WARNING: DO NOT IGNORE DUPUYTREN’S CONTRACTURE! Interestingly enough, most people do not have hand pain with this condition. Although there are definite genetic factors associated with who gets this condition, it is likely associated with hard or repetitive work and possibly trauma as well. If you see me before it gets bad, it is usually easy to keep the hand functioning without surgery.
Dupuytren’s Contracture often starts with nodules in the palm of the hand, and frequently extends to the Tendons of the finger. As the Palmar Fascia becomes abnormally thickened, there is a change in the type of collagen. Like other areas of Fascia, the Palmar Fascia is made of Type I Collagen. With Dupuytren’s Contracture, the Type I Collagen becomes Type III Collagen. This is problematic because Type III collagen is much thicker than Type I Collagen. The contracture sets in slowly and rarely causes pain. In order to avoid surgery, try Tissue Remodeling and appropriate nutritional therapies early in the game. Once you have a positive Table Top Test (you can no longer lay the hand flat on a table), treatment becomes more difficult.
It is important to be aware that although surgery is a common option for treatment of this problem, It is not always the best option. Most recently, a team of doctors published a study on recurrence of Dupuytren’s Contracture after treatment in a 2006 issue of the American Journal of Hand Surgery. Their conclusions? They determined that despite treatment (surgery), there is a, “high rate of recurrence“. Here at Schierling Chiropractic, LLC, we will use SCAR TISSUE REMODELING THERAPY along with nutritional supplements and possibly LASER THERAPY. You will know quickly if it is going to help, or if you might require a surgical procedure.