The flexor constriction (clawing of the fingers) that is associated with advanced Dupuytren’s disease can be debilitating. This clawing results in limited hand and finger mobility and discomfort.
Our Houston specialists perform two non-surgical treatments to relieve symptoms.
Since Dupuytren’s disease involves a mistaken development of thick, tough collagen tissue, injections of an enzyme that dissolves nodules and some of the thickened tissues can release the fingers and restore much of their mobility. This procedure takes about ten minutes and results are known within 24-48 hours. The patient returns to the office and one of our doctors will manipulate the hand to release the fingers from the contracture.
If collagenase does not dissolve enough tissue to bring relief, or if your doctor determines that the enzyme treatment is not the best first option, he may perform a needle aponevrotomy. In this procedure, a narrow instrument or needle is used to physically release the cords of tissue that constrain the fingers. With a needle aponevrotomy, a tiny incision or a needle is inserted into the palm of the hand and the fingers are manipulated from contracture into an extended position.
The procedure takes about 30 minutes and recovery time and discomfort are minimal. After surgery, the contraction of fingers rarely returns.