Hit it with a book, thats what my gran said, she did it to hers years ago and it never came back apparently
If you are somewhat older and develop a nodule then probably you will not develop serious disease and radiotherapy is not worthwhile. Conversely if you are 25 and already have nodules starting I would consider radiotherapy almost mandatory.
anyone getting to the point where something needs doing.
Quote from: Bonjoy on April 22, 2012, 01:39:33 pmanyone getting to the point where something needs doing. Out of interest, what was this point for you? My pinky finger one is about 1" long still, not grown in a couple of years.
I'll be interested to see more extended results for Xiapex.
Dear Dr Bainbridge, Thank you for the recent consultation. It was good to talk to you regarding my Dupuytrens and I appreciate your recommendations on treatment options. At the time of the consultation I had was not aware that Xiapex was an available treatment in the UK and had not considered it closely as an option. Subsequent to your recommendations I have had time to look into it more closely. For reasons I’ve outlined here I would feel more comfortable opting for Needle Aponeurotomy as a 1st stage treatment. • The risk to nearby tendons appears to me to be greater with Xiapex than with Needle Aponeurotomy. As someone involved in relatively high difficulty rock climbing the stresses I put through finger tendons are well beyond those generated by everyday use and I fear that however comprehensively Xiapex has have been trialled it will not have been used on many people who put such extreme stresses on their finger tendons (i.e. higher standard rock climbers). A ruptured finger tendon would be a devastating blow to me and as such I would rather accept the likelihood of other problems associated with NA (e.g faster recurrence) rather than take this particular risk.• The possible advantage of Xiapex over NA is an increase in the time between recurrence and hence the need for repeat treatment. I haven’t looked into this exhaustively but have not found any significant claim for this in the manufacturer’s literature. I’m guessing it is too early in its use to carry out a study to assess this. So I am not entirely confident I would gain in this respect. Also this advantage would be offset somewhat by a longer convalescence (I think you mentioned a minimum of a month off climbing per hand), the need for two visits per procedure and more side effects. I think on balance at this stage I would rather risk more frequent treatments with NA rather than less frequent but more disruptive treatments with Xiapex. • Opting for NA now does not appear to rule out using Xiapex later if the NA does not work out. By the time repeat treatment is required I am hopeful that Xiapex will have been in use for some time in the UK and there will be more comprehensive information about it more widely available.
Can you still put your palm flat down on a table top? If so you have no significant contracture. My little fingers were both at about 45 degrees to the palm at best and ring fingers about 30. They had been pretty bad for a while, probably hadn’t been able to put palms flat on a table top for maybe three years......Early stage DC (as yours sounds like) would probably benefit from radiotherapy. This might stop the condition in it's tracks before it becomes a problem. Unfortunately this is not available on the NHS and would cost I was told approx £3000.
....Celts might have blame to shoulder though their gene pool could have been muddied by marauding Viking pillagers.
Saw the senior, long served, hand consultant in Cornwall. Not prepared to put the needle into my pinky DD lumps asserting that folk tended to be back in a few months with the relevant finger crooking in. If it ain`broke.......... He had no truck with links to climbing or manual work and suggested that the Celts might have blame to shoulder though their gene pool could have been muddied by marauding Viking pillagers.
