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Also called Dupuytren's disease, Morbus Dupuytren, Viking disease, Palmar fibromatosis and Celtic hand, it is a medical term for chronic fibroproliferative hand disorder.
Dupuytrens Contracture Symptoms
- It appears a firm lump in the palm of the hand (tender, not painful)
- Unable to pass tabletop test i.e., laying your hand flat on a table with palm down
- One or more small, tender lumps (nodules) appear in the palm. Over time, the tenderness usually goes away.
- The nodules may thicken and contract or tighten causing thick bands of tissue under the skin in the palm of the hand.
- Pits or grooves in the skin compressed by the contracted finger. These areas can become very sore and can lead to skin loss if they don’t heal properly.
- Fingers are pulled forward, Your hand is not able to work as well (certain degree of disablement)
Risk factors: a positive family history of Dupuytren’s contracture, age above 50 years, and diabetes mellitus. Other risk factors include hyperlipidemia, alcohol use in excess and smoking. Any hand injury in the past
As per Medicina Journal study, 20% of patients seeking treatment for this condition seemed to suffer from injury-induced Dupuytren’s contracture. It noted that injury to the wrist and hand seems to trigger the development of less progressive Dupuytren’s contracture in younger age. In another study postoperative complications of surgery occurred in 16 (15.68%) cases: infection in 1 (0.98%), skin necrosis also in 1 (0.98%), hematoma in 6 (5.88%) and postoperative stiffness of the hand in 8 (7.84%).
Dupuytrens Contracture treatment options
Dupuytren's contracture is a condition that affects the hand and fingers, causing the tissue beneath the skin to thicken and form nodules or cords. These nodules and cords can progressively contract, leading to finger deformity and reduced hand function. While there is no cure for Dupuytren's contracture, several treatment options can help manage the condition. Here are some commonly used treatments:
1. Observation: In mild cases where the contracture doesn't significantly affect hand function, observation may be the initial approach. Regular monitoring can help track the progression of the condition and determine if treatment is necessary.
2. Non-surgical treatments:
- Physical therapy: Exercises and stretches prescribed by a hand therapist can help maintain finger mobility and prevent further contracture.
- Splinting: Wearing a splint at night can help keep the affected finger(s) extended, preventing further contracture.
- Steroid injections: Corticosteroid injections into the affected tissue may temporarily reduce inflammation and improve finger extension.
3. Enzyme injections: Collagenase clostridium histolyticum (Xiaflex) is an enzyme injection that can be used to break down the cords in Dupuytren's contracture. It is typically administered by a hand specialist and followed by manipulation of the hand to release the contracture. This treatment is most effective in moderate contractures with a palpable cord.
4. Surgical intervention:
- Fasciotomy: In this procedure, the surgeon cuts and releases the contracted tissue to restore finger movement. It can be done as an open fasciotomy or as a minimally invasive procedure called percutaneous needle fasciotomy.
- Fasciectomy: This surgery involves removing the affected tissue entirely. It can be a partial fasciectomy, removing only the diseased portion, or a complete fasciectomy for severe cases.
- Dermofasciectomy: In some cases, the surgeon removes the affected tissue and replaces it with a graft of healthy skin.
5. Homeopathy: in alternative treatment works on the principle "similia similibus curentur" and uses phytomedicines (plant derivative), minerals and biological extracts from tissues to treat patients while mapping their profile and symptoms. It has been clinically validated and is adopted in a large number of countries
The choice of treatment depends on the severity of the contracture, the impact on hand function, the presence of palpable cords, and other individual factors. Consulting with a hand specialist or orthopedic surgeon is important to determine the most suitable treatment option for your specific case of Dupuytren's contracture.
Dupuytrens Contracture Homeopathy Medicines
Homeopathic medicines can help slow down the progression of the condition in most cases when detected early and matched to patient profile says Dr.Vikas Sharma. Once the permanent deformity sets in, reversing the condition only with homeopathy is not possible he adds.
Silicea 30 for dupuytren’s contracture with pain on finger movement. Silicea is a natural medicine for dupuytren’s contracture with pain in the contracted tissue cords upon moving the fingers. the affected finger flexes onto the palm. opening the finger causes intense pain. Excessive sweating on hand is a feature that may be present in most cases.
Ruta 200 for Dupuytren’s Contracture with nodes on the palm of hand. The fingers are contracted. Pain and stiffness in the hands may be present.
Colocynthis 30 – Natural Homeopathic Remedy for Dupuytren’s Contracture with pain in palms. There appears contraction in the hands and fingers. It is difficult to open the finger, and the pain gets worse at rest.
Rhus Tox 200 – for Dupuytren’s Contracture with a history of injury to the hand. People needing Rhus Tox can move the fingers with great difficulty. An aching or drawing pain and a heated sensation in the palm of the hand may be present.
Causticum 200 for late stages of Dupuytren’s contracture. The cases needing causticum have severe contractures in hand which leads to bending or fingers towards the palm. the person is unable to move the affected fingers without the help of the other hand. in some cases, complete deformity of the finger is present. a drawing and tearing pain is felt in hands. the hands and fingers my feel icy cold.
Source: blog article in drhomeo dot com
Note: above medicines are available in 2-dram medicated globules or 30 ml dilutions (sealed unit).
Dosage: (Pills) Adult and children 2 years of age and older: Dissolve 4 pills under the tongue 3 times a day until relieved or as directed by a physician. (Drops): The usual dosage is 3-4 drops in a teaspoon of water 2-3 times daily. Dosage may vary depending on the conditions. Always consult a Homeopathic Physician before taking medicines
Disclaimer: The medicines listed here are solely based on a suggestion made by a doctor on YouTube, Blog, Book whose reference is provided. Homeomart does not provide any medical advice or prescriptions or suggest self-medications. This is a part of the customer education initiative. We suggest you consult your physician before taking any medicines