Understanding Dupuytren's Disease 

Dupuytren's disease, also known as Dupuytren's contracture, is a medical condition that affects the connective tissue in the palm of the hand. This condition is characterised by the formation of thickened, fibrous tissue bands beneath the skin. Over time, these bands can contract, causing the fingers to bend inward toward the palm. 

Causes of Dupuytren's Disease 

The exact cause of Dupuytren's disease is not fully understood, but several factors are believed to contribute to its development, including: 

Genetics: Dupuytren's disease tends to run in families, suggesting a genetic predisposition. 

Age and gender: It is more common in older individuals and occurs more frequently in men than women. 

Ethnicity: People of Northern European descent are more susceptible to Dupuytren's disease. 

Certain health conditions: There is a correlation between Dupuytren's disease and conditions such as diabetes, alcoholism, and smoking. 

Symptoms of Dupuytren's Disease 

The primary symptom of Dupuytren's disease is the development of thickened bands of tissue in the palm of the hand, particularly near the base of the fingers. As the condition progresses, individuals may experience: 

Finger contractures: Gradual bending of one or more fingers towards the palm, which can limit hand function. 

Nodules: Small, firm nodules or lumps beneath the skin of the palm. 

Painlessness: In most cases, Dupuytren's disease is not painful, but the contractures can make hand movements difficult. 

Treatment for Dupuytren's Disease 

The treatment of Dupuytren's disease depends on the severity of the condition and its impact on hand function. Common approaches include: 

Consult with an expert: An Accredited Hand Therapist is a physiotherapist or occupational therapist with expertise in the finger, hand, wrist, elbow, and shoulder.

Monitoring: In mild cases where contractures do not interfere significantly with hand function, close monitoring may be recommended. 

Needle fasciotomy: This minimally invasive procedure involves inserting a needle into the affected tissue to release the contracture. 

Collagenase injection: A collagenase enzyme injection can soften the thickened tissue, making it easier to manipulate and straighten the finger. 

Surgery: The most common treatment involves removing the affected tissue through surgery. Early intervention often leads to a more successful outcome.

Living with Dupuytren's Disease 

Living with Dupuytren's disease may require some adjustments in daily life, especially if finger contractures develop. Here are some tips for individuals with Dupuytren's disease: 

Rehabilitation exercises: Engage in regular hand exercises recommended by an Accredited Hand Therapist to maintain hand mobility. 

Adaptive tools: Consider using adaptive tools and devices designed to aid in daily tasks like dressing, cooking, and grooming. 

Seek support: Connect with support groups or organisations dedicated to Dupuytren's disease to learn from others' experiences and share insights. 

Regular follow-ups: Maintain regular follow-up appointments with an Accredited Hand Therapist to monitor the condition's progression and discuss treatment options if needed. 

Find a local Accredited Hand Therapist

Patients can find a local Accredited Hand Therapist on our website using the link below.

Find an Accredited Hand Therapist