
Having difficultly grasping objects? Perhaps you’ve noticed painless knots, or a thickening of tissues, in your palm near the base of your fingers. Or that some of your fingers have become difficult to straighten. If so, you may have developed Dupuytren’s contracture.
Dupuytren’s contracture is a condition that develops slowly, usually over a period of years that causes the connective tissues within the hand to thicken and pull your fingers into a bent position. While the ring and pinky fingers are most commonly affected, any of your fingers may be affected on either hand.
While this condition is usually painless, it can make it difficult for the affected person to grasp objects, to shake hands, straighten the fingers or place a hand into confined spaces - such as gloves.
Research indicates that Dupuytren’s contracture does run in families and most often affects men of Northern European descent over the age of 50. Alcoholics and smokers are also more likely to be affected perhaps because of damage done to blood vessels. Diabetics are also at higher risk for the condition.
Other treatment options include:
- Needling -a needle is inserted to puncture the cord.
- Enzyme injections of Xiaflex -this enzyme softens the thickened cord. The doctor then manipulates the hand to try and “break” the cord.
- Surgery - the affected or scarred tissue is removed.
If you begin to experience symptoms of Dupuytren’s contracture, see your physician. Early intervention with heat, physical therapy and stretching may help in slowing the progression of the condition.

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