Which home ultrasound unit do you recommend for treating Dupuytren’s contracture?

Which home ultrasound unit do you recommend for treating Dupuytren’s contracture?


First, I do not recommend that a person uses any one single treatment method against a problem so difficult and stubborn as Dupuytren’s contracture.  Using just vitamin E, or just doing hand stretching, or just DMSO applications, or taking just acetyl-L-carnitine, is not going to help recovery very much, if at all. The same with ultrasound therapy.  The palm lumps and cords that develop with Dupuytrens are not going to change if you try a single therapy approach. 

Secondly, it is my experience after working with people from around the world since 2002 that complete or partial recovery from Dupuytren’s is possible when following an aggressive treatment plan consisting of a wide and diverse range of different therapy approaches, as outlined on the DCI website.  Following this kind of approach for a few months works well in a surprisingly high percent of cases.

Lastly, the ultrasound unit that was added to the DCI lineup of treatment methods in November of 2012 is the 3MHz ultrasound machine made by Bellaire Industry, model HS-3040.  It is a great little unit; it is the only portable 3MHz machine that is made with a stainless steel sound head; on top of that it is the only portable 3MHz machine that has received FDA approval as a medical device. Go here to get details about this 3MHz ultrasound machine

Some people make the mistake of trying to use the more popular and more common 1MHz size ultrasound machine but these machines do not put the therapeutic effect of the sound waves where they are needed in Dupuytren’s contracture.  It is necessary to use a 3MHz unit to assure the ultrasound effect is placed toward the surface where the problem of DC is located.  TRH

How should I change my Dupuytren’s contracture treatment plan for best results?

I have been applying the recommended Dupuytrens therapy for about four months with increases to try to get to the maximum.  Currently I am taking both E vitamins internally and vitamin E, copper and DMSO externally.  I started with Neprinol a few weeks ago and currently take 2 querecitin/bromelain, 4 Neprinol, fundamental sulfur and PABA twice a day. After the DMSO treatment I stretch and massage my fingers and the palm of my hand that has some blister-like areas over the palm where I think I should be massaging but it concerns me that I may be increasing the blisters by so doing.  I hope I am proceeding correctly with the massage. I have not seen any appreciable improvement except that before the DMSO and massage I get a reading of 122 and then it has gone to 126 – 128 after the stretch and massage however it reverts to 122 by the next treatment time. I have been getting good reduction of an external scar from a previous surgery on my other hand by an aggressive stretching and massage as well as scraping (as though it was a callous) after the DMSO treatment. I am not sure if the internal and external therapies are working as they should although I think I am using a pretty aggressive plan. Hopefully I am on track.


Greetings DLB,

Yes, you are on the right track for your Dupuytren’s contracture treatment but I think you need to be more proactive with your plan. 

You are using your assumption for what an aggressive plan might look like, and you are counting pills to tell yourself that you are following an aggressive plan, to tell yourself that your plan is active and aggressive when in fact it is not.   Based on my experience with plans that have been developed over time that are getting results, I see that they are larger and more aggressive than what you are taking currently. 

If you have followed this plan for four months with increases as you say, then you have either started at an extremely low dosage, or you have increased your therapy intake very slowly with many weeks or even months between increases, or you have increased at a very low level of intake per increase.  Perhaps all of these are true, since you did not give information how you came to be taking this current dosage level.  This lack of information of how you have been working these increases puts me at a disadvantage to guide you to make increases going forward. 

I do not know what you mean by a blister on your palm.  When you mention blister in your email I would have to assume you know what a blister looks like and what to do about that.  If you mean a nodule or lump of denser than normal tissue that is consistent with Dupuytren’s contracture, then I can comment about that type of finding.

There is early indication of progress in that the increased temporary movement from 122 to 126/128 is not small.  A lot of people would like to have that change happen in the early part of their treatment course.   Over time, and with appropriate increase of your intake you should see these numbers increase as well as notice reduction of size, shape, density and adhesion of the nodules and cords.

Overall, your plan is rather modest in spite of it being applied for the last four months.  It seems you are being very conservative and slow in your response to the results that you are earning. I suggest that you consider increasing the Neprinol intake to 9/day, following the directions that are given to you with each order.  I cannot describe that long detailed procedure to work up to 9/day in this email response.  All you need to do is to read and follow the directions you already have that explain how to increase therapy levels safely and effectively.  I also suggest that you contact me about a phone discussion so I can get down to some of the details of how you should be stretching your contacted palm tissue.  I suspect you might be going about this incorrectly, and if so this might be an additional factor in your slow response.    TRH

What is the correct way to take Scar-X, enzymes and use DMSO for my Dupuytrens?

For 5 or 10 minutes before and after applying scar x I do not have food or drink and have had nothing to eat for 2 hours but after waiting for 5 or 10 minutes I need to take some liquid to swallow the enzymes (Neprinol, Nattokinase and Fibrozym). In most situations drinking black coffee or tea is still considered OK for an empty stomach, but are they OK to use as a way to take enzymes? Also it seems that I need to apply the DMSO and E in the palm of my hand not just on the contracted finger and massage both areas.  Is that the correct procedure?



When you ask about “applying” Scar-X it sounds like you are applying it to the skin, and not placing it under the tongue to be absorbed.  The correct way to take Scar-X is by placing approximately 10 drops under the tongue and leaving it there for about 30 seconds.   All of this is explained in the instructions that come with your order of Scar-X.  If you are not using the Scar-X in this way, please read again the instructions that you were given with your order. 

Yes, you can use black coffee or tea to help you swallow any of the therapies that must be swallowed, since these two liquids represent no food value to the body.

The DMSO you are using should be applied directly over all abnormal fibrous tissue, not only in the finger but also on the palm of the hand.  When you say that you massage the DMSO and vitamin E into the area where you are applying it, you are not doing it correctly.  Again, all of this is explained in the instructions that come with your order of DMSO.  All you have to do is to quickly apply a thin layer of vitamin E and then DMSO, using anywhere from 1-3 drops of each, by running the tip of your finger over the area of contracted tissue.   Massaging is not only unnecessary, but it can reduce the amount DMSO and vitamin E that is available to the area of involvement because the prolonged contact of the tip of your finger will cause the DMSO and vitamin E to go into the tip of your finger where it is not needed.  Please read again the instructions  for DMSO that you were given with your order.  TRH

Is forceful stretching and finger straightening harmful to Dupuytren contacture?

Dear Dr Herazy,
Thanks for your website, I find it to be a helpful and positive source of interesting information.  I have a couple of questions if you have time.
I was diagnosed with Dupuytren hand contracture early this year. At that time both hands hand small lumps and had some pain.  In the last week I noticed the right hand is getting worse faster and the little finger and ring finger are not as easy to straighten.
I’m doing two things at the moment, deep rubbing and stretching the lumps on my palms and forcing my fingers straight, and applying Vit E ointment. Are there any problems doing this, and what more can i do to help myself?



Greetings Andrew,

Yes, there could be a huge problem with what you are doing.  Please stop doing that aggressive rubbing and stretching of the palm lumps, and do not forcefully stretch or straighten your fingers.  This is not a good way to treat your Dupuytren problem.  Applying vitamin E by itself to the palm of hand over the nodules and Dupuytren cords is not very effective.  When vitamin E is applied without DMSO to drive it into the tissue the vitamin E oil will not get in deep enough to benefit you.  While it might not harm you, it is not doing you much good as you are applying the vitamin E incorrectly.

I know you might think it makes sense to forcefully reverse and straighten your bent fingers, but you could be easily hurting yourself.  By aggressively reversing the flexed finger position it is possible to over-stretch, irritate, tear and even rupture the tendon sheaths related to the fingers that are involved in your Dupuytren contracture.   You could injure yourself by trying to force the deep palmar soft tissue to do things it is not ready or capable of doing at this time. These things take time to be done correctly.

To work with the deep and superficial soft tissue of your hands requires a special technique that will get the job done and at the same time avoid injury.  It is now mid-2011 and I am about half way finished working on a book that will explain the safe and effective way of doing soft tissue work on your Dupuytren contracture without injuring yourself.   Please look for the book in early 2012, titled, “Dupuytren Contracture Handbook.”

Rubbing vitamin E oil by itself is not very effective, and used without DMSO to drive it into the tissue is not getting in deep enough to benefit you.  Please read the website page about DMSO to learn why you should not use vitamin E alone to treat your palm lumps.

Please spend some time reading whatever interests you on the Dupuytren Contracture Institute website.  Learn how to conduct a safe and effective Alternative Medicine treatment plan for Dupuytren contracture.


Help with Dupuytren treatment products bought elsewhere

Hi Doc,

After readying everything on your very informative website I got some Delta Source vitamin E,  and Abundant Life Source PABA and nattokinase from my health food store. I have been using these things for my Dupuytrens, but not much has changed after almost tow months. Can you make any suggestions?     Brian from St. Louis

Greetings Brian,

Sorry, I cannot comment on your therapy products or what you are doing with them.  I have never heard of these companies and I have no experience with them  or confidence in these products.   They might be good, and they might not be.    Not all vitamin, enzymes and mineral  products are the same even if the label says they are.

I take responsibility that I am here to offer you the best advice I can to assist your recovery from Dupuytren contracture.    I would only be guessing about your current situation, and that would not be good for either of us.

You have not told me anything about a daily dosage of these products, but even if you did it would not mean much to me since there often a difference in the actual dosage in each capsule compared to what it says on the label.    I learned long ago I can only comment on our products.   If I give you advice about a low quality product you will hold me responsible if your results are not good.

Apparently you went to the Dupuytren Contracture Institute website for information about treating your Dupuytren hand, but made a decision to purchase your therapy products elsewhere.   You are experimenting on your own.

You will note on the DCI website we clearly state, “Sorry, but due to the volume of emails DCI  receives and with limited hours available in a day, we can only answer questions from loyal customers of DCI and Online Natural Healthcare LLC.    Purchase your therapy products only from DCI  so you have full access to the vast experience and careful assistance available to our customers.  If you purchase cheap or questionable bargain products elsewhere, you will have to rely upon that source for whatever help you might need later.”

If you wish for me to comment and offer suggestions to help your Dupuytren treatment, when you are ready to reorder your supplies consider getting the best products I am aware of from the DCI website.