How painful is Dupuytren's surgery?

Your hand and fingers may be swollen for the first few days. Most people need pain medicine for about a week after surgery. You may feel numbness or tingling near the cut, called an incision, that the doctor made. This feeling will probably start to get better in a few days, but it may take several months to go away.

Are you put to sleep for Dupuytren's surgery?

In Dupuytren's (say "doo-pwee-TRAHNZ") contracture, the fascia of the palm of the hand becomes thick and tight. This causes the fingers to become stiff and to curl toward the palm. Removing the fascia can help relax the fingers. This surgery may be done while you are asleep or while you are awake.

Is Dupuytren's contracture treatment painful?

All patients were pain free after surgery. Conclusions: Although Dupuytren disease is generally considered painless, we treated a series of early stage patients with painful disease. Intraoperative inspection and histological examination of tissue samples showed that nerve tissue was involved in all cases.

How long does it take to recover from Dupuytren's contracture?

Recovery time is between 4 – 12 weeks, depending on the severity of the finger condition. In most cases that we experience, surgery is the best form of treatment and the most effective and accurate in preventing contracture returning. Risks with surgery can include bleeding, numbness, and a chance of infection.

What is recovery like for Dupuytren's contracture surgery?

Following surgery, you will likely have to wear a hand splint for two to four months. You may also need hand therapy for six to 12 weeks to get strength and movement back to your hand as soon as possible. Any tissue scarring from your Dupuytren's surgery should diminish within a year or so.

Dupuytren's Surgery

How long does it take to make a fist after Dupuytren's operation?

After Dupuytren's surgery to straighten out your fingers, the toughest part is regaining finger flexion and the ability to make a tight fist. Most patients have good grip at one month but recovery may take 1-3 months for full finger flexion and strong grip with the hand.

How long is therapy after Dupuytren's surgery?

Most people need to do hand therapy for several months. You also may need to wear a hand splint for 6 to 12 weeks after surgery. After surgery and hand therapy, your hand and fingers should be more flexible.

Can I drive after Dupuytren's surgery?

By 2 weeks post surgery you should be able to use your hand for most normal day to day tasks. You are able to drive as soon as pain allows and you are safe to control the vehicle. It is very important not to overuse your hand following surgery, as this may delay your healing.

How long does numbness last after Dupuytren's surgery?

You may have some numbness or tingling of fingers due to the local anesthetic injections used to help control post-operative pain (this should wear off within about 24 hours).

When should Dupuytren's be operated on?

Surgery for Dupuytren contracture generally should be performed on an affected metacarpophalangeal (MCP) joint if the contracture is 30° or greater. Such contractures most likely cause some debilitation for the patient.

Why is Dupuytren's so painful?

The thickened tissue can form lumps that feel tender. And the curling of the fingers can cause pain and reduce mobility. When the palm and fingers are contracted, the compressed tissue can also develop sensitive grooves that can make it difficult to use your hands.

Are Dupuytren's nodules painful?

Dupuytren disease can be very painful – but the majority of Dupuytren patients have no pain, and the reason for this is unknown. A smaller proportion of Dupuytren patients report pain than patients with other common painful hand conditions such as arthritis.

What happens if you don't treat Dupuytren's contracture?

But a more likely scenario if you don't treat Dupuytren's is that over time your hand will develop hard chord-like formations that pull on your ring or pinky fingers, pulling them into a stuck position. If this goes untreated, it can make simple tasks involving your hand very difficult.

What is the success rate of Dupuytren's surgery?

Overall, surgery for Dupuytren's disease in the NHS is effective and safe with low complication rates. Within 90 days of surgery: less than one in 100 (0.8%) patients experienced serious systemic complications. one in 100 (1.2%) of patients experienced serious local complications.

Is Dupuytren's contracture surgery outpatient?

Surgery for Dupuytren's Disease is commonly performed as an outpatient – you will probably go home the same day. The surgical procedure may be performed in an operating room in a surgery center or hospital. The needle aponeurotomy may be performed in the office setting.

Can Dupuytren's contracture lead to amputation?

Dupuytren's disease (DD) can lead to severe disabling finger contractures resistant to surgical treatment. In some cases, finger or ray amputation is considered, due to a severe functional deficit or vascular injury.

Can Dupuytren's cause wrist pain?

What are the symptoms? The most common symptom is pain in the upper forearm. The pain may radiate down the forearm to the back of the wrist and hand. Unlike other nerve compression syndromes, numbness and weakness are not common symptoms.

Can Dupuytren's contracture cause carpal tunnel?

Of the diabetic patients one third had a mild non-progressive form of Dupuytren's disease, which commonly involved the long and ring rays. Limited joint motion was noted in a third of diabetics, and carpal tunnel syndrome was observed in 15-25%, and flexor tenosynovitis in about a fifth.

Does Dupuytren's shorten life?

Dupuytren disease is also associated with diabetes, hyperlipidemia, a variety of other medical conditions, increased cancer risk and shortened lifespan.

What aggravates Dupuytren's?

What aggravates Dupuytren's contracture? There are a number of risk factors for Dupuytren's contracture. People who have type 2 diabetes, consume alcohol and tobacco, or take certain medications for seizures are at higher risk for developing Dupuytren's contracture.

Is Dupuytren's a form of arthritis?

Dupuytren's contracture: This form of arthritis causes the tissue beneath the hand to develop nodules in the fingers and palms. These lumps can cause the fingers to stick in place.

Does Dupuytren's affect other parts of the body?

However, Dupuytren's can be associated with conditions that cause contractures in other areas of the body, including the: Knuckle pads (Garrod knuckle pads) Soles of the feet (Ledderhose disease) Penis (Peyronie's disease)

How serious is Dupuytren's contracture?

The condition is not dangerous. Many people don't get treatment. But treatment for Dupuytren's contracture can slow the disease or help ease your symptoms.

Does Dupuytren's contracture affect the feet?

Ledderhose disease, sometimes called plantar fibromatosis or “Dupuytren's of the foot,” is characterized by lumps called nodules on the underside of the foot. These are caused by a thickening in the deep connective tissue (the fascia) in the foot and can cause discomfort or pain when walking.

Does Dupuytren's cause joint pain?

Dupuytren's disease can affect any finger on the hand, but it most often appears in the ring finger. It can affect one or both hands. There may be no pain associated with the hardening of the tissue, but sometimes the tissue can swell and cause joint pain, burning, or itching.