Dupuytren’s contracture

Author: Dr. Wojo
July 1, 2010

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.


June 4, 2010

To parents — get your kids of the couch at an early age and promote a lifestyle that includes some sort of exercise every day (be it biking, a walk around the block, hitting baseballs, swimming, gardening…). To kids — get active, get outdoors.

Why? Well, besides the long-established benefits — cardiovascular health, lower rates of obesity and diabetes, healthier proportions of muscle mass — a new study shows a connection between exercise and GPA. According to the study, “Twenty minutes of daily vigorous physical activity among college students may lead them to have grade point averages about .4 higher, on a scale of 4.0, compared with students who do not exercise.”

Now think of what 40 minutes of exercise could do! I’m kidding, of course, but the study did indicate that while daily exercise is not necessary — the research did indicate that more exercise is better.


May 28, 2010

The latest research indicates the link between tanning beds and melanoma may be greater than previously suspected. While only 4 percent of skin cancers are melanomas, 75 percent of skin cancer deaths are from melanoma. According to this article, the more time you spend in the tanning bed, the greater the risk. The World Health Organization has labeled tanning beds as carcinogenic and recommends banning them for children under the age of 18.


May 25, 2010


Ask most people how to avoid skin cancer and they’ll reply, “Wear sunscreen.” The fact is, although the use of sunscreen is on the rise, so is skin cancer - it now accounts for nearly half of all cancer cases and is five times more prevalent than breast cancer. Startling? Indeed.

The reason? Sunscreen may not be all it has been promoted to be. A new report by the Environmental Working Group (EWG) has found that the majority of sunscreens lack protection from all forms of radiation, that many make false claims or most contain harmful chemicals. Of the 500 sunscreens tested by EWG, only 39 were recommended by EWG.

Yes, sunscreens can protect you from sunburns. But experts are uncertain as to the benefits of sunscreen in preventing skin cancer. Further, scientists are still debating whether UVA or UVB is the most dangerous form of radiation. Most experts believe that it is a combination of UVA and UVB rays that lead to increased melanoma risks.

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May 7, 2010

If you occasionally experience heartburn, you’re not alone. About 60 million people have heartburn at least once a month. So what do you think triggers heartburn? Stress? Spicy, greasy foods? They certainly can. But there are other culprits you may not be aware of.

Peppermint is usually thought to soothe an upset stomach. But if you suffer from gastroesophageal reflux disease (GERD), peppermint can cause heartburn. Those with GERD experience heartburn more often than others because their stomach contents leak into and irritate the esophagus. The menthol of peppermint, which is known to soothe, can actually do its job too well - relaxing the sphincter between the esophagus and stomach. When that valve relaxes, stomach acids can enter the esophagus and lead to heartburn.

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