What are my options for treating Dupuytrens?

Affecting the hands and fingers, Dupuytrens disease is not usually painful but it can be extremely debilitating. It occurs when connective tissue in the palm thickens, forming benign nodules; over time, the nodules extend, forming bands of thickened tissue similar to scar tissue which contract, pulling the finger or thumb towards the palm. In many cases, the contracture is mild, but in others the function of the hand and fingers is compromised. The cause is unknown – although it is thought to be genetic – and anyone can develop Dupuytrens but most cases occur in men who are over 50 and women over 60.

Can hand surgery help?

In mild cases of Dupuytrens, no treatment is necessary. However, if the contracture worsens and normal function is affected, then there are options to explore before hand surgery, including radiation therapy. In more severe cases, surgery may be appropriate. During an open fasciotomy, the surgeon makes an incision in the palm to see the contracted thickened tissue which is then cut. In some cases, a closed fasciotomy is suitable whereby the cutting is performed with a needle. The third surgical option is an open fasciectomy, a more extensive operation whose purpose is to remove the abnormal tissue.

The first step is a consultation

Milton Keynes-based Mr Sudip Ghosh is a skilled plastic surgeon with many years of experience of treating hand conditions. During your consultation, Mr Ghosh will take your medical history and conduct a physical examination, evaluating the severity of your case. He will then be able to advise you on the best course of treatment for you. Mr Ghosh will explain in detail what is involved and outline the pros and cons of Dupuytrens surgery, but he also encourages all patients attending his Milton Keynes hand surgery clinic to ask as many questions as they feel the need to.

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