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Hand & Wrist

Dupuytren's Contracture Treatment in Beckley & Ronceverte, WV

Dupuytren's contracture is a thickening of the tissue beneath the skin of the palm that forms a cord and gradually pulls one or more fingers into a bent position.

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Common Signs & Symptoms

  • !Firm lumps or nodules in the palm
  • !A thick cord running from the palm into a finger
  • !A finger that bends toward the palm and will not fully straighten
  • !Most often affects the ring and small fingers
  • !Difficulty laying your hand flat on a table
  • !Trouble with gloves, handshakes, or reaching into a pocket

What Causes This?

  • •The exact cause is unknown, but it often runs in families
  • •More common in men and in people over 50
  • •More common in people of Northern European ancestry
  • •Associated with diabetes, smoking, and heavy alcohol use

Treatment Approaches

Monitoring

Mild Dupuytren's that does not limit your hand may simply be watched, with periodic measurements of your fingers.

XIAFLEX® Injection

A nonsurgical, in-office option for adults with a cord that can be felt — an injection weakens the cord, and the finger is straightened at a follow-up visit 1 to 3 days later. See the XIAFLEX page for Important Safety Information.

Surgery

For some contractures, surgery to remove or divide the diseased tissue is the better choice. Dr. Stapleton will review the benefits and risks of each option with you.

Frequently Asked Questions

Is Dupuytren's contracture painful?▾

Usually not. The nodules can be tender at first, but the main problem is losing the ability to straighten the finger rather than pain.

When should Dupuytren's contracture be treated?▾

Treatment is usually considered when a finger bends enough to get in the way of daily activities or you can no longer lay your hand flat on a table. An evaluation lets you understand your options before the contracture progresses.

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