[neil h]

Has anyone had this?, been wrongly diognosed with it?

Whats the score?

I have a lump, i have had it for about 1 year now, but just the other day after a session the tendon around flamed right up and i havnt been able to straighten my little finger for 4 days, i went to the doctor just now and she says Dupuytren's contracture.

Now then, my physio the other night, just said its inflamed sheaf problems as i can still pull very hard on all fingers, and there is no pain when  he did all the tests on the fingers. he recommends a couple of months off, lots of ice and ibuprofen.

I did have about 7 weeks off with another injury nothing to do with the hand, but the lump is still there.


So my question, who do i believe?


answers on a postcard please.

[dave]

i believe lovejoy has this.

[Andy B]

http://ukbouldering.com/board/index.php/topic,4609.0.html

might be of help?

[neil h]

right so after reading all that, and all the info i found on the net


basically no one has any idea what is best, considering it affects thousands of people.

The problem I see as us being climbers its harder to find what is the best cure to still be able to climb ard.


I read about some dude in paris is meant to be on of the best doctors of sorting this out.



mmmmmmmmmmmm

[slackline]

The NHS have some info here.

I get the general impression^* that onset is extremely slow, so this may be why your getting different diagnoses.  In all likelihood I guess you'll have to treat the symptoms such as pain as they arise as you would with other finger injuries and wait to see how things progress, if they do.



* I used to work with a plastic surgeon who operated on severe cases of dupuytren's and was interested in investigating the genetic aetiology of the disease who explained the symptoms and disease progression to me.

[Tim Broughtonshaw]

as afore mentioned in a previous thread i saw a hand specialist (on bupa) who wasn't said he wouldnt (or wouldnt be able to justify ) operate and do the needle puncture thing until i couldn't put the hand flat on a table.

Cheers
Tim

[SA Chris]

As you may have read on the other post, I have one too, on my right hand in line with the tendon of my smallest finger. It hasn't changed in the last 6 months, only time I feel it at all is if I am pulling hard on holds big enough to touch it (luckily I am hardcore and only use tiny holds so this is a rarity ;-)).

I'm not going to do anything about it unless it gets any worse.

[neil h]

As you may have read on the other post, I have one too, on my right hand in line with the tendon of my smallest finger. It hasn't changed in the last 6 months, only time I feel it at all is if I am pulling hard on holds big enough to touch it (luckily I am hardcore and only use tiny holds so this is a rarity ;-)).

I'm not going to do anything about it unless it gets any worse.

yes same, but i agrivated it on pressing out a big sloper.


Anyway im trying to find out who to believe, the doctor or the physio, two different diognosis

[GCW]

As I've said before, I wouldn't comment directly without seeing the finger/ palm.

Dupuytren's does not affect tendons, it's the palmar fascia.  Either your physio or your GP may be wrong, but I would expect it's more likely your GP has less experience in hands.  Unless it's his/her specialist interest.

[richdraws]

The most effective treatment for Dupuytrens is the french connection method, read these:

http://assoc.orange.fr/f.badois-dupuytren/html/gbsommaire.html

http://www.bmj.com/cgi/eletters/332/7538/397#128443

http://www.treatmentabroad.net/surgery-abroad/surgery-france/surgery-in-france

[neil h]

cheers guys, maybe i will get a winter in font before i have to take drastic measures

[slackline]

Article from Pete O'Donovan on his experience of dealing with Dupuytren's Contracture.

[SA Chris]

These two threads should be merged!

http://ukbouldering.com/board/index.php/topic,4609.60.html

[slackline]

Yeah, thats the one I was looking for when I found this, but was too lazy to dig deeper