under control and deal with the trigger fingers later – if they are still even a problem.  TRH