Some people with Dupuytren`s contracture have thickened tissue under the skin in other parts of their body. For example, a thickening on the joints, on the soles of the feet or on the penis. Stretching helps Dupuytren`s contracture, and there are a number of exercises you can do to manage this condition. Exercise and stretching do not necessarily stop or slow the progression of contracture, but these are useful options in the early stages of Dupuytren`s disease: In severe cases of Dupuytren`s disease, you may need to undergo revision surgery. The first operation involves the removal of the affected tissue, but it does not address the underlying cause of the disease. Revision surgery may be needed to treat the recurrence of collagen that causes contracture in your hand. These surgeries tend to be more complicated due to the presence of scar tissue. Most cases occur in middle-aged or elderly people; however, it sometimes develops in young adults. It is much more common in men than in women. It is most often found in people of Northern European origin.

It is believed that around 4 in 100 people in the UK have some degree of Dupuytren`s contracture. In Northern Europe, where it is more common, a quarter of men over the age of 60 have Dupuytren`s contracture. Needle fasciotomy for Dupuytren contracture; NICE Interventional Procedure Guidance, February 2004 Treatment is only necessary if the fingers have begun to bend (if there is a contracture) or if the normal functioning of the hand is impaired. Dupuytren`s contracture is a condition of the hands and fingers. It is sometimes called Dupuytren`s disease because not all people with this disease develop contractures. Dupuytren`s contracture causes a thickening of the tissue (fascia) in the palm of the hand. A fascia is a ligament or layer of tissue under the skin. Radiation therapy for Dupuytren`s contracture involves having several low doses of radiation for the affected hand.

There is evidence that this may be effective in slowing the progression of the disease in the early stages. Current guidelines from the National Institute for Health and Care Excellence (NICE) recommend that radiotherapy should only be used in certain circumstances in the UK. NICE guidelines indicate that radiation therapy appears to be a safe treatment in this situation. Dupuytren`s contracture is named after Baron Dupuytren, who described the disease in 1831 (and invented an operation for it). This means removing the abnormally thickened tissue. (In a fasciotomy, the tissue is cut; in a fasciectomy, the tissue is removed.) There are a number of variants of this operation (surgical intervention). This is a more extensive manual operation. However, it offers the best chance of a long-term cure. This is the most commonly performed procedure for the treatment of Dupuytren`s contracture. Even with this treatment, however, the chances of the disease returning (recurrent) are quite high. The likelihood of it happening again depends on the surgery performed and the severity of the condition before surgery, as well as other factors.

The reason why this fabric is thickened is not known. There seems to be a genetic factor as it tends to work in some families. It is more common in some countries – mainly in Northern Europe. It is more common in people with diabetes, epilepsy and alcohol dependence. However, most people with Dupuytren`s contracture do not have any of these other conditions. It is more common in people who smoke. It is more common in people who use vibrating tools, and may also be more common in those who do heavy manual work. In some cases, it is believed that a hand injury can trigger the onset of the disease in a person who is genetically likely to develop the disease. Surgery may be necessary in more severe cases of Dupuytren`s disease. As the disease progresses to an acute contracture point that makes it difficult to use the hand, minimally invasive treatment options may no longer be practical.

During the operation, an incision is made and the diseased tissue is removed. Although surgery may be more invasive, it has the advantage of providing a more lasting release of contractures. How to reverse dupuytren contracture? Unfortunately, there is no cure for Dupuytren`s contracture. Treatment focuses on minimizing disease systems. Although medical treatment is an option – and sometimes a necessity – there are a number of home remedies you can try to treat Dupuytren`s contracture: needle apnoeurotomy, also known as needle or percutaneous needle fasciotomy, is another minimally invasive treatment option for Dupuytren`s disease. .