Can Dupuytren’s Contracture Be Treated Without Surgery?

Dupuytren’s contracture is a condition that causes a progressive thickening and tightening of the tissue beneath the skin of the palm. Over time, this tightening can pull the fingers into a bent position, making it challenging to straighten them. For many individuals, this condition can significantly affect daily activities, from shaking hands to picking up objects. While surgery has traditionally been the go-to treatment, people now seek non-surgical solutions that provide relief and improved mobility without the invasiveness of surgery. This blog explores whether Dupuytren’s contracture can be treated without surgery and highlights the non-surgical options available at Greater Chesapeake Hand to Shoulder (GCHS).

Understanding Dupuytren’s Contracture

Before exploring treatment options, it is important to understand how Dupuytren’s contracture develops. This condition originates from a thickening of the fascia, the connective tissue beneath the skin in the palm. Nodules or lumps often develop, eventually forming cords that pull the fingers into a bent position. The condition progresses slowly and impacts individuals differently. Some may experience minor discomfort, while others find it severely limiting.

Common risk factors for Dupuytren’s contracture include heredity (it often runs in families of northern European descent), advancing age, and certain medical conditions such as diabetes. Although the condition cannot be reversed entirely, effective treatments exist to manage and improve symptoms.

Are Non-Surgical Treatments Effective?

The effectiveness of non-surgical treatments for Dupuytren’s contracture depends on the severity and progression of the condition. While surgery remains the most comprehensive option for individuals with advanced contractures, there are promising non-surgical alternatives for early to moderate cases. These treatments aim to alleviate symptoms, improve function, and delay the need for surgery.

Here are some frequently recommended non-surgical treatments:

• Needle Aponeurotomy (Needle Fasciotomy): This minimally invasive procedure uses a needle to break up the cords under the skin, allowing fingers to straighten. Though not technically surgery, it is less invasive and requires minimal recovery time compared to traditional surgical interventions.

• Enzyme Injection (Collagenase Clostridium Histolyticum): An enzyme injection breaks down the collagen in the cords formed by Dupuytren’s contracture. Once the cords weaken, the fingers can be manually manipulated to improve their range of motion. This treatment is effective for some patients and is often performed in an outpatient setting.

• Stretching Exercises and Splinting: These conservative treatments do not cure the condition but can slow its progression. Stretching exercises keep fingers and the palm flexible, while splinting provides support and prevents further contraction.

• Physical Therapy: A trained physical therapist can guide patients through exercises aimed at strengthening the hand muscles and improving range of motion. Physical therapy is often recommended alongside other treatments for the best results.

Expert Non-Surgical Care at Greater Chesapeake Hand to Shoulder

Patients looking for effective, customized care for Dupuytren’s contracture will find relief at Greater Chesapeake Hand to Shoulder (GCHS). Located in Maryland, GCHS is a trusted name in orthopedic and hand health. The specialists at GCHS understand the complexities of Dupuytren’s contracture and provide a range of non-surgical treatment options to suit every patient’s unique needs.

Here is GCHS’s approach to non-surgical treatments for conditions like Dupuytren’s contracture:

1. Comprehensive Evaluation: The team begins with an in-depth assessment, including a physical examination of the hand and a detailed medical history review. Advanced imaging, such as ultrasound or MRI, may also be utilized to understand the condition’s extent.

1. Collagenase Enzyme Therapy: Approved by the FDA, this treatment is one of the most effective non-surgical options and is offered by the experienced professionals at GCHS. The enzyme injection weakens the collagen cords, allowing for greater hand function without the need for an invasive procedure.

1. Alternative Therapies and Guidance: GCHS provides guidance tailored to an individual’s condition. This may include suggestions for hand therapy, custom splints, or stretching routines that help maintain mobility.

1. Ongoing Monitoring: Since Dupuytren’s contracture is progressive, regular follow-ups are recommended. The team at GCHS works closely with patients to monitor symptoms and determine the best course of action over time.

Non-surgical treatments provided by the experts at GCHS can help many patients delay or avoid surgery while improving quality of life.

When Should You Consider Surgery?

While non-surgical interventions work well for many early-stage cases, advanced Dupuytren’s contracture may require surgical intervention, especially if the fingers are severely bent and limit basic daily activities. GCHS also provides surgical options when necessary, ensuring patients receive the best care at every stage of their condition.

Take the Next Step Toward Relief

No one should have to live with the discomfort or limitations caused by Dupuytren’s contracture. Non-surgical treatments offer hope and relief to many individuals, especially when administered by skilled professionals like those at Greater Chesapeake Hand to Shoulder. If you are looking for personalized care and expert solutions, GCHS is here to help.

Schedule a consultation today to begin your treatment plan. Contact Greater Chesapeake Hand to Shoulder by calling (410) 296-6232 or visit our website to book an appointment with one of our specialized hand care experts. Your hands deserve the best care, and GCHS is here to provide it.