What are the Treatment Options for Dupuytren’s Contracture?

Treatment does not cure the disease; instead, it provides relief and some form of mobility in your day to day activities.  

Non-surgical treatment

Needling process – this is a process that is meant to pierce your skin without any incisions. Its sole purpose is to clear up the diseased tissue by puncturing the chord. It then breaks up the tissue. It needs to be continuously done in order to be effective.

Corticosteroid injection- this is known as a steroid injection. It is injected into the affected area, which reduces the inflammation and swelling. It may prevent your finger contractures and ease your pain. 

Enzyme injection – this is a similar procedure to corticosteroid injection, except the enzymes used help to weaken the chord. The doctor may manipulate the hand in order to try to break the chord.

Ultrasound and heat therapy combined with splinting or taping can help increase mobility and range of motion.  Devices such as the Dupuytren’s Wand are ideal for this approach.

Surgical Treatment 

The introduction of radiation therapy – X-rays are used to target the nodules. It should be used during the start of the disease. It helps to weaken the nodules, and they become soft. This helps to prevent further contractures.

Needle Aponeurotomy – this is a process that requires the use of a needle. A hypodermic needle is used in order to clear the diseased tissue. It moves and divides the chord in such a way that movement and mobility are experienced. This requires time to heal, and it allows the hand to perform certain activities as it reduces the symptoms.

Open surgery – this is a process that requires the surgeon to make an incision in the affected area. It is done in order for the surgeon to either move or divides the chord. The chord isn’t removed, and an anesthetic is used during the process. You will then have to wear a splint in order to provide support so that the wound heals properly.