Dupuytren's disease
Dupuytren’s Disease, also known as Dupuytren’s contracture, is a hand condition that gradually causes the fingers to curl inwards towards the palm. This condition arises from the thickening and tightening of the fascia, the layer of fibrous tissue beneath the skin of the palm and fingers.
Key aspects of Dupuytren’s Disease include:
- Nodules and Pits: The initial signs often include small, firm nodules or pits in the palm.
- Progressive Nature: Over time, these nodules may develop into thick cords that can pull one or more fingers into a bent position.
- Limited Finger Movement: Affected fingers may become difficult to straighten, impacting hand function.
- Painless: The condition is usually painless, although some may feel discomfort or tenderness.
Overview
- TYPE OF ANAESTHETIC
Local or regional - LENGTH OF PROCEDURE
10 minutes to 2 hours - HOSPITAL STAY
Day surgery - RECOVERY
2 -8 weeks off work (depending on the nature of your work)
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Sandra Burns
April 2024
Understanding Dupuytren's disease
The exact cause of Dupuytren’s Disease is not fully understood, but factors like genetics, age, and certain medical conditions may increase the risk. It is more common in older adults and those of Northern European descent.
Although the condition progresses slowly and might not always become severe, it can significantly impact the quality of life, especially when performing daily activities. Early diagnosis and treatment can help manage symptoms and maintain hand function.
At Waterfront Private Hospital, we offer expert care for Dupuytren’s Disease. Our team of specialists is experienced in diagnosing and treating this condition, employing the latest techniques and therapies to provide the best care possible for our patients.
Private Treatment Options for Dupuytren's Disease
At Waterfront Private Hospital, we offer specialised treatment for Dupuytren’s Disease, a condition that affects the layer of tissue under the skin of your palm and fingers. Our goal is to improve hand function and alleviate the symptoms associated with this condition. Our treatment options include:
- Needle Aponeurotomy: This minimally invasive procedure involves using a needle to break up the tight cords in the palm, improving finger movement. It’s typically an outpatient procedure with a quick recovery time.
- Surgery: For more severe cases, surgery may be necessary. Surgical options include:
- Fasciectomy: The surgical removal of the affected tissue to release the fingers and improve hand function.
- Dermofasciectomy: In cases with recurrent Dupuytren’s Disease, this procedure involves removing the overlying skin and the diseased tissue and replacing it with a skin graft.
- Physical Therapy: Post-treatment rehabilitation with physical therapy can restore function and prevent recurrence. Our therapists work with patients to develop personalised exercise programs.
- Custom Splinting: We may recommend splinting post-procedure to maintain the improved position of the fingers and enhance recovery.
Our team of specialists at Waterfront Private Hospital provides comprehensive care, from initial consultation and diagnosis to treatment and follow-up. We are dedicated to using the most advanced techniques and providing personalised care to ensure the best possible outcomes for our patients with Dupuytren’s Disease.
Further reading:
FAQ Section: Dupuytren's Disease
What is Dupuytren’s disease? Dupuytren’s disease is a hand condition that gradually causes the fingers to bend towards the palm, making it difficult to straighten them fully. It results from the thickening and tightening of the fascia, the layer of tissue beneath the skin in the palm.
What are the early signs of Dupuytren’s disease? Early signs include small, tender lumps (nodules) in the palm, a thickening of the palm skin, and difficulty laying your hand flat on a surface. As the condition progresses, noticeable cords may develop, leading to finger contraction.
How is Dupuytren’s disease treated at your waterfront hospital? Our hospital offers a range of treatments for Dupuytren’s disease, including needle aponeurotomy, surgical options, and physical therapy. Given recent changes in treatment availability, we no longer offer enzyme injections in the UK due to regulatory adjustments. Our specialists will work with you to determine the most suitable treatment plan based on your condition’s severity and personal needs.
Why are enzyme injections no longer available for Dupuytren’s disease in the UK? The decision to discontinue enzyme injections as a treatment option for Dupuytren’s disease in the UK was influenced by regulatory considerations and a reevaluation of treatment efficacy and safety profiles. Our hospital remains committed to providing effective alternatives and the highest standard of care for patients affected by Dupuytren’s disease.
What can I expect during a consultation for Dupuytren’s disease? During your consultation, a specialist will examine your hand, assess the extent of the condition, and discuss your symptoms and medical history. You will have the opportunity to learn about the treatment options available, including their benefits and potential risks, to make an informed decision about your care.
Are there any self-care tips for managing Dupuytren’s disease? While medical intervention is often necessary, maintaining hand flexibility through gentle stretching exercises can be beneficial. Avoid activities exacerbating the condition, and consider using adaptive devices if hand function is significantly impaired. Our healthcare team can provide personalised advice on managing your condition.
How can I book an appointment to discuss my Dupuytren’s disease treatment options? You can book an appointment by calling our hospital or filling out the contact form on our website. Our team is here to support you through the diagnosis and treatment process, ensuring you receive the care you need.
What makes your Waterfront Hospital a preferred choice for Dupuytren’s disease treatment? Our waterfront hospital boasts a dedicated team of specialists experienced in treating Dupuytren’s disease, state-of-the-art facilities, and a patient-centred approach to care. We are committed to providing comprehensive treatment plans tailored to each patient’s needs, ensuring the best possible outcomes.
Is Dupuytren’s disease genetic? Yes, Dupuytren’s disease often runs in families and has a genetic component. If you have a family history of Dupuytren’s disease, you may be at a higher risk of developing the condition. Discussing your family history during your consultation can help us tailor our advice and treatment plans more effectively.
Can Dupuytren’s disease recur after treatment? There is a possibility that Dupuytren’s disease may recur after treatment, especially if the disease is severe or has advanced significantly before the initial treatment. Our specialists will discuss the likelihood of recurrence with you and may recommend ongoing monitoring or follow-up treatments to manage the condition effectively.
What lifestyle changes can help manage Dupuytren’s disease? While lifestyle changes cannot reverse Dupuytren’s disease, they can help manage symptoms and slow progression. This includes avoiding repetitive strain on the hands, practising hand exercises recommended by your healthcare provider, and protecting your hands from injuries. Smoking cessation and reducing alcohol intake may also be beneficial, as these factors are associated with an increased risk of disease progression.
How does age affect Dupuytren’s disease? Dupuytren’s disease primarily affects adults and is more common in individuals over the age of 50. The condition may progress more rapidly or be more severe in older patients. Early diagnosis and treatment can help manage symptoms and maintain hand function.
Can physical therapy help with Dupuytren’s disease? Physical therapy can be an effective part of the treatment plan for Dupuytren’s disease, especially after surgical or needle interventions. It focuses on improving hand function, flexibility, and strength and reducing the risk of recurrence. Our physical therapists work closely with the medical team to create personalised rehabilitation programs for our patients.
Authors
Ms. Philippa Rust, GMC 4321455, is a fully accredited Hand Surgeon on the GMC Specialist Register for Orthopaedic Surgery. Since 2010, she has been a Consultant at the Plastic Surgery Unit of St John’s Hospital in Edinburgh, specialising exclusively in hand and wrist surgery. Ms Rust is among the first in the UK to hold the Diploma of Hand Surgery and is skilled in advanced techniques, including wrist arthroscopy. Dr. Omar Quaba, MBBChir, FRCS (Plast), GMC 4586300, is a Consultant Plastic Surgeon with over 20 years of experience in plastic surgery. Based at Waterfront Private Hospital in Edinburgh, he is fully accredited on the GMC Specialist Register and specialises in advanced cosmetic procedures. Full member of BAAPS.
