Skip to content

Dupuytren's Disease

Font Size

Treatment Options for Dupuytren’s Contracture


Nonsurgical Treatment for Dupuytren's Contracture continued...

Most people need one or two injections in the affected joint, but some people may need up to three injections to straighten or nearly straighten the finger. The most common side effects are swelling in the affected area or bleeding, bruising, and pain at the injection site. Rarely, more serious side effects, such as damage to a tendon, nerve injury, or allergic reaction may occur.

Radiation Therapy

Another option for treatment is low energy radiation therapy. It can help symptoms and prevent worsening of the the cords, nodules, and skin changes that can come with Dupuytren's contractures. 

Splinting, vitamin E cream, and ultrasound are some of the other treatments that have been tried but generally have not been successful.

Surgery for Dupuytren's Contracture

What if it becomes difficult for you to grasp objects or perform other daily activities? Your health care provider may recommend surgery if your disease progresses. The goal of surgery is to restore motion in your fingers.

Open Surgery
The surgeon makes an incision and either divides (fasciotomy) or removes (fasciectomy) part or all of the thickened bands of tissue.

A variety of techniques are used to close the wound. Sometimes a skin graft is needed for the incision to completely heal. To do this, the surgeon takes healthy skin from another area of the body and attaches it to the area in the hand that needs to be closed.

Needle Aponeurotomy
An alternative to open surgery is an office procedure called needle aponeurotomy. The surgeon uses a hypodermic needle to divide and cut the diseased tissue in the palm and fingers.

This procedure is less invasive and leads to a quicker recovery than open surgery. Many do not need rehabilitation with physical therapy following the procedure. A presurgical evaluation can determine whether you are a candidate for this procedure.

What to Expect After Surgery
Surgery may be able to correct the changes of Dupuytren’s if only one of the knuckles connecting the finger to the hand is involved.

If two or more fingers are involved in this joint, it is more difficult to correct the contraction. For other joints of the fingers, surgery may improve but not correct the limitations caused by this disease.

WebMD Medical Reference

Next Article:

Dupuytren's Disease Topics

Hot Topics

WebMD Video: Now Playing

Click here to wach video: Dirty Truth About Hand Washing

Which sex is the worst about washing up? Why is it so important? We’ve got the dirty truth on how and when to wash your hands.

Click here to watch video: Dirty Truth About Hand Washing

Popular Slideshows & Tools on WebMD

disciplining a boy
Types, symptoms, causes.
Remember your finger
Are You Getting More Forgetful?
fruit drinks
Eat these to think better.
No gym workout
Moves to help control blood sugar.
acupuncture needle on shoulder
10 tips to look and feel good.
Close up of eye
12 reasons you're distracted.
birth control pills
Which kind is right for you?
embarrassed woman
Do you feel guilty after eating?
Epinephrine Injection using Auto-Injector Syringe
Life-threatening triggers.
woman biting a big ice cube
Habits that wreck your teeth.
pacemaker next to xray
Treatment options.
caregiver with parent
10 tips for daily life.

Women's Health Newsletter

Find out what women really need.